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Number ISP1618B
Title Consent for Service Canada and Insurer to Communicate Disability Benefit Information
Purpose This form is to be used along with the ISP1618A. It is for persons applying for a Canada Pension Plan Disability benefit who are in receipt of monthly disability benefits from their private insurer. This form has two purposes. If you are granted CPP Disability benefits, this form allows your insurer to give Service Canada your Insurance Policy and client identification numbers and the date when your disability insurance benefits started so that your CPP Disability retroactive reimbursement payment is correctly applied to your account. It also allows Service Canada to give your insurer the information they need to adjust their future monthly payment to you.
GroupCanada Pension Plan
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Income Security Programs

Consent for Service Canada and Insurer to Communicate Disability Benefit Information
PDF: ISP-1618(B), 245 KB, printed on 4 pages (8.5x11)

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