|Title||Statutory Declaration - Separation of Legal Spouses and Common-law Partners|
|Purpose||Complete this form if you are separated from your legal spouse or common-law partner. If you are living apart from your spouse or common-law partner for reasons beyond your control, please complete form ISP-3040.|
|Group||Old Age Security|
Returning the Form|
Statutory Declaration - Separation of Legal Spouses and Common-law Partners
PDF: ISP-1811_OAS, 178 KB, printed on 2 pages (8.5x11)
For more information, please consult the Forms Help page.