If you have coverage through your employer or plan sponsor, use our workplace benefits insurance forms. If you purchased coverage directly through Canada Life, use our Freedom to Choose™ forms.
Use these forms to apply for critical illness benefits for yourself or your child.
Step 1: Choose how you’d like to submit your claimant form.
Complete a Claimant Statement online through DocuSign.
Download and complete a Claimant Statement form.
Complete a Claimant Statement online through DocuSign to make a claim for yourself or your child.
Note that if you're completing your Claimant Statement online, you'll still need to ask your doctor to complete and return a Physician's Statement to us.
Complete the form that applies for you, depending on whether you’re applying for benefits for yourself or a child. Download this form and print it, or fill it out in Adobe Reader XI or higher Opens a new website in a new window(not your browser) and save. Please note that forms must be signed using a pen, and forms returned with Adobe signature won’t be accepted.
Step 3: Submit your claim.
To submit a paper claim or Physician's Statement please mail, email or fax to the contact information indicated on the claim form.