Direct deposit enrollment disability claims - Desjardins Life Insurance 2026

1. Click ‘Get Form’ to open the Direct Deposit Enrollment Disability Claims form in the editor.
2. Begin by entering your last name and first name in the designated fields at the top of the form. Ensure that your identification or certificate number is accurately filled in as well.
3. Provide your complete address, including street number, apartment (if applicable), city, province, postal code, and telephone number. This information is crucial for processing your claim.
4. In the section for financial institution details, enter the name and address of your bank. Fill in the institution number, transit/branch number, and account number. Remember to attach a specimen cheque marked 'VOID' for verification.
5. Review the authorization statement carefully. Confirm that you understand that any credits will be identified with a DIRECT DEPOSIT transaction code.
6. Indicate the effective date of this authorization and sign where indicated. Print your name below your signature and include today’s date.
7. Once completed, save your document and submit it as instructed on the form to ensure timely processing of your claim.

Start using our platform today to fill out your Direct Deposit Enrollment Disability Claims form easily and for free!