Skip to main content

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

Your web browser is out-of-date. For the best experience, please update to a modern browser like Chrome, Edge, Safari or Mozilla Firefox.

Early Referral Services

Adobe Reader XI or higher is required to fill out and save a completed form. Download Adobe ReaderOpens a new website in a new window - Opens in a new window .

Early Referral Services provides employees at risk of disability with access to proactive health services.

If an employee is requesting early referral services, you’ll need to complete a form and questionnaire to support their claim. To do this, you should:

  • Download and save Application for Early Referral Services (ERS) - Employer statement - M5469A 
  • Ensure all necessary sections are completed 
  • Submit the completed form to Canada Life  
Submit online

Not the forms you're looking for? Go back to the find a form page.