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How Canada Life is supporting you during COVID-19. Learn more

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Life insurance waiver due to disability 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 a waiver of life insurance premiums due to disability.

To make a claim:

Step 1: Complete part 1 of 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. You'll need to complete part 1.

Step 2: Ask your doctor to complete part 2 of the claim form.

Step 3: Submit your claim.

When both parts are completed, please send a scanned copy to us via email at or by fax at (204) 946-4030.

In light of COVID-19, we ask that you do not mail these forms to us.