The Manufacturers Life Insurance Company (Manulife Financial) fax number

Fax destination details

Department

Disability Claims (Group Disability Benefits)

Purpose

Long Term Disability claim submission (Group Disability Benefits)

Form

GL3239E — Member Statement

Address

Attention: Disability Claims, Manulife Group Benefits, PO BOX 4606 STN A, TORONTO ON M5W 4Z2

Voice phone

1-800-465-2076

Website

Visit organization website

Before you send

• Confirm that this exact department handles your document or request.
• Check the organization website or call its main line for the current fax number.
• Include a cover sheet and any case, member, claim, or form reference required.
• Keep the delivery confirmation with your submission records.

Please complete all sections, sign and date the form, and return it to your plan administrator for submission to Manulife Financial, Group Disability Benefits (or you may submit it directly to Manulife Financial, Group Disability Benefits, at the address below). The form should be fully completed by the plan member and submitted in a timely manner as part of the LTD claim process.