If you have coverage through an advisor, use our personal insurance forms. If you purchased coverage directly through Canada Life, use our Freedom to Choose™ forms.

If you have coverage through your employer or plan sponsor, use these forms to make an accidental death or dismemberment claim.  

Download the form and print it or fill it out in Adobe Reader XI or higher (not your browser) and save. You’ll need your employer to fill in some sections.

Download the form and print it or fill it out in Adobe Reader XI or higher (not your browser) and save. You’ll need your employer to fill in some sections.

Ask your doctor to complete this form.

You'll find instructions on how to return the completed form on the form itself.