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.  

Use this form to apply for disability benefits. 

Step 1: Choose how you’d like to submit your claim form. 

Complete a claimant's initial statement online through DocuSign.

Download and complete a claimant's initial statement form.

Note that if you're completing your claimant's initial statement online, you'll still need to ask your doctor to complete and return an Initial disability insurance medical statement  to us.

Download this form and print it, or fill it out in Adobe Reader XI or higher Opens a new website in a new windowOpens a new website in a new window(not your browser) and save. Please print and sign this form using a pen. We cannot accept forms signed through digital tools other than DocuSign. 

Step 3: Submit both forms

To submit a paper claim or your doctor’s form, please mail, email or fax to the contact information on the claimant’s initial statement.