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 claimant form. 

Complete a Claimant Statement online through DocuSign.

Download and complete a Claimant Statement 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.

Download this form and print it, or fill it out in Adobe Reader XI or higher Opens a new website 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 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.