Securely submit your Employee's Statement online
Browse to the location where you saved your Employee's Statement and select it
Only Adobe Acrobat (.PDF) documents can be submitted online. Only one document can be submitted at a time (maximum document size is 4MB).
Enter your first name
Enter your last name
Enter your phone number and extension (if applicable)
Select the Great-West Life Disability Management Services Office that manages your claim
Winnipeg Central Service
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I certify that the statements made in the attached document are true and complete. I have read and agree with the
Terms and Conditions
Click the Terms and Conditions link before accepting the Terms and Conditions.
Your online submission of this form indicates that you have read, understood and agreed to these Terms and Conditions. If you do not agree with these Terms and Conditions, do not submit your form online.
If you have any questions about submitting your document online, contact us at 1-855-755-6729.
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