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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

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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 these forms to make an accidental dismemberment or a specific loss claim.

To make a claim, follow these steps:

  • Complete a claim form – Download the statement and print it, or fill it out in Adobe Reader (not your browser) and save. You’ll need your employer to fill in some sections.
  • Complete a claim form for any supplementary benefits – Download the statement and print it, or fill it out in Adobe Reader (not your browser) and save. You’ll need your employer to fill in some sections.
  • Request a completed physician’s report – Select the form for your condition and ask your doctor to complete it.

Submit your claim by emailing your completed forms to grouplifebenefits@canadalife.com or faxing them to 204-946-8783.

 

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