Insurance Plans
Change of Beneficiary
AdvantEdge/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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