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During the rotating labour disruption, Canada Life will issue mail as usual. We'll continue to serve our customers, but you can expect delays in mail service.

The Great-West Life Assurance Company, London Life Insurance Company and The Canada Life Assurance Company have become one company – The Canada Life Assurance Company. Discover the new Canada Life

The Great-West Life Assurance Company, London Life Insurance Company and The Canada Life Assurance Company have become one company – The Canada Life Assurance Company. Discover the new Canada Life

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Freedom 55 Financial is a division of The Canada Life Assurance Company and the information you requested can be found here.

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.