Active Members |
Forms
Critical Illness – Loss of Sight, Hearing, Speech, Limbs, Independent Existence, Paralysis
Coverage Details
Description
Claim for Critical Illness Diagnosis – Loss of Sight, Hearing, Speech, Limbs, Independent Existence or Paralysis.
Applicable for
Member / Spouse
Related Benefits
Submit your form online:
Step 1
Download, print and fill out the form.
Download Form Step 2
Upload the form using our online submission form.
Upload NowSubmit by mail:
LiUNAcare Local 183
200 Labourers Way
Vaughan, ON, L4H 5H9
Suite 2100