How to use this toolkit
This toolkit is a guide to:
• understanding the eligibility rules for the Canada Pension Plan disability benets; and
• applying for the Canada Pension Plan disability benet and the disabled contributor’s child’s benet.
Use the
table of contents
page to help you access the content you need. To go to a section that interests you, click on it
in the table of contents. On the bottom of each page there is a button to return to the table of contents.
You can move from one page to the next by using your arrow keys or the Previous and Next buttons below.
Use the interactive eligibility map to nd out which benets you may be eligible for.
Any word or phrase
underlined in blue
is a link to a glossary denition or a supporting resource. When you click on the link, it takes
you to the related page in the toolkit or on the Service Canada website. When the name of a form is linked, clicking on it will take you
to the
form page on the Service Canada website
.
Service Canada can help you better understand eligibility and complete your application for benets. Click on the tab Contact Us
tab to see our contact information, oce locations and hours of operation. Contact us as often as you need to during
the application process.
The Canada Pension Plan Disability Benet toolkit
(interactive)
Available upon request in multiple formats (large print, MP3,
Braille, e-text, DAISY) by contacting 1 800 O-Canada
(1-800-622-6232). By teletypewriter (TTY), call 1-800-926-9105.
© Her Majesty the Queen in Right of Canada, 2021
For information regarding reproduction rights:
droitdauteur.copyright@HRSDC-RHDCC.gc.ca
.
PDF
Cat. No. : SG5-101/2021E-2-PDF
ISBN: 978-0-660-39793-1
ESDC
Cat. No. : SC-335-08-21E
Next
Table of Contents
1.0 Canada Pension Plan
disabilitybenefits ........................3
What are the Canada Pension Plan
disability benefits ........................................3
Eligibility .........................................................3
CPP disability benefits eligibility map ....8
Things to consider before applying .....9
Provisions .................................................... 12
2.0 Child’s benefit ............................15
Disabled contributor’s child’s benefit ... 15
Eligibility ....................................................... 15
How to apply for a child’s benefit ........ 16
Who receives the payment ....................17
3.0 Applying ...................................... 18
When to apply ............................................ 18
How to apply .............................................. 18
Canada Pension Plan disability
benefitsapplicationchecklist ............... 21
Assistance completing
the application ......................................... 23
4.0 After you apply .......................... 25
How long will it take ................................25
When will I receive my benefit ............25
How much can I receive ........................26
Receiving disability income
fromanother source ...............................26
Receiving more than one Canada
Pension Plan benefit ............................... 27
Request for reconsideration ................ 27
Extension request ....................................30
When do the benefits stop ................... 30
5.0 Important information .............. 32
Returning to work .................................... 32
Tax considerations .................................. 34
In case of death ........................................ 35
Reassessment of eligibility ................... 36
Overpayments .......................................... 36
6.0 Glossary and resources ........... 37
Glossary of terms ......................................37
Links to other resources......................... 41
7.0 Examples .................................... 43
CPP disability benefits examples ....... 43
Disabled contributor’s child’s
benefitexamples ......................................47
Contact us ......................................... 49
Guide for health care
professionals .................................... 50
Overview ....................................................50
Working with your patient ...................... 51
Patient eligibility .......................................52
Summary of CPP disability
adjudicationguidance ............................ 53
Application forms ..................................... 54
Type of medical information
needed ........................................................55
Medical information
forcontinuingeligibility .......................... 57
Other information .....................................58
Billing ...........................................................59
Privacy .........................................................60
Next
3.0
Applying
4.0
After you
apply
Guide for
health care
professionals
2.0
Child’s
benet
7.0
Examples
Canada Pension Plan Disability Benet Toolkit
6.0
Glossary and
resources
5.0
Important
information
Contact us
3
1.0
CPP
disability
benets
1.0 Canada Pension Plan
disability benets
}
What are the Canada
Pension Plan disability
benets
}
Eligibility
CPP disability benets
eligibility map
Things to consider
before applying
Provisions
1.0 Canada Pension Plan disability benets
WHAT ARE THE CANADA PENSION PLAN DISABILITY BENEFITS
The
Canada Pension Plan (CPP) disability benet
and the post-retirement disability benet
are taxable monthly payments that are available to people who:
• made valid contributions to the CPP, and
• are regularly not able to work because of a disability
CPP disability benets do not provide short-term disability coverage or coverage for medications
or medical treatments.
The CPP post-retirement disability benet is intended for people receiving the CPP retirement
pension who:
• are under age 65, and
• became disabled after starting their retirement pension, or did not apply for CPP disability benets
within 15 months of starting their retirement pension
ELIGIBILITY
To be eligible for CPP disability benets, you must:
1. be under the age of 65
2. have a
severe and prolonged
mental or physical medical condition, according
to the denition in the CPP legislation, and
3. meet the minimum contributory requirements
Next
Previous
Table of Contents
3.0
Applying
4.0
After you
apply
Guide for
health care
professionals
2.0
Child’s
benet
7.0
Examples
Canada Pension Plan Disability Benet Toolkit
6.0
Glossary and
resources
5.0
Important
information
Contact us
4
1.0
CPP
disability
benets
1.0 Canada Pension Plan
disability benets
What are the Canada
Pension Plan disability
benets
}
Eligibility
CPP disability benets
eligibility map
Things to consider
before applying
Provisions
1. Be under the age of 65
You can receive CPP disability benets only until you are 65.
2. Have a severe and prolonged mental or physical medical condition(s),
according to the denition in the CPP legislation
To receive these benets, you must have a
severe and prolonged
mental or physical medical
condition according to the denition in the CPP legislation. Your condition must be both
severe
and prolonged
when you apply.
What does the CPP mean by severe
A person is considered to have a
severe
disability if they are regularly incapable of pursuing
any
substantially gainful occupation
.
Being regularly incapable means that you are usually or always incapable. A Service Canada
medical adjudicator will determine whether you meet this requirement.
