Skip to main content

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

The Great-West Life Assurance Company, London Life Insurance Company and The Canada Life Assurance Company have become one company – The Canada Life Assurance Company. Learn more

The Great-West Life Assurance Company, London Life Insurance Company and The Canada Life Assurance Company have become one company – The Canada Life Assurance Company. Learn more

Your web browser is out-of-date. For the best experience, please update to a modern browser like Chrome, Edge, Safari or Mozilla Firefox.

Adobe Reader XI or higher is required to fill out and save a completed form. Download Adobe ReaderOpens a new website in a new window.

Use the appropriate form to apply for critical illness benefits for your personal policy, either for you or your child.

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 cllbclaims@canadalife.comOpens in a new window or by fax at (204) 946-4030.

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

Not forms you're looking for? Go back to the find a form page.