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.