Fillable Supplemental Fund Application Form
The Fund can be accessed by sending an email along with receipts and a completed application form to suppfund@cupe917.ca with a subject of Supplemental Fund Application
• Each member in good standing shall be eligible to access the CUPE 917 Supplemental
Fund with an application.
• There is a limit of up to $500 available for each member to access annually.
• The Supplemental Fund will have an initial annual disbursement limit of $50,000.
• Once $50,000 has been accessed from the fund, it shall be closed until the next calendar
year and/or until the re-evaluation is completed.
• Applications shall be on a first come, first served basis.
• The fund disbursement amounts, both per member and total disbursement, shall be
reevaluated following the initial year.
The Fund can be used to access the following:
• Supplementing exhausted health benefits
(Proof that a benefit has been exhausted through the benefit provider (PBC) shall
need to be provided)
• Paying for medical services not provided by extended health benefits
• Paying for deductibles on health benefits
• Medical emergencies
• Personal Health and Wellness initiatives, such as but not limited to:
o Gym membership
o Fitness classes
o Mental health initiatives
o Classes / courses for Health and wellness initiatives
o Textbooks / course books for Health and Wellness initiatives
The Fund shall not cover:
Running shoes, Boxing gloves, Weight Belts or any other equipment required for
fitness classes of a gym membership.
CUPE 917 Supplemental Fund Committee
Paula Gough, Virgie Stewart, Shane Randall