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Portable Accidental Death and Dismemberment (AD&D) insurance

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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

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