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Disability benefits claim forms

Have coverage through your advisor? You’re in the right place.

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.  

Start a claim

Use this form to apply for disability benefits. 

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

Note that if you're completing your Claimant Statement online, you'll still need to ask your doctor to complete and return a Physician's Statement to us.

Make a paper claim

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. Forms must be signed using a pen, and forms returned with Adobe signature won’t be accepted.

Step 2: Ask your doctor to complete a claim form.

Step 3: Submit your claim.

To submit a paper claim or Physician's Statement please mail, email or fax to the contact information indicated on the claim form.

Not what you're looking for? Find the forms you need.

I have coverage through my employer.

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I bought coverage through an advisor.

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I bought coverage online directly through Canada Life.

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