eClaims Request Form (Canada Users)
Global Vista Customer Number
Global Vistaline On The Web User ID
**You must have a Global Vistaline On the Web ID to use Eclaims. If you do not have one, please fill out the
User ID Request Form
* Acceptance of Credit Memos is required in order to participate in the Eclaims program. By submitting this form, you are agreeing to this requirement.
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