PSAC Service Beyond Expectations
Enhanced Coverage
Critical Illness
PSAC for life
other forms
Couglin & Associates Ltd.

Application: PSAC Critical Illness

Apply today!

Make sure you and your family have the financial tools — and the freedom — to access needed services and support to protect your lifestyle following a critical illness. Apply for PSAC critical illness insurance coverage today.

Just print, complete and sign the application form now. Then, send it to:

PSAC Critical Illness
c/o Coughlin & Associates Ltd.
Box 3518, Station C
Ottawa, ON  K1Y 4G1


PSAC Critical Illness application form
(PDF 720 KB)