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Number | ISP1618C |
Title | Request to Deduct and Pay a One-time Retroactive Payment to an Insurer |
Purpose | This form is for use by disability insurance companies who have a valid Approval Deduction and Payment Agreement with the Minister of Human Resources and Social Development Canada and who are seeking a reimbursement from Service Canada for CPP Disability benefits paid to you while you were receiving benefits from your insurer for the same period. This form contains a statutory declaration which requires the insurer to declare that they are acting in accordance with the terms and conditions of the Approval Deduction and Payment Agreement. |
Group | Canada Pension Plan |
Important Information Returning the Form |
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Request to Deduct and Pay a One-time Retroactive Payment to an Insurer PDF: ISP-1618(C), 180 KB, printed on 2 pages (8.5x11) |
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