Philippines/Canada Agreement - Application for CPP Disability Benefits - ISP5053-PHI
Purpose
For persons residing in Philippines to apply for Canada Pension Plan Disability Benefits under the Agreement on Social Security between Canada and the Repubic of the Philippines. 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).
Group
International Benefits - Application Forms for Canadian Benefits
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 : Download Adobe Reader or download Foxit Reader. The form(s) are available in the following formats.
Important Information
For the form to work properly (including Digital signatures), you must first save it on your computer, and reopen it with Adobe Acrobat Reader to add information. Then resave once completed.
Questionnaire for Disability Benefits Canada Pension Plan
PDF: Download ISP-5050, 499 KB, printed on 7 pages (8.5x11)
Consent for Service Canada to Obtain Personal Information - Service Canada's Copy
PDF: Download ISP-5051, 175 KB, printed on 2 pages (8.5x11)
Medical Report
PDF: Download ISP-5052, 185 KB, printed on 4 pages (8.5x11)
Philippines/Canada Agreement - Application for CPP Disability Benefits
PDF: Download ISP-5053-PHI, 388 KB, printed on 4 pages (8.5x11)
Philippines/Canada Agreement - Guide for CPP Disability Benefits
PDF: Download ISP-5053A-PHI, 216 KB, printed on 8 pages (8.5x11)
Consent for Service Canada to Obtain Personal Information - Physician's Copy
PDF: Download ISP-5060, 177 KB, printed on 2 pages (8.5x11)