[ Forms Catalogue ] [ Forms List ] [ Help ]

Form Detail

Details
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

Forms
This site uses PDF form technology. To print these high-quality PDF forms, you must have a PDF reader installed. If you do not already have such a reader, there are several available on the Internet : Adobe Reader and Foxit Reader The form(s) are available in the following formats.
Income Security Programs

Terminal Illness Application for Disability Benefits Under the Canada Pension Plan
PDF: ISP-2530A, 4497 KB, printed on 23 pages (8.5x11)

Terminal Illness Medical Attestation for a Disability Benefits Application under the Canada Pension Plan
PDF: ISP-2530B, 357 KB, printed on 6 pages (8.5x11)

For more information, please consult the Forms Help page.