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The Manufacturers Life Insurance Company (Manulife Financial) fax number

(416) 687-5049

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Disability Claims (Group Disability Benefits)

Used for: Long Term Disability claim submission (Group Disability Benefits)

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

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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.

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