An occupation is any profession or work a person might do to earn a living. If the total annual
amount of earnings from this work is more than 12 times the maximum monthly CPP disability
benet amount, the work is considered to be substantially gainful.
What does CPP mean by prolonged
Your disability is long-term and of indenite duration or is likely to result in death.
Being eligible for a disability benet from other government programs or from private insurers
does not automatically mean you are eligible for CPP disability benets.
Next
Previous
Table of Contents
3.0
Applying
4.0
After you
apply
Guide for
health care
professionals
2.0
Child’s
benet
7.0
Examples
Canada Pension Plan Disability Benet Toolkit
6.0
Glossary and
resources
5.0
Important
information
Contact us
5
1.0
CPP
disability
benets
1.0 Canada Pension Plan
disability benets
What are the Canada
Pension Plan disability
benets
}
Eligibility
CPP disability benets
eligibility map
Things to consider
before applying
Provisions
3. Meet the minimum contributory requirements
To meet the minimum contributory requirements, you must:
• have made valid contributions to the CPP in 4 of the last 6 years, or
• have contributed for at least 25 years, including 3 of the last 6 years, or
• meet the requirements for the
late applicant provision
How CPP contributions work
The Canada Pension Plan operates everywhere in Canada, except in Quebec, where the
Quebec
Pension Plan (QPP)
applies.
You automatically contribute to the CPP, based on what you earn above $3,500 to a maximum annual
amount. This annual amount is called pensionable earnings. The maximum amount is set each
January, based on the average wage in Canada.
You do not contribute:
• while you receive CPP disability benets
• during periods when you have no earnings, or
• when your annual earnings are $3,500 or less
Next
Previous
Table of Contents
3.0
Applying
4.0
After you
apply
Guide for
health care
professionals
2.0
Child’s
benet
7.0
Examples
Canada Pension Plan Disability Benet Toolkit
6.0
Glossary and
resources
5.0
Important
information
Contact us
6
1.0
CPP
disability
benets
1.0 Canada Pension Plan
disability benets
What are the Canada
Pension Plan disability
benets
}
Eligibility
CPP disability benets
eligibility map
Things to consider
before applying
Provisions
Your contributory period
Your contributory period starts when you reach age 18. Your contributory period ends when
you start receiving your CPP retirement pension, turn 70, or die (whichever happens rst).
Service Canada uses the contributory period to:
• determine if you meet the
CPP contribution requirements
, and
• calculate the amount of CPP benets you are eligible to receive
Service Canada looks at:
• how long you contribute, and
• how much you contribute to the CPP
The more you earn and contribute to the CPP, the higher your payment will be.
Note: With very few exceptions, everyone over the age of 18 who works in Canada outside
of Quebec and earns more than the
Disability Basic Exemption
($6,100 per year in 2021)
makes a valid contribution toward
CPP disability benets
.
Next
Previous
Table of Contents
3.0
Applying
4.0
After you
apply
Guide for
health care
professionals
2.0
Child’s
benet
7.0
Examples
Canada Pension Plan Disability Benet Toolkit
6.0
Glossary and
resources
5.0
Important
information
Contact us
7
1.0
CPP
disability
benets
1.0 Canada Pension Plan
disability benets
What are the Canada
Pension Plan disability
benets
}
Eligibility
CPP disability benets
eligibility map
Things to consider
before applying
Provisions
Post-retirement disability benet
The CPP post-retirement disability benet is intended for people receiving the CPP retirement pension
who are:
• under the age of 65, and
• became
disabled
after starting their retirement pension, or did not apply for CPP disability benets
within 15 months of starting their retirement pension
If this is your situation, you may be eligible to receive a
CPP post-retirement disability benet
in addition to your retirement pension. The post-retirement disability benet amount is equal to the
at-rate portion of the disability benet and will increase in January every year with the cost of living.
In 2021, it is $510.85.
Eligibility requirements are the same as for the
CPP disability benet
. Children of someone receiving
this benet may be eligible for the
Disabled Contributor’s Child’s Benet
.
The post-retirement disability benet ends:
• the month the
beneciary
turns 65, or
• the month the
beneciary
is no longer deemed to be
disabled
, or
• the month of death
Next
Previous
Table of Contents
8
CPP disability benets eligibility map
Click on after each question. When you are nished answering all of
the questions, a note will appear to let you know if you may be eligible for the benets.
To go back to the beginning, click START / RESET.
YES NO
or
Examples
For a better understanding of eligibility,
click here
.
PROGRESSQUESTIONS
If you have any questions about your eligibility or
continuing eligibility, please contact Service Canada.
(See
page 49: Contact us
)
Next
Previous
Table of Contents
START / RESET
Are you under the age of 65?
ACCESS THE BENEFITS FINDER AND
LEARN ABOUT OTHER BENEFITS
NONONONONONONONONONONO
YES
Are you under the age of 65?
Do you have a severe disability
that regularly prevents you
from working?
Is it a prolonged disability?
Have you contributed to the
CPP for 25 years or more?
In the 6 years before you
became disabled, did you
contribute to the CPP for
at least 4 years?
In the 6 years before you
became disabled, did you
contribute to the CPP for
at least 3 years?
Were you the primary caregiver
of a child under the age of 7?
Did you contribute to the CPP
in the years before the child
was born?
Did you contribute to a social
security program in another
country?
By adding those contributions,
will you have a total of 4 years
of contributions (or a total of
3 years if you contributed for
more than 25 years)?
Did you become separated
or divorced from a spouse
or common-law partner?
3.0
Applying
4.0
After you
apply
Guide for
health care
professionals
2.0
Child’s
benet
7.0
Examples
Canada Pension Plan Disability Benet Toolkit
6.0
Glossary and
resources
5.0
Important
information
Contact us
9
1.0
CPP
disability
benets
1.0 Canada Pension Plan
disability benets
What are the Canada
Pension Plan disability
benets
Eligibility
CPP disability benets
eligibility map
}
Things to consider
before applying
Provisions
THINGS TO CONSIDER BEFORE APPLYING
• Applying for CPP disability benets will not reduce the amount of CPP retirement pension
you receive at age 65.
