Direct deposit enrolment or changes disability claims 02728 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your Certificate or identification number at the top of the form. This helps identify your claim.
3. Fill in your last name and first name as they appear on your insurance documents.
4. Provide your complete address, including street number, apartment (if applicable), city, province, and postal code.
5. Enter your telephone number for any follow-up communications regarding your claim.
6. In the authorization section, specify the name and address of your financial institution where payments will be deposited.
7. Input the institution number, transit/branch number, and account number accurately to ensure correct deposits.
8. Attach a specimen cheque marked 'VOID' to verify account details.
9. Sign and date the form to authorize Desjardins Insurance to process your direct deposit request.

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