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[…] Gender: m Male m Female Union/association membership, if applicable: T he new member will be asked to send HOOPP proof of age documentation. For acceptable proof documents see the Instructions page. New member’s mailing address: Home Tel: Work Tel: E-mail: Fax: New member’s language preference is: m English m French   (See instructions page for details about French services.) 2. Benefit Transfers   (Complete this section, if applicable.)  m The member named above was a member of a pension plan at his/her previous place of employment and wants to explore the possibility of transferring service from that plan into HOOPP. Please indicate, in the space  below, the name of the member’s previous pension plan – for a list of plans with which HOOPP has reciprocal transfer agreements and other details on transfers, see the Instructions page. Date of termination from previous employer: |_____|_____|__________| Previous Plan:  3. Declaration   (Completed by member – see Instructions page.) Iconsent to the use of all information contained on this form and any and all additional personal information which I may hereafter provide to the administrators of the Plan, including my social insurance number, plus information related to my salary and employment record, as may be required to administer the Plan. My consent extends to any disclosures by the Plan administrators to the Plan’ s auditors, actuaries and/or other pr ofessional advisors for the purposes of administering the Plan.  Ialso understand that any information collected or requested via this document is solely for the purpose of administering the Plan and will not be disclosed to any other party, except as previously indicated, without my consent. I certify that the information contained in this form is correct to the best of my knowledge. This form no longer captures beneficiary designation information. See Instructions page for details. New member’s signature: Date: |_____|_____|__________|   4. Employment Information   (To be completed by employer.) Name of employer: Employer code: |___|___|___| New member works:  m […]

[…] more than one LHIN ) may be notified by a service provider that the service provider is sel ling all or a portion of its business. Typically, this is highly confidential information that should not be shared with other LHINs without the consent of the service provider. There are two types of sale that […]

[…] more than one LHIN ) may be notified by a service provider that the service provider is sel ling all or a portion of its business. Typically, this is highly confidential information that should not be shared with other LHINs without the consent of the service provider. There are two types of sale that […]

[…] Support Services contact. Look in your email calendar for the invitation. Wait to be admitted. For more information on how to join a Microsoft Teams virtual meeting online click here . Getting Started – All participants will be ask ed to:  identify themselves: patients will be asked to show their Health Card  […]

[…] v olunteer “As a nurse and caregiver, I wanted to help make care safer for all who followed my aging parents. I have been able to bring this experience into my role as an advisor . Through my participation, I have engaged in many ways. I have reviewed communication and education material, making them […]