Claim Confirmation #26526
Your claim has been randomly selected for audit.
You must submit your receipts now or lose online claiming privileges

Your claim has been submitted and will be processed within five business days. However, your claim has been randomly selected for audit. You must submit your receipts and supporting documentation within 40 days from the date of this request. Failure to comply will result in the removal of your online claiming privileges and repayment of any money paid to you for this claim will be required.

1. Print the online claims statement for this claim.
2. Print the consent authorization  page
3. Sign and date the consent authorization page
4. Attach your receipts and all other supporting documentation
5. Send the statement, signed consent and supporting documentation by fax or mail to:    

• Fax: 1-877-MANUCLM (626-8256)     
• Mail:    
  Manulife Financial
  On-line Claims Verification Services
  PO Box 250
  Waterloo ON  N2J 4A5

Do not use any other mailing address (including the one on your claim form) to ensure that this claim is dealt with properly.
Questions? Contact us at 1-800-268-6195, 8:30 am to 4:30 pm local time, Monday to Friday.