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Details
Number ISP5053-CHL
Title Republic of Chile/Canada Agreement - Application for CPP Disability Benefits
Purpose For persons residing in Chile to apply for Canada Pension Plan Disability Benefits under the Agreement on Social Security between Canada and the Republic of Chile.
GroupInternational Benefits - Application Forms for Canadian Benefits
Important Information
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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.

Questionnaire for Disability Benefits Canada Pension Plan
PDF: ISP-5050, 499 KB, printed on 7 pages (8.5x11)

Consent for Service Canada to Obtain Personal Information
PDF: ISP-5051, 155 KB, printed on 2 pages (8.5x11)

Medical Report
PDF: ISP-5052, 185 KB, printed on 4 pages (8.5x11)

The Republic of Chile/Canada Agreement - Application for CPP Disability Benefits
PDF: ISP-5053-CHL, 105 KB, printed on 4 pages (8.5x11)

The Republic of Chile/Canada Agreement - Guide for CPP Disability Benefits
PDF: ISP-5053A-CHL, 121 KB, printed on 8 pages (8.5x11)

Guía para completar una solicitud de prestaciones de invalidez del Plan de Pensiones de Canadá y sus formularios pertinentes en virtud del Convenio sobre Seguridad Social entre Canadá y la República de Chile
PDF: ISP-5053A-CHL, 230 KB, printed on 8 pages (8.5x11)

Consent for Service Canada to Obtain Personal Information
PDF: ISP-5060, 153 KB, printed on 2 pages (8.5x11)

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