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Portable critical illness claim forms

Have you added portable benefits coverage to your workplace plan? You’re in the right place.

Start a claim

Use these forms to make a claim on your Portable critical illness coverage. 

Step 1: Complete a claimant statement

Download this form and print it, or fill it out in Adobe Reader XI or higher (not your browser) and save.

Step 2: Ask your doctor to complete a report

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

Step 3: Submit your claim

When you’ve completed your forms, you can submit them to us by email at or fax to (416) 552-6557. 

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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