Weekly Indemnity Claim


You’ve become disabled (through injury or sickness) and are no longer able to work. Use the Weekly Indemnity Benefits Claim form to make your claim for Weekly Indemnity benefits.

Information Needed to Complete the Form

Your personal Member information is needed to complete the form. The policy number, 52565 must be included on the form. In addition, information such as:

  • details of the sickness and/or accident,
  • your employer’s statement and signature,
  • the physician’s contact information, and
  • the attending physician’s statement and signature is also required.

Please follow the instructions on the form.


  • Your claim must be filed within 30 days of becoming disabled.
  • Both your employer and your doctor must complete their sections of the form before the claim will be considered.
  • The Member must sign on both pages of the form.

Questions on completing the form should be directed to the PLAN ADMINISTRATOR.

Completed forms should be sent to the PLAN ADMINISTRATOR.

NDT Industry Health Benefit Plan

As an eligible member of our benefit plan, you and your family are protected from the high cost of prescription drugs, emergency medical treatment, dental expenses and wage loss when you are disabled and unable to work. The Plan is intended to bring a greater peace of mind and an increased feeling of security to you and your family.

Learn more here.

NDT Industry Pension Plan

As an eligible member of our pension plan, you can take comfort in knowing our pension plan is supporting the founders of our industry and providing a valued source of income for those who helped build this industry to what it is today. The Plan is a multi-employer defined contribution pension plan and all money contributed to the Plan is held in trust on your behalf.

Learn more here.

Training Fund

The QCC and NDTMA jointly administer an industry training fund which reimburses training and certification costs for member technicians. The Training Fund promotes constant education and upgrading of the QCC Members.

Learn more here.

Employer / Contractor Section

See this section for information and instructions on how to remit to the Plan(s) as a signatory contractor or employer.

Learn more here.