If you have coverage through an advisor, use our personal insurance forms. If you purchased coverage directly through Canada Life, use our Freedom to Choose™ forms.

Use this form to apply for a non-smoker rate if you have life insurance as part of your workplace benefits. 

You'll find instructions on how to return the completed form on the form itself.

Download the form and print it, or fill it out in Adobe Reader XI or higher (not your browser) and save.