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Workplace benefits - Disability benefits claims forms

Have coverage through your employer or plan sponsor? You’re in the right place.

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.

How to make a claim

Use these forms to claim income benefits if you have short-term, long-term or early referral services disability coverage through your employer or plan sponsor.

To make a claim for coverage through your employer/plan sponsor, follow these steps:

Step 1: Complete a consent form.

Download this form and fill it out in Adobe Reader XI or higher - Opens in a new window (not your browser), and save.

Step 2: Complete an employee statement.

Step 3: Request a completed physician’s report.

Select the most appropriate form for your condition and ask your doctor to complete it.

If you’re missing work because you have a COVID-19 diagnosis or pending test, you can complete this step yourself, without a doctor’s help.

Note: The signatures are still required but we’ll contact you later to complete these. You can submit your claim without them for now.

Step 4: Submit your claim.

Go to our online claims process, where you will attach all 3 of these forms as part of the submission.

You’ll need to add a few more details about yourself and your plan.

Select submit once you’re done.

If you have questions about submitting online, call us at 1-855-755-6729.

It’s best to submit online, but you have options if you can’t.

You can mail or fax your forms to your local disability management services office. Please be aware that the response might be delayed right now.

Waiting for a response?

If you have questions about your claim or want to know its status, call or email your local disability management services office.

Not what you're looking for? Find the forms you need.

I have coverage through my employer.

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I bought coverage through an advisor.

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I bought coverage online directly through Canada Life.

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