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Details
Number ISP5053-LCA
Title Saint Lucia/Canada Agreement - Application for CPP Disability Benefits
Purpose For persons residing in Saint Lucia to apply for Canada Pension Plan Disability Benefits under the Agreement on Social Security between Canada and Saint Lucia. The Disability kit includes: Application form, General Information and Guide, Questionnaire, 2 Consent for Service Canada to Obtain Personal Information forms and Medical Report. Each form must be completed and forwarded to your nearest Service Canada office (see Returning the Form).
GroupInternational Benefits - Application Forms for Canadian Benefits
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.

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 - Service Canada's Copy
PDF: ISP-5051, 175 KB, printed on 2 pages (8.5x11)

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

Saint Lucia/Canada Agreement - Application for CPP Disability Benefits
PDF: ISP-5053-LCA, 375 KB, printed on 4 pages (8.5x11)

Saint Lucia/Canada Agreement - Guide for CPP Disability Benefits
PDF: ISP-5053A-LCA, 199 KB, printed on 8 pages (8.5x11)

Consent for Service Canada to Obtain Personal Information - Physician's Copy
PDF: ISP-5060, 177 KB, printed on 2 pages (8.5x11)

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