Insurance Plans
Change of Beneficiary
HealthEdge Premiums
Other Administrative Forms

Other Administrative Forms

Below, you can download administrative forms for certain Canadian Dentists’ Insurance Program plans. (For other administrative forms, choose a category from the menu on the left.)

Simply click on the name of the insurance plan you need from the list below. When the application has downloaded, print it, fill-in the form and send it to CDSPI via regular mail or fax.

Mail completed forms to: CDSPI Insurance Services, 155 Lesmill Road, Toronto, Ontario, M3B 2T8, Fax: (416) 296-8920.

If you need assistance completing a form, contact CDSPI Insurance Services.

Pre-Authorized Chequing/Credit Card
Lost Policy Form
Assignment/Ownership Form
Application for Non-Smoker Rates*

* For the Basic Life, Family Life, Term 100, Long Term Disability, Office Overhead Expense or Dental Office Staff Insurance plans.

Note: To view these forms, you will need to have Adobe Acrobat Reader installed on your computer.

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