Make a claim online
Complete a Claimant Statement online through DocuSign.
Critical illness claim forms
Have coverage through your advisor? You’re in the right place.
If you have coverage through your employer or plan sponsor, use our workplace benefits insurance forms. If you purchased coverage directly through Canada Life, use our Freedom to Choose™ forms.
Start a claim
Use these forms to apply for critical illness benefits for yourself or your child.
Step 1: Choose how you’d like to submit your claimant form.
Make a paper claim
Download and complete a Claimant Statement form.
Complete a claim online
Complete a Claimant Statement online through DocuSign to make a claim for yourself or your child.
Make a paper claim
Complete the form that applies for you, depending on whether you’re applying for benefits for yourself or a child. Download this form and print it, or fill it out in Adobe Reader XI or higher - Opens in a new window(not your browser) and save. Please note that forms must be signed using a pen, and forms returned with Adobe signature won’t be accepted.
This form is to be completed by the insured in order to submit a claim for individual critical illness benefits.
This form is to be completed by the insured in order to submit a claim for individual critical illness benefits for a child.
Step 2: Ask your doctor (or your child’s doctor) to complete a claim form.
This form is to be completed by the insured's attending physician in order to submit a claim for individual critical illness benefits.
This form is to be completed by the child's attending physician in order to submit a claim for individual critical illness benefits for a child.
Step 3: Submit your claim.
To submit a paper claim or Physician's Statement please mail, email or fax to the contact information indicated on the claim form.