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Claims

Creditor Claims Forms

Please remember:
 
  • Our claims forms are specific to the cause of the disability
  • Our claim forms must be completed at the end of the required elimination period
  • Any fees incurred for the completion of the forms are your responsibility. Please discuss the fee with your physician
We suggest you contact our office for instructions prior to completing forms online.
 
Where to send your claim information:
 
Claims Centre
CUMIS Life Insurance Company
P.O. Box 5065
151 North Service Road
Burlington, ON L7R 4C2
 
 
Toll free phone number: 1-800-263-9120
Toll free confidential claims fax number: 1-800-897-7065

Credit Card Balance Protection

English

Français
 

Mortgage Protection

English
Français
 

Loan and Line of Credit Protection

 

Member Term Life

English 
Français
Preuve de deces - declaration du medecin EP-012F
 

Payment Protection for Line of Credit

English
Français

Formulaire initial de demande d'indemnite pour invalidite EP-021F
Formulaire de demande d'indemnite supplementaire EP-014F
Formulaire de demande initiale d'indemnite pour perte d'emploi EP-022F
Preuve de deces - declaration du medecin EP-012F
Autorisation de communiquer des renseignements EP-047F
Formulaire de demande d'indemnite d'assurance-vie de credit EP-029F

 

Payment Protection for Loans

English

Français