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Use the appropriate form to apply for critical illness benefits for your personal policy, either for you or your child.
To submit a claim:
- Print the appropriate form, and complete Part 1.
- Have your doctor (or your child’s doctor) fill out Part 2.
- When both parts are completed, please send a scanned copy to us via email at email@example.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.
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