FormsNotice of loss

Notice of loss

  1. Complete this Notice immediately to inform the Company of any event involving the insured.
  2. This Notice should be mailed within 30 days of the date of the event to LS Mutual Life Insurance Company, P.O. Box 10 000, Saint-Hyacinthe(Québec) J2S 7C8 1-800-773-8404.
  3. Upon receipt if this notice, the Head Office Benefits Department will contact you as soon as possible.

Coordinates of the insured

Address

About the loss