• While receiving CPP disability benets, you do not make CPP contributions.
If you are a Quebec resident
The CPP operates everywhere in Canada, except in Quebec. When you work in Quebec
you contribute to the
Quebec Pension Plan
(QPP) instead of the CPP.
You must apply for
QPP disability benets
if:
• you worked only in Quebec, or
• you currently live in Quebec and have contributed to both the CPP and QPP, or
• you have worked in Quebec, currently live outside Canada and your last province
of residence was Quebec
If you have a terminal illness
For the purposes of CPP, a terminal illness is a disease state that cannot be cured or adequately
treated and is reasonably expected to result in death within 6 months. There is a dierent application
form to complete: the
Terminal Illness Application for a Disability Benet under the Canada
Pension Plan (ISP2530A)
.
Next
Previous
Table of Contents
3.0
Applying
4.0
After you
apply
Guide for
health care
professionals
2.0
Child’s
benet
7.0
Examples
Canada Pension Plan Disability Benet Toolkit
6.0
Glossary and
resources
5.0
Important
information
Contact us
10
1.0
CPP
disability
benets
1.0 Canada Pension Plan
disability benets
What are the Canada
Pension Plan disability
benets
Eligibility
CPP disability benets
eligibility map
}
Things to consider
before applying
Provisions
Service Canada’s goal is to make a decision for applicants with a terminal illness within 5 business days
of receiving a complete terminal illness application. If employment or medical information is missing,
the decision may take longer.
If you have a grave medical condition
Service Canada has a list of
severe
and rapidly progressive medical conditions that cause severe
functional limitations and may result in death. If you have one of these conditions, you are very likely
to be eligible for CPP disability benets.
Our goal is to make a decision for applicants with grave medical conditions within 30 calendar days.
When you apply for CPP disability benets with the
Application for Canada Pension Plan Disability
Benets (ISP1151)
and
Medical Report for a Canada Pension Plan Disability Benet (ISP2519
),
Service Canada will determine whether you have one of these conditions based on the information
in the application.
The list of conditions can be found in Annex A of the
Medical Report for a Canada Pension Plan
Disability Benet (ISP2519)
.
Next
Previous
Table of Contents
11
To apply for CPP disability benets, complete the
Application kit for Canada Pension Plan
Disability benets (ISP1151)
. Include as much detail as possible in your application to avoid
any delays. See
Section 3.0: Applying for more information
.
If you have have a terminal illness, consult the
Terminal Illness Application Kit for a Disability
Benet under the Canada Pension Plan (ISP2530A)
.
To request a reconsideration, write Service Canada a letter or complete the
Request for Reconsideration of a Canada Pension Plan Disability Decision (ISP1145)
.
For more information on requesting a reconsideration, see
Section 4.0: After you apply
.
Note: The above applications and forms may be submitted online using
My Service Canada Account (MSCA)
.
SERVICE CANADA’S SERVICE STANDARDS
Our goal is to make a decision within these timeframes (all timeframes refer to calendar days,
except for the terminal illness standard of 5 business days):
Next
Previous
Table of Contents
3.0
Applying
4.0
After you
apply
Guide for
health care
professionals
2.0
Child’s
benet
7.0
Examples
Canada Pension Plan Disability Benet Toolkit
6.0
Glossary and
resources
5.0
Important
information
Contact us
12
1.0
CPP
disability
benets
1.0 Canada Pension Plan
disability benets
What are the Canada
Pension Plan disability
benets
Eligibility
CPP disability benets
eligibility map
Things to consider
before applying
}
Provisions
PROVISIONS
One or more of the following provisions could help you qualify for CPP disability benets or increase
the amount you receive.
Child-rearing provision
If you stopped working or worked less to care for a child under the age of 7, the
child-rearing
provision
may help you qualify for CPP disability benets or increase your benet amount.
The
child-rearing provision
allows you to not count a period of low earnings or no earnings
when you were raising your child.
The
child-rearing provision
may apply to you if:
• you did not work or had low earnings because you were the primary caregiver of your child
under the age of 7, and
• you have received Family Allowance payments or been eligible for the Canada child tax benet
or Canada child benet (even if you did not receive the benet)
The CPP considers the primary caregiver to be the person who is most responsible for the daily
needs of the child (or children) until the age of 7.
Some examples of the responsibilities of the primary caregiver are:
• supervising the child
• preparing meals
• going to school meetings and events, and
• attending the child’s medical appointments
Note: Only one parent can qualify for any child-rearing provision period.
Next
Previous
Table of Contents
3.0
Applying
4.0
After you
apply
Guide for
health care
professionals
2.0
Child’s
benet
7.0
Examples
Canada Pension Plan Disability Benet Toolkit
6.0
Glossary and
resources
5.0
Important
information
Contact us
13
1.0
CPP
disability
benets
1.0 Canada Pension Plan
disability benets
What are the Canada
Pension Plan disability
benets
Eligibility
CPP disability benets
eligibility map
Things to consider
before applying
}
Provisions
Late applicant provision
The late applicant provision may help you qualify for CPP disability benets if you did not apply
when you rst became
disabled
.
You may be eligible if:
• you had the required amount of CPP contributions and the required number of years of CPP
contributions on the date you rst became
disabled
(as dened by the CPP legislation), and
• you have been continuously
disabled
(as dened by the CPP legislation) from that date
up to the present
You do not have to apply separately for this provision. It will automatically be considered
when you apply for CPP disability benets.
Incapacity provision
The
incapacity provision
supports you if you were previously mentally or physically
incapable
of forming or expressing the intent to apply for CPP disability benets.
This provision may allow Service Canada to deem an application to have been received
at an earlier date.
There is a time limit after you regain the capacity to apply.
