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Form Profile
Canada Pension Plan
| Details | |||
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| Number | ISP1618A | ||
| Title | Irrevocable Consent to Deduct and Pay an Insurer | ||
| Purpose | This form is used by persons applying for a Canada Pension Plan Disability benefit who are in receipt of monthly disability benefits from their private insurer. If you are granted a CPP Disability benefit, this form gives Service Canada permission to reimburse your insurer a one-time payment which covers the period of time you were entitled to both long-term disability insurance benefits and CPP Disability benefits. This form eliminates a payment you would otherwise owe to your insurer. NOTE: This consent is irrevocable. Once signed, the consent cannot be cancelled at any time. Form includes: Where do I mail my application? | ||
| Language | English | ||
| Paper Size | 8.5x11 | ||
| Returning the Form |
Important Information
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You can view this form in: |
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| PDF5 isp1618ae.pdf (37 KB) | |||
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For more information, please consult the How to Download page. |
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Date Modified: 2007-12-13
