Government of Canada

Form Profile

Canada Pension Plan

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

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

isp1150ke.pdf - General information and guide (10 pages)
isp1151ke.pdf - Application For Disability Benefits (4 pages)
isp2507ke.pdf - Questionnaire for Disability Benefits (7 pages)
isp2502ke.pdf - Authorization to Disclose Information/Consent for Medical Evaluation (1 page)
isp2519b.pdf - Medical Report (5 pages)
isp1640ke.pdf - Child Rearing Provision form (2 pages)
isp1640ake.pdf - Information sheet for the Child Rearing Provision (3 pages)
Language English
Paper Size 8.5x11
 
Returning the Form Important Information

Forms

You can view this form in:
PDF5  isp1150ke.pdf   (41 KB)
PDF5  isp1151ke.pdf   (45 KB)
PDF5  isp1640ake.pdf   (46 KB)
PDF5  isp1640ke.pdf   (94 KB)
PDF5  isp2502ke.pdf   (21 KB)
PDF5  isp2507ke.pdf   (43 KB)
PDF5  isp2519b.pdf   (38 KB)


For more information, please consult the How to Download page.





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