Contact Service Canada by phone or in person to have the Declaration of Incapacity –
Physician’s Report sent to you. (See
page 49: Contact us
)
Next
Previous
Table of Contents
3.0
Applying
4.0
After you
apply
Guide for
health care
professionals
2.0
Child’s
benet
7.0
Examples
Canada Pension Plan Disability Benet Toolkit
6.0
Glossary and
resources
5.0
Important
information
Contact us
14
1.0
CPP
disability
benets
1.0 Canada Pension Plan
disability benets
What are the Canada
Pension Plan disability
benets
Eligibility
CPP disability benets
eligibility map
Things to consider
before applying
}
Provisions
Credit splitting upon separation, divorce or end of a common-law relationship
The CPP contributions you and your former spouse, or former common-law partner made during
the time you lived together may be equally divided after a
divorce, separation, or the end of your
common-law relationship
.
International social security agreements and the Canada Pension Plan
If you have lived or worked in Canada and in another country, and you do not meet the contributory
requirements for CPP disability benets, one of
Canada’s international social security agreements
may help you qualify.
Next
Previous
Table of Contents
1.0
CPP
disability
benets
3.0
Applying
4.0
After you
apply
Guide for
health care
professionals
7.0
Examples
Canada Pension Plan Disability Benet Toolkit
6.0
Glossary and
resources
5.0
Important
information
Contact us
15
2.0
Child’s benet
2.0 Child’s benet
}
Disabled contributor’s
child’s benet
}
Eligibility
How to apply for
a child’s benet
Who receives
the payment
2.0 Child’s benet
DISABLED CONTRIBUTOR’S CHILD’S BENEFIT
The
Canada Pension Plan
provides a monthly benet for
dependent children
of someone receiving
CPP disability benets.
ELIGIBILITY
The dependent child must be:
• under age 18 or between 18 and 25 years old and attending school or university full-time, and
• the biological child of the contributor
• a child who was adopted legally or “in fact” by the contributor before the age of 21, or
• a child who was legally or “in fact” in the custody and control of the contributor before the age of 21
See
Section 7.0
for examples of eligibility.
Note:
• Once a child turns 25, they are no longer eligible for the benet.
• The parent or guardian must be receiving CPP disability benets.
Next
Previous
Table of Contents
1.0
CPP
disability
benets
3.0
Applying
4.0
After you
apply
Guide for
health care
professionals
7.0
Examples
Canada Pension Plan Disability Benet Toolkit
6.0
Glossary and
resources
5.0
Important
information
Contact us
16
2.0
Child’s benet
2.0 Child’s benet
Disabled contributor’s
child’s benet
Eligibility
}
How to apply for
a child’s benet
Who receives
the payment
HOW TO APPLY FOR A CHILD’S BENEFIT
Apply in one of the following ways:
1. If the dependent child is under 18 and in the custody and control of the applicant:
When the parent or guardian of a
dependent child
completes the application for CPP disability
benets, they will be asked questions about the children in their custody and control. Service Canada
will consider the application to be for their dependent children if any relevant information is provided.
There is no additional step to apply for the child’s benet.
2. If the dependent child is under 18 years old and not in the custody and control
of the applicant, the custodial parent or guardian should complete and submit:
•
Application for benets for under age 18 children of a Canada Pension Plan Disabled
Contributor (ISP1152)
.
3. If the dependent child is between the ages of 18 and 25 and is attending school or university
full-time, the dependent child should complete and submit:
•
Application for a Canada Pension Plan Child’s Benet (ISP1400)
, and
•
Declaration of Attendance at School or University (ISP1401)
Note: Call Service Canada at 1-800-277-9914 to notify us when your schooling is complete
or if school attendance is no longer full-time.
Next
Previous
Table of Contents
1.0
CPP
disability
benets
3.0
Applying
4.0
After you
apply
Guide for
health care
professionals
7.0
Examples
Canada Pension Plan Disability Benet Toolkit
6.0
Glossary and
resources
5.0
Important
information
Contact us
17
2.0
Child’s benet
2.0 Child’s benet
Disabled contributor’s
child’s benet
Eligibility
How to apply for
a child’s benet
}
Who receives
the payment
WHO RECEIVES THE PAYMENT
1. If the child is under the age of 18:
• is under your custody and control, we will send you the monthly payment.
• is not under your custody and control, we will send the monthly payment to the person
or agency (custodian) that has custody and control of the child (consent to contact the
child is required). See Question F3 in the
Application for Canada Pension Plan Disability
Benets (ISP1151)
.
2. If the child is 18 to 25 years old and attending school full-time, we will send the monthly
payment to the child directly (consent to contact the child is required). See Question F3
in the
Application for Canada Pension Plan Disability Benets (ISP1151)
.
Next
Previous
Table of Contents
1.0
CPP
disability
benets
4.0
After you
apply
Guide for
health care
professionals
2.0
Child’s
benet
7.0
Examples
Canada Pension Plan Disability Benet Toolkit
6.0
Glossary and
resources
5.0
Important
information
Contact us
18
3.0
Applying
3.0 Applying
}
When to apply
}
How to apply
Canada Pension Plan
disability benets
application checklist
Assistance completing
the application
3.0 Applying
WHEN TO APPLY
You should apply for CPP disability benets as soon as you develop a
severe and prolonged
(see
Section 6.0
for denition) mental or physical medical condition, or terminal medical condition
that regularly prevents you from working.
Send Service Canada your completed application forms as soon as possible. The date your application
is received could aect when your benets start.
For information on income assistance while waiting for your CPP disability benets application to be
processed, see
Section 6.0: Links to other resources – Employment Insurance Sickness benets
.
HOW TO APPLY
You can apply for CPP disability benets online through My Service Canada account or on paper, whichever
is easier for you. Service Canada will respond to both types of applications in the same timeframe.
Required forms
Online application
1. Log into your
My Service Canada Account (MSCA)
and complete and submit the application form there.
2. You must also print, complete and sign the paper form
Consent for Service Canada to Obtain
Personnal information (ISP2502B)
and
mail it to Service Canada
or bring it to a
Service
Canada oce
.
