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How Canada Life is supporting you during COVID-19. Learn more

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Coverage bought online - AD&D claim forms

Bought PlanDirect™ coverage directly through Canada Life? You’re in the right place.

If you have coverage through your employer or plan sponsor, use our workplace benefits insurance forms. If you have coverage through an advisor, use our personal insurance forms.  

Start a claim

Use this form to make a claim for accidental death, dismemberment or specific loss.

To make a claim:

Step 1: Complete a claim form.

Download this form and print it, or fill it out in Adobe Reader XI or higher - Opens in a new window (not your browser) and save.

Step 2: Ask your doctor to complete a physician's report.

Download this form and print it, or fill it out in Adobe Reader XI or higher - Opens in a new window (not your browser) and save.

Step 3: Submit your claim.

When both parts are completed, please send a scanned copy to us via email at grouplifebenefits@canadalife.com or by fax at (204) 946-8783.

In light of COVID-19, we ask that you do not mail these forms to us.

Not what you're looking for? Find the forms you need.

I have coverage through my employer.

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I bought coverage through an advisor.

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I bought coverage online directly through Canada Life.

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