Form Profile

Details

Number ISP1151
Title Application for Canada Pension Plan Disability Benefits
Purpose To apply for a Canada Pension Plan Disability benefit. Complete the application. You must then sign and return it by mail.

The Disability kit includes: Application form, General Information and Guide, Questionnaire, Consent for Service Canada to Obtain Personal Information form, Medical Report and Child Rearing Provision form. Each form must be completed and forwarded to your nearest Service Canada office (see Returning the Form).

isp1150 - General information and guide
isp1151 - Application For Disability Benefits
isp2507 - Questionnaire for Disability Benefits
isp2502a - Consent for Service Canada to Obtain Personal Information / Physician's copy
isp2502b - Consent for Service Canada to Obtain Personal Information / Service Canada's copy
isp2519 - Medical Report
isp1640 - Child Rearing Provision form
isp1640A - Information sheet for the Child Rearing Provision
Group Canada Pension Plan
Paper Size 8.5x11
Important Information
Returning the Form

Forms

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The form(s) are available in the following formats: PDF.
PDF
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Application For Disability Benefits
PDF, sc-isp-1151(2012-03-12)e.pdf, 423 KB, printed on 4 pages

Child Rearing Provision, Canada Pension Plan
PDF, sc-isp-1640(2011-11-15)e.pdf, 347 KB, printed on 2 pages

Consent for Service Canada to Obtain Personal Information / Physician's copy
PDF, sc-isp2502-a(2013-04-01)e.pdf, 509 KB, printed on 2 pages

Consent for Service Canada to Obtain Personal Information / Service Canada's copy
PDF, sc-isp2502-b(2013-04-01)e.pdf, 501 KB, printed on 2 pages

General information and guide
PDF, sc-isp-1150(2011-11-15)e.pdf, 483 KB, printed on 10 pages

Information sheet for the Child Rearing Provision
PDF, sc-isp-1640a(2011-11-15)e.pdf, 112 KB, printed on 3 pages

Medical Report
PDF, sc-isp-2519(2011-11-15)e_dsb.pdf, 317 KB, printed on 5 pages

Questionnaire for Disability Benefits
PDF, sc-isp-2507(2011-11-15)e.pdf, 830 KB, printed on 7 pages

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