Next
Previous
Table of Contents
1.0
CPP
disability
benets
4.0
After you
apply
Guide for
health care
professionals
2.0
Child’s
benet
7.0
Examples
Canada Pension Plan Disability Benet Toolkit
6.0
Glossary and
resources
5.0
Important
information
Contact us
19
3.0
Applying
3.0 Applying
When to apply
}
How to apply
Canada Pension Plan
disability benets
application checklist
Assistance completing
the application
If you do not have
My Service Canada Account (MSCA)
, you can register for an account. You will
need a personal access code to complete your registration. You can
request a personal access code
by
phone, in person or online
.
Note: MSCA allows you to complete and submit many of the disability forms online, view the status
of your application, update your personal information and submit documents in support of your
application for disability benets.
Paper application
If you do not have a terminal illness:
• print, complete and sign the Application for Canada Pension Plan Disability Benets (ISP1151).
If you have a terminal illness:
• print, complete, and sign the
Terminal Illness Application Kit for a Disability Benet under
the Canada Pension Plan (ISP2530A and ISP2530B)
.
Mail
your completed application form to Service Canada or bring them to a
Service Canada oce
.
Next
Previous
Table of Contents
1.0
CPP
disability
benets
4.0
After you
apply
Guide for
health care
professionals
2.0
Child’s
benet
7.0
Examples
Canada Pension Plan Disability Benet Toolkit
6.0
Glossary and
resources
5.0
Important
information
Contact us
20
3.0
Applying
3.0 Applying
When to apply
}
How to apply
Canada Pension Plan
disability benets
application checklist
Assistance completing
the application
Medical Report
Whether you apply online or with a paper application, you must submit a medical report form
completed by your doctor or nurse practitioner.
If you do not have a terminal illness:
• complete sections 1 and 2 of the
Medical Report for a Canada Pension Plan Disability
Benet (ISP2519)
and give it to your doctor or nurse practitioner. They must complete
sections 3 to 9 and send it to Service Canada.
If you have a terminal illness:
• complete sections 1 and 2 of the
Medical Attestation for a Disability Benets Application
Under the Canada Pension Plan (ISP2503B)
and give it to your doctor or nurse practitioner.
They must complete section 3 and send it to Service Canada.
If your doctor or nurse practitioner returns the form to you, you have 3 options to submit it:
• log into your
My Service Canada Account (MSCA)
to upload it
• send it by
mail
, or
• bring it to a
Service Canada oce
If you are receiving a disability benet from an insurance company or a provincial/territorial agency,
you can ask them to send Service Canada your most recent medical report(s) instead of sending
the
Medical Report form (ISP2519)
.
Next
Previous
Table of Contents
1.0
CPP
disability
benets
4.0
After you
apply
Guide for
health care
professionals
2.0
Child’s
benet
7.0
Examples
Canada Pension Plan Disability Benet Toolkit
6.0
Glossary and
resources
5.0
Important
information
Contact us
21
3.0
Applying
3.0 Applying
When to apply
How to apply
}
Canada Pension Plan
disability benets
application checklist
Assistance completing
the application
CANADA PENSION PLAN DISABILITY BENEFITS
APPLICATION CHECKLIST
Use the following checklist after completing the
Application for Canada Pension Plan Disability
Benets (ISP1151)
and the
Medical Report for a Canada Pension Plan Disability Benet (ISP2519)
.
Have you written your Social Insurance Number in the box at the top of each page,
and at the top of each sheet you have added?
Have you provided your date of birth on page 1?
Have you read and signed section H on page 17 (consent for Service Canada to obtain
personal information)?
Have you read and signed section I on page 18 (declaration and signature)?
If you applied online have you printed, completed and signed the
Consent for Service
Canada to Obtain Personal Information (ISP2502B)
form and mailed it or brought it
to a Service Canada oce?
If you are currently receiving a disability benet from an insurance company
or a provincial/territorial agency:
• Have you asked them to send your most recent medical report(s) to Service Canada?
Next
Previous
Table of Contents
1.0
CPP
disability
benets
4.0
After you
apply
Guide for
health care
professionals
2.0
Child’s
benet
7.0
Examples
Canada Pension Plan Disability Benet Toolkit
6.0
Glossary and
resources
5.0
Important
information
Contact us
22
3.0
Applying
3.0 Applying
When to apply
How to apply
}
Canada Pension Plan
disability benets
application checklist
Assistance completing
the application
If you are not currently receiving a disability benet from an insurance company
or a provincial/territorial agency:
• Have you completed Sections 1 and 2 of the Medical Report?
• Have you asked your doctor or nurse practitioner to complete sections 3 to 9
of the Medical Report and mail it to Service Canada?
• Have you removed the information and instructions pages from the application
at the front and back?
Service Canada will pay your doctor or nurse practitioner (up to a certain amount) for completing
your medical report (see amounts below).
They are responsible for sending Service Canada a bill. If they charge more than Service Canada’s
maximum amount, you are responsible for paying the extra cost.
Next
Previous
Table of Contents
1.0
CPP
disability
benets
4.0
After you
apply
Guide for
health care
professionals
2.0
Child’s
benet
7.0
Examples
Canada Pension Plan Disability Benet Toolkit
6.0
Glossary and
resources
5.0
Important
information
Contact us
23
3.0
Applying
3.0 Applying
When to apply
How to apply
}
Canada Pension Plan
disability benets
application checklist
}
Assistance completing
the application
Service Canada will pay up to the following amounts:
Initial
Medical Report for a Canada Pension Plan Disability Benet (ISP2519)
$85
Terminal Illness Medical Attestation for a Disability Benet Under the Canada
Pension Plan (ISP2530B)
$85
Reinstatement of CPP Disability Benets Physician Conrmation Form* $20
If Service Canada asks for other information, including a narrative, and depending
on the complexity and the time required for completion.
$150
* Note: To get the Reinstatement of CPP Disability Benets Physician Conrmation Form,
contact Service Canada
.
