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

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Accidental death or dismemberment

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How to make a claim

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

To submit a claim:

  1. Print the appropriate form, and complete Part 1.
  2. Have your doctor (or your child’s doctor) fill out Part 2.
  3. When both parts are completed, please send a scanned copy to us via email at or by fax at (204) 946-8783.

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

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