Trip cancellation or interruption claim form
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 paper claim
Use this form to request reimbursement for expenses you incurred if your trip was cancelled or interrupted due to illness. You'll find instructions on how to return the completed form on the form itself.
Standard claim form
Download the form and print it, or fill it out in Adobe Reader XI or higherOpens a new website in a new window - Opens in a new window (not your browser) and save.
Use this form to make a claim for expenses from a trip being cancelled, interrupted, or extended prior to June 1.
Claim for expenses from a trip being cancelled, interrupted, or extended on or after June 1. You’ll need to include Government Assignment Forms with your claim.