Securely submit your Employer's Statement online

Browse to the location where you saved your Employer's Statement and select it Note:Only Adobe Acrobat (.PDF) documents can be submitted online. Up to five documents can be submitted at a time (maximum individual document size is 8MB) Choose File 1 No files currently selected for upload
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Plan number

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Employee's first name

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Employee's last name

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Phone number and extension (if applicable) <span id="PhoneNumberScreenReader" class="sr-only">Screen readers, enter numbers only. Do not add hyphens, brackets and extension text because they are added automatically.</span>

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Select the Canada Life Disability Management Services Office that manages your claims

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Security check

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I certify that the statements made in the attached document are true and complete.

If you have any questions about submitting your document online, contact us at 1-855-755-6729.For Internet Explorer users, you may close your session by clicking Close or Cancel. For other browser users, you must close your session by clicking the close ("X") symbol in the upper right corner of your browser.