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. You'll need to complete part 1.
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This form is to be completed by the insured and their attending physician in order to submit a claim for individual critical illness benefits.
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This form is to be completed by the insured and their attending physician 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 fill out part 2 of the claim form.
Step 3: Submit your claim.
When both parts are completed, please send a scanned copy to us via email at lbclaims@canadalife.comOpens in a new window or by fax at 2 0 4 % 2 0 9 4 6 4 0 3 0.
In light of COVID-19, we ask that you do not mail these forms to us.
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