Portable Accidental Death and Dismemberment (AD&D) insurance
Downloadable forms
Use these forms to make a claim through your Portable Benefits Accidental Death & Dismemberment (AD&D) and specific loss coverage.
To do this, you should:
- Download and save the correct form
- Ensure all necessary sections are filled out
- Ensure the Physician’s Report is completed (where required)
- Mail or email the completed form to Canada Life
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Use this form to claim supplementary benefits through your portable benefits plan relating to Accidental Death & Dismemberment and specific loss.
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Use this form to claim benefits through your Portable Benefits plan relating to accidental dismemberment and specific loss.
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