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Number ISP2530A
Title Terminal Illness Application Kit for Disability Benefits under the Canada Pension Plan
Purpose The Terminal Illness Application Kit is used by individuals who have a terminal illness to apply for Canada Pension Plan Disability benefits. Information in the application form describes the benefits that may be available to you and any dependent children you have. It is important that you read the instructions and answer the questions with as much detail as possible. The Terminal Illness Application Kit includes: 1. Terminal Illness Application for Disability Benefits under the Canada Pension Plan (ISP-2530A): Complete the application, sign it and return it by mail. 2. Terminal Illness Medical Attestation for a Disability Benefits Application under the Canada Pension Plan (ISP-2530B): Complete sections 1 and 2 and ask your physician or nurse practitioner to complete section 3, sign the form and return it by mail.
GroupCanada Pension Plan
Important Information
Returning the Form

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Income Security Programs

Terminal Illness Application for Disability Benefits Under the Canada Pension Plan
PDF: ISP-2530A, 3868 KB, printed on 20 pages (8.5x11)

Terminal Illness Medical Attestation for a Disability Benefits Application under the Canada Pension Plan
PDF: ISP-2530B, 349 KB, printed on 6 pages (8.5x11)

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