Critical illness claim forms
Have coverage through an advisor? You're in the right place.
If you have coverage through your employer or plan sponsor, use our workplace benefits insurance forms instead.
Start a claim
Use these forms to apply for critical illness benefits for yourself or your child.
To make a claim:
Step 1: Complete a claim form.
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.
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.
When both forms are completed, please send the originals by mail to PO Box 6000, Winnipeg, MB R3C 3A5, or a scanned copy to us via email at lbclaims@canadalife.com or by fax at (204) 946-4030.
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