Plan Forms

Forms marked with an asterisk * You will need Adobe Acrobat Reader to view and complete any forms. These forms work best with Google Chrome or Firefox web browsers.

Active Employee Forms

 Canada Life Extended Health Care Plan Employee Claim Form

 Statement of Claim Out-of-Country Expenses*

 Over-age Dependent Questionnaire *

For Executive Government Employees

 Benefit Plan Enrolment Form *

For All Other Participating Employers

 Benefit Plan Enrolment Form *

Retiree Forms

 Extended Health Care Plan Retiree Enrollment Form

 Extended Health Care Plan Retiree Change Form

 Retirees Statement of Claim Out-of-Country Expenses*

 Extended Health Care Plan Retiree Claim Form

 Personal Pre-authorized Debit (PAD) Agreement

 Retiree Over-age Dependent Form