Disability benefits claims forms
Have coverage through your employer or plan sponsor? You’re in the right place.
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.
How to make a claim
Use these forms to claim income benefits if you have short-term, long-term or early referral services disability coverage through your employer or plan sponsor.
To make a claim for coverage through your employer/plan sponsor, follow these steps:
Step 1: Complete a consent form.
Download this form and fill it out in Adobe Reader XI or higher - Opens in a new window (not your browser), and save.
Use this form to permit Canada Life to collect, use and exchange info to assess and administer your life waiver of premium claim.
Step 2: Complete an employee statement.
Use this form to apply for disability benefits. It contains instructions for making a disability claim, including what you’ll need from the doctor.
Step 3: Request a completed physician’s report.
Select the most appropriate form for your condition and ask your doctor to complete it.
Use this form for any type of Short-term disability claim as well as Early Referral Service program.
Use this form for any type of Long-term disability claim.
Step 4: Submit your claim.
Go to our online claims process, where you will attach all 3 of these forms as part of the submission.
You’ll need to add a few more details about yourself and your plan.
Select submit once you’re done.
If you have questions about submitting online, call us at 1-855-755-6729.
It’s best to submit online, but you have options if you can’t.
You can mail or fax your forms to your local disability management services office. Please be aware that the response might be delayed right now.
Waiting for a response?
If you have questions about your claim or want to know its status, call or email your local disability management services office.
Additional information
If you have short-term or long-term disability coverage, here’s how to make a claim.