Types				Form Names
	Enrolment & Administration				Group Enrolment Change Form Health Evidence Questionnaire Form Optional Group Life Insurance Application Smoking Status Declaration Form Declaration of Student Eligibility
	Life Claims				Notice of Death to Co-operators Life Insurance Company - Claimants Statement Notice of Death to Co-operators Life Insurance Company - Plan Sponsor Statement Proof of Death - Physician’s Statement
	Disability Claims				Application for Group Weekly Indemnity Insurance - Plan Sponsor Statement Application for Group Weekly Indemnity Insurance - Attending Physician's Statement Application for Group Weekly Indemnity Insurance - Claimant's statement Application for Long Term Disability Benefits - Plan Sponsor Statement Application for Long Term Disability Benefits - Attending Physician's Statement Application for Long Term Disability Benefits - Claimant's Statement Group Benefits Return To Work Form
	Health & Dental Claims				Extended Health Care Claim Form Dental Claim Form
	AD&D				Notice of Death to Co-operators Life Insurance Company Form - Claimant's Statement Notice of Death to Co-operators Life Insurance Company Form - Plan Sponsor Statement Notice of Death to Co-operators Life Insurance Company Form - Proof of Death - Physician's Statement Claim for Accidental Dismemberment Benefit - Dismemberment Statement Claim for Accidental Dismemberment Benefit - Dismemberment Phycisian's Statement

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Last updated on:  July 25, 2012  Page: 

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