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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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Use these forms to apply to waive your group life insurance premium if a disability is keeping you from working.

To make a claim, download the life insurance waiver form package on this page. You can print it and fill it out by hand, or complete it digitally in Adobe Reader (not your browser).

There are 3 sections you’ll need to complete:

  • Consent form – You’ll need to complete this form in full.
  • Employee statement – You’ll need to complete this form in full, with some details from your employer.
  • Physician’s report – You’ll need to ask your doctor to fill this out.

Submit your claim by email or fax to your disability management services office. Check with your employer to find out which office has been assigned to your claim.

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