Disability benefits 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 this form to apply for disability benefits.
To make a claim:
Step 1: Complete the claim form.
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.
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This form is to be completed by the insured in order to submit a claim for individual disability benefits.
Step 2: Ask your doctor to complete a claim form.
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This form is to be completed by the insured's attending physician in order to submit a claim for individual disability benefits.
Step 3: Submit your claim.
When both forms are completed, please send a scanned copy to us via email at lbclaims@canadalife.com or by fax at (204) 946-4030.
In light of COVID-19, we ask that you do not mail these forms to us.
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