ASSISTANCE COMPLETING THE APPLICATION
Authorizing someone else to help you
Do you want to authorize someone to communicate with Service Canada for you? Print the
Consent
to Communicate Information to an Authorized Person Form (ISP1603CPP)
, complete it, and
mail
it to Service Canada
.
Note: The person you authorize will not be able to apply for benets on your behalf, change
your payment address, or make changes related to withholding of federal income tax. However,
they can get help from Service Canada to clarify eligibility and nd out which
forms are required
.
Next
Previous
Table of Contents
1.0
CPP
disability
benets
4.0
After you
apply
Guide for
health care
professionals
2.0
Child’s
benet
7.0
Examples
Canada Pension Plan Disability Benet Toolkit
6.0
Glossary and
resources
5.0
Important
information
Contact us
24
3.0
Applying
3.0 Applying
When to apply
How to apply
Canada Pension Plan
disability benets
application checklist
}
Assistance completing
the application
Incapability
If a CPP applicant is unable to manage their own aairs due to a
severe
mental impairment,
there are 2 options:
• If the applicant already has a court-appointed trustee or has given someone
power of attorney
to support them in managing their aairs, Service Canada can work directly with the trustee
or person with power of attorney.
• If the applicant does not have a trustee and has not given power of attorney to anyone,
they can authorize someone to advocate on their behalf using the form
Agreement to administer
benets under the
Old Age Security Act
and/or the Canada Pension Plan by a Private
Trustee
(ISP3506CPP).
To do this:
• print the Agreement to administer benets under the
Old Age Security Act
and/or
the Canada Pension Plan by a Private Trustee (ISP3506CPP) and the Certicate
of Incapability-OAS/CPP (ISP3505CPP)
• have the applicant’s medical doctor complete the
Certicate of Incapability-OAS/
CPP
(ISP3505CPP)
• have the individual requesting to be appointed as a trustee complete the
Agreement to
administer benets under the
Old Age Security Act
and/or the Canada Pension Plan
by a Private Trustee (ISP3506CPP)
, and
• include it when submitting their application to Service Canada.
Download the
agreement and certicate forms
.
Next
Previous
Table of Contents
1.0
CPP
disability
benets
3.0
Applying
Guide for
health care
professionals
2.0
Child’s
benet
7.0
Examples
Canada Pension Plan Disability Benet Toolkit
6.0
Glossary and
resources
5.0
Important
information
Contact us
25
4.0
After you
apply
4.0 After you apply
}
How long will it take
}
When will I receive
my benet
How much can I receive
Receiving disability
income from another
source
Receiving more than
one Canada Pension
Plan benet
Request for
reconsideration
Extension request
When do the
benets stop
4.0 After you apply
HOW LONG WILL IT TAKE
Service Canada will notify you of our decision about 120 days from the date we receive your complete
application and the medical report form.
Service Canada will send you a letter to tell you that your application has been received. A Service
Canada representative will also call you to:
• explain how your application will be processed
• let you know the type of information we need from you, and
• answer any questions
If 120 days have passed and you have not heard from us and want to know the status of your application,
please
contact us
.
WHEN WILL I RECEIVE MY BENEFIT
Your disability benet payment usually begins in the 120 days after Service Canada determines
that you have a
severe and prolonged
mental or physical medical condition, as dened by the CPP.
For example, if Service Canada determines that you were
disabled
in July, then you will start receiving
your benet payment in November.
You may receive up to 12 months of retroactive payments from the date your application was received.
Next
Previous
Table of Contents
1.0
CPP
disability
benets
3.0
Applying
Guide for
health care
professionals
2.0
Child’s
benet
7.0
Examples
Canada Pension Plan Disability Benet Toolkit
6.0
Glossary and
resources
5.0
Important
information
Contact us
26
4.0
After you
apply
4.0 After you apply
How long will it take
When will I receive
my benet
}
How much can I receive
}
Receiving disability
income from another
source
Receiving more than
one Canada Pension
Plan benet
Request for
reconsideration
Extension request
When do the
benets stop
HOW MUCH CAN I RECEIVE
The amount you can receive on a monthly basis will depend on the benets you are approved for.
The
disability pension
is a at rate ($510.85 in 2021), plus an amount based on how much and for how
long you contributed to the Canada Pension Plan. The maximum disability benet for 2021 is $1,413.66.
The
post-retirement disability benet
is a at rate ($510.85 in 2021). It does not matter how much
or for how long you contributed to the Canada Pension Plan.
When you turn 65
• if you have been receiving the disability pension, it stops and the full retirement pension begins.
• if you have been receiving the post-retirement disability benet, it stops. You will continue to receive
a retirement pension.
RECEIVING DISABILITY INCOME FROM ANOTHER SOURCE
If you are receiving disability income from other sources, such as a private insurance company or a
provincial or territorial social assistance program, you may still be eligible for CPP disability benets,
but the other sources may reduce their payments.
Contact your insurance company or social assistance program for details about your case.
Next
Previous
Table of Contents
1.0
CPP
disability
benets
3.0
Applying
Guide for
health care
professionals
2.0
Child’s
benet
7.0
Examples
Canada Pension Plan Disability Benet Toolkit
6.0
Glossary and
resources
5.0
Important
information
Contact us
27
4.0
After you
apply
4.0 After you apply
How long will it take
When will I receive
my benet
How much can I receive
Receiving disability
income from another
source
}
Receiving more than
one Canada Pension
Plan benet
}
Request for
reconsideration
Extension request
When do the
benets stop
RECEIVING MORE THAN ONE CANADA PENSION PLAN BENEFIT
If you are eligible for both a CPP survivor’s pension and a CPP disability pension, they will be
combined into a single monthly payment. If you are eligible for the CPP post-retirement disability
benet, it will be paid as a separate monthly payment.
If you are receiving a combined retirement and survivor pension, and are then granted a post-retirement
disability benet, you will receive the higher amount of the survivor or post-retirement disability benet
at rate.
