| Details | |
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| Number | ISP5005-USA |
| Title | USA/Canada Agreement – Interim Application for United States Benefits |
| Purpose | For persons residing in Canada who have worked or lived in the United States wishing to apply for United States benefits under the Agreement on Social Security between Canada and the United States. |
| Group | International Benefits - Application Forms for Foreign Benefits |
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Important Information Returning the Form | |
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Interim Application for United States Benefits under the Agreement on Social Security between Canada and the United States PDF: ISP-5005-USA, 224 KB, printed on 2 pages (8.5x11) |
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