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 forms and fill them out in Adobe Reader XI or higher (not your browser), and save.

Sign your forms using one of these methods:

• Print the forms and sign them in ink.
• Use a stylus or your finger on a touchscreen.
• Insert an image of your handwritten signature.
• Use a validation system such as Docusign.

We cannot accept forms with a typed signature.

Ask your doctor to complete this form.

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