PSAC Service Beyond Expectations
Enhanced Coverage
Critical Illness
PSAC for life
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Other forms

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


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


PSAC Benefit Change Form

(PDF 85 KB)


PSAC Beneficiary Designation

(PDF 82 KB)


PSAC Smoking / Non-Smoking Declaration

(PDF 90 KB)


PSAC Pre-Authorized Payments

(PDF 133 KB)

Estimate your coverage needs
(PDF 156KB)