Forms & Tools

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Customer Service:
1-800-661-3300

PDF Application Forms

Term Life
Use this if you'd like to download a PDF application for Engineers Canada Term Life to complete offline.
Prime Health & Dental Plan
Use this if you'd like to download a PDF application for Engineers Canada Prime Health & Dental to complete offline.
Retiree Health & Dental Plan
Use this if you'd like to download a PDF application for Engineers Canada Retiree Health & Dental to complete offline.
Disability Income
Use this if you'd like to download a PDF application for Engineers Canada Disability Income to complete offline.
Critical Illness
Use this if you'd like to download a PDF application for Engineers Canada Critical Illness to complete offline.

PDF Claim Forms

Engineers Canada Extended Health Care Claim Form
Use this if you'd like to download a PDF claim form for Engineers Canada Health to complete offline.
Engineers Canada Dental Plan Claim Form
Use this if you'd like to download a PDF claim form for Engineers Canada Dental to complete offline.

PDF Other Forms

Guaranteed Re-Entry / Enstatement
Use this form if you'd like to re-enstate coverage that has been suspended under the Guaranteed Re-Entry Provision of your certificate.

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