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 these forms to request reimbursement for expenses covered by your plan, including vision, dental and prescription drugs. 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.