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Portable life insurance 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 a Portable Benefits life insurance plan.

Standard claim form

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

Advanced payment form

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

When you’ve completed your forms, you can submit them to us by email at portablebenefits@canadalife.comOpens in a new window or fax to (416) 552-3373.

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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