Enrolment form - Allstate Benefits Canada 2026

1. Click ‘Get Form’ to open the enrolment form in the editor.
2. Begin by filling out the 'General Information' section. Enter your name, address, date of birth, and contact details. Ensure accuracy as this information is crucial for your coverage.
3. Next, provide details about your primary and contingent beneficiaries. Include their full names, addresses, and relationships to you.
4. Complete the section for persons to be insured by entering their names, relationships, genders, and dates of birth. Indicate tobacco use status for each individual.
5. If applicable, answer questions regarding any changes in coverage due to qualifying events like marriage or adoption. Fill in the required details if you answered 'Yes'.
6. Select your desired coverage options under 'Selection of Coverage'. Mark whether you want critical illness coverage and specify the plan type.
7. Finally, review all entered information for accuracy before signing electronically at the bottom of the form.

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