REQUEST FOR RECONSIDERATION
If you disagree with Service Canada’s decision on your application for CPP disability benets,
you can ask for a reconsideration within 90 days of receiving a decision letter.
What is a reconsideration?
A
reconsideration
is a review of your application by a Service Canada sta member who was not
involved in making the original decision. They will also review any new information that you provide or
others provide for you. Service Canada sta may also seek more medical information about your case.
Next
Previous
Table of Contents
1.0
CPP
disability
benets
3.0
Applying
Guide for
health care
professionals
2.0
Child’s
benet
7.0
Examples
Canada Pension Plan Disability Benet Toolkit
6.0
Glossary and
resources
5.0
Important
information
Contact us
28
4.0
After you
apply
4.0 After you apply
How long will it take
When will I receive
my benet
How much can I receive
Receiving disability
income from another
source
Receiving more than
one Canada Pension
Plan benet
}
Request for
reconsideration
Extension request
When do the
benets stop
How do I request a reconsideration
There are 3 ways to request a reconsideration:
• Option 1: Submit your request online using
My Service Canada Account (MSCA)
.
• Option 2: Complete the
Request for Reconsideration of a Canada Pension Plan Disability
Decision form (ISP1145)
and mail it to the return address on the decision letter or bring it
to a
Service Canada oce
.
• Option 3: Write a letter to Service Canada and include:
• your name
• your address
• your telephone number
• your Social Insurance Number or Client Identication Number
• a detailed explanation of why you do not agree with the decision
• any new information that could aect the decision
• your signature and the date
• Submit the letter
• electronically by signing into
My Service Canada Account (MSCA)
• by mail to the return address on the decision letter, or
• in person at a
Service Canada oce
Reconsideration
takes about 120 days. Service Canada will inform you by mail of the decision,
and the reasons for the decision.
Next
Previous
Table of Contents
1.0
CPP
disability
benets
3.0
Applying
Guide for
health care
professionals
2.0
Child’s
benet
7.0
Examples
Canada Pension Plan Disability Benet Toolkit
6.0
Glossary and
resources
5.0
Important
information
Contact us
29
4.0
After you
apply
4.0 After you apply
How long will it take
When will I receive
my benet
How much can I receive
Receiving disability
income from another
source
Receiving more than
one Canada Pension
Plan benet
}
Request for
reconsideration
Extension request
When do the
benets stop
Complete and send your request to Service Canada right away, even if you are waiting for additional
information that you would like to provide us for
reconsideration
. You can log into your MSCA
at any time to upload documents in support of your request.
Note: Service Canada will start reviewing your request for
reconsideration
once we receive
all the information.
If you disagree with the reconsideration decision
If you disagree with the
reconsideration
decision, the next step is to appeal to the Social Security
Tribunal. To do this, complete the Canada Pension Plan
Notice of Appeal – Income Security –
General Division
form.
For more information, contact the Social Security Tribunal:
• by email:
info.sst[email protected]
• by phone from 7:00 am to 7:00 pm Eastern time – Monday to Friday:
• 1-877-227-8577 (toll-free in Canada and the USA)
• 613-437-1640 (from outside Canada and the USA, call collect)
• TTY: 1-866-873-8381
Next
Previous
Table of Contents
1.0
CPP
disability
benets
3.0
Applying
Guide for
health care
professionals
2.0
Child’s
benet
7.0
Examples
Canada Pension Plan Disability Benet Toolkit
6.0
Glossary and
resources
5.0
Important
information
Contact us
30
4.0
After you
apply
4.0 After you apply
How long will it take
When will I receive
my benet
How much can I receive
Receiving disability
income from another
source
Receiving more than
one Canada Pension
Plan benet
Request for
reconsideration
}
Extension request
}
When do the
benets stop
EXTENSION REQUEST
If you have already applied for CPP disability benets but you have an upcoming medical appointment
that might aect your eligibility, you can ask Service Canada to delay deciding whether you are eligible.
You can ask for an extension the rst time you apply or when you request a
reconsideration
. To request
an extension,
contact Service Canada
.
WHEN DO THE BENEFITS STOP
CPP disability benets are not necessarily permanent. They are long-term benets that are intended
to partially replace your employment income for as long as your disability regularly prevents you
from working.
CPP disability benets will stop:
• when you are no longer
disabled
according to the CPP legislation
• when you turn 65, or
• when you die (to avoid overpayment, it is important that someone notify Service Canada
about your death)
When CPP disability benets stop, any related
disabled contributor’s child’s benets
also stop.
Next
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Table of Contents
1.0
CPP
disability
benets
3.0
Applying
Guide for
health care
professionals
2.0
Child’s
benet
7.0
Examples
Canada Pension Plan Disability Benet Toolkit
6.0
Glossary and
resources
5.0
Important
information
Contact us
31
4.0
After you
apply
4.0 After you apply
How long will it take
When will I receive
my benet
How much can I receive
Receiving disability
income from another
source
Receiving more than
one Canada Pension
Plan benet
Request for
reconsideration
Extension request
}
When do the
benets stop
The month after you turn 65:
• If you are receiving CPP disability benets your disability benet will automatically be converted
to a
CPP retirement pension
. You will not need to apply. Your retirement pension will be less
than your CPP disability pension.
• If you are receiving CPP post-retirement disability benets, your post-retirement disability benet
will stop and you will continue to receive your
CPP retirement pension
.
You may also be eligible for the
Old Age Security (OAS) program and its benets
, which include:
the
Old Age Security pension
, Guaranteed Income Supplement, Allowance and the Allowance
for the Survivor.
Next
Previous
Table of Contents
1.0
CPP
disability
benets
3.0
Applying
4.0
After you
apply
Guide for
health care
professionals
2.0
Child’s
benet
7.0
Examples
Canada Pension Plan Disability Benet Toolkit
6.0
Glossary and
resources
Contact us
32
5.0
Important
information
5.0 Important information
}
Returning to work
Tax considerations
In case of death
Reassessment
of eligibility
Overpayments
5.0 Important information
RETURNING TO WORK
Going to school while receiving CPP disability benets
If you successfully complete a school, university, trade, technical training or rehabilitation program,
you must notify Service Canada by calling 1-800-277-9914.
