Make a claim online
Complete a Claimant Statement online through DocuSign.
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 a waiver of life insurance premiums due to disability.
Complete a Claimant Statement online through DocuSign.
Download and complete a Claimant Statement 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. 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.
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.
To submit a paper claim or Physician's Statement please mail, email or fax to the contact information indicated on the claim form.