If you have coverage through your employer or plan sponsor, use our workplace benefits insurance forms. If you have coverage through an advisor, use our personal insurance forms.
Use these forms to make a claim through your accident insurance coverage. You’ll find instructions on how to return the completed form on the form itself.
Download this form and print it, or fill it out in Adobe Reader XI or higher (not your browser) and save.
When you’ve completed your forms, you can submit them to us by email at grouplifebenefits@canadalife.com or fax to (204) 946-8783.