Client area • Medical Student all product forms

Subscriptions, claims, exemptions, modifications, etc.

Activate or change credit cards, bank accounts and direct debits.

Change of address, Sogemec Digital Service and File Deposit registration.

Product brochures and other general information documents.

Filter forms by product type

Unless otherwise noted, please complete, print and return your form to Sogemec Insurance:

BY secure file deposit
or
to the following address:
Sogemec Assurances
2, Complexe Desjardins, C.P. 217, Succ. Desjardins
Montréal (Québec) H5B 1G9

Enrolment

Enrollment form – Life/Disability 88R00 | PDF 245.09 KB Enrollment form – Life/Disability 88R00
Declaration of Insurability – Medical Questionnaire / Drug Plan Option A and Option B | PDF 357.44 KB Questionnaire to complete if you are enrolled in life/disability/business expenses/critical illness insurance

Claims

Direct deposit form | PDF 71.96 KB Direct deposit form
Disability claim form – Insured person’s statement | PDF 730.96 KB Disability claim form - Insured person's statement
Disability claim form – Treating doctor statement | PDF 968.30 KB Disability claim form - Treating doctor statement

Modification

Beneficiary change request | PDF 45.00 KB Beneficiary change request form