Make a claim online
Complete a Claimant Statement online through DocuSign.
Life insurance waiver due to disability 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 a waiver of life insurance premiums due to disability.
Step 1: Choose how you’d like to submit your claimant form.
Make a paper claim
Download and complete a Claimant Statement form.
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.
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.
This form is to be completed by the insured’s attending physician in order to submit a claim if they have a disability rider on their individual life policy.
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.