Doing paid work while receiving CPP disability benets
You can work and earn up to a certain amount without telling Service Canada. For 2021, this amount
is $6,100 (gross amount) and may change in future years. This is not a cut-o point for benets, but an
opportunity for you and CPP disability benet sta to discuss whether additional assistance could help
you return to work on a regular basis, if your condition permits.
If you earn more than this, you must call Service Canada at 1-800-277-9914.
If you delay contacting Service Canada when you start working and earning over the allowed amount,
you might have to pay back some of the money your received.
Disability reoccurs within 2 years
If you stop receiving CPP disability benets because you reported your return to work, but your
disability reoccurs less than 2 years later, the CPP oers you an
automatic reinstatement
. You have
up to one year from the month you stopped working because of your disability to inform Service
Canada that you would like your benets reinstated.
Next
Previous
Table of Contents
1.0
CPP
disability
benets
3.0
Applying
4.0
After you
apply
Guide for
health care
professionals
2.0
Child’s
benet
7.0
Examples
Canada Pension Plan Disability Benet Toolkit
6.0
Glossary and
resources
Contact us
33
5.0
Important
information
5.0 Important information
}
Returning to work
Tax considerations
In case of death
Reassessment
of eligibility
Overpayments
This means that if you are unable to continue working because of the same disability or a related
disability, you can ask to have your benets start again without having to re-apply.
Your disability benets can be quickly reinstated if:
• your benet stopped less than 2 years ago because you returned to work
• you cannot continue working because the same or a related disability has reoccurred
• you are under the age of 65, and
• you are not receiving the CPP retirement pension*
There is no limit to how many times you may ask for your benets to be reinstated.
If your children are still eligible, their
disabled contributor’s child’s benet
will also be reinstated.
* Some restrictions apply to reinstate the CPP post-retirement disability benet.
Contact
Service Canada
for details.
Disability reoccurs within 5 years
If you stop receiving CPP
disability benets
because you return to work, but your disability reoccurs
in more than 2 years but less than 5 years, you may be eligible for a fast-track reapplication.
Requirements:
• the date you re-apply must be within one year of the date you stopped work and within 5 years
of the date that your benets were stopped because you returned to work
• you cannot continue working because the same or a related disability has reoccurred, and
• you must have made valid contributions in every year since the benet stopped
If your children are still eligible, their
disabled contributor’s child’s benet
will also be reinstated.
Next
Previous
Table of Contents
1.0
CPP
disability
benets
3.0
Applying
4.0
After you
apply
Guide for
health care
professionals
2.0
Child’s
benet
7.0
Examples
Canada Pension Plan Disability Benet Toolkit
6.0
Glossary and
resources
Contact us
34
5.0
Important
information
5.0 Important information
}
Returning to work
}
Tax considerations
In case of death
Reassessment
of eligibility
Overpayments
Vocational Rehabilitation Program for recipients of Canada Pension Plan
disability benets
The Disability Vocational Rehabilitation Program is a voluntary program that helps CPP disability
benets recipients return to work. If you are receiving CPP disability benets, you may be eligible
for employment counseling, nancial support for training, and job-search services.
New technologies, medical treatments and skills training are making it possible for some people
with
severe
conditions to re-enter the workforce.
While you participate in the program, you continue to receive your regular CPP disability benets,
including while you search for a job.
To participate in this program,
contact Service Canada
.
TAX CONSIDERATIONS
Canada Pension Plan Disability Benets
are taxable. Service Canada will deduct income tax
from your benet each month if you submit the
Request for Voluntary Federal Income Tax
Deductions form (ISP3520CPP)
.
Note: Service Canada will deduct income tax only if you submit a request.
Next
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Table of Contents
1.0
CPP
disability
benets
3.0
Applying
4.0
After you
apply
Guide for
health care
professionals
2.0
Child’s
benet
7.0
Examples
Canada Pension Plan Disability Benet Toolkit
6.0
Glossary and
resources
Contact us
35
5.0
Important
information
5.0 Important information
Returning to work
}
Tax considerations
}
In case of death
Reassessment
of eligibility
Overpayments
Disability Tax Credit
You may also be eligible for the
Disability Tax Credit
administered by the Canada Revenue Agency,
which could reduce the amount of income tax you may have to pay.
To apply, you must:
• complete Part A of the
Disability Tax Credit Certicate (T2201)
• ask a medical practitioner to complete Part B and certify that you have a
severe and prolonged
impairment and describe the eects of this impairment, and
• once the
Disability Tax Credit Certicate (T2201)
is complete, send the form to the Disability Tax
Credit Union at Canada Revenue Agency. Mail the form to the address indicated on the last page
of the Certicate
Note: Service Canada’s denition of disability is dierent from the denition used by the Canada
Revenue Agency.
IN CASE OF DEATH
What if I die before starting to receive CPP disability benets?
If you signed a
Canada Pension Plan Disability Benets Application (ISP1151)
and Service Canada
receives it before your death, we will continue to process your application. If it is approved, any money
payable up to the date of death will be sent to your estate.
Next
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Table of Contents
1.0
CPP
disability
benets
3.0
Applying
4.0
After you
apply
Guide for
health care
professionals
2.0
Child’s
benet
7.0
Examples
Canada Pension Plan Disability Benet Toolkit
6.0
Glossary and
resources
Contact us
36
5.0
Important
information
5.0 Important information
Returning to work
Tax considerations
}
In case of death
}
Reassessment
of eligibility
}
Overpayments
If you signed your application for a disability benet and Service Canada receives it after you die,
your application must be denied.
In either case, your estate may be eligible to receive the
CPP death benet
. Your survivors may
be eligible for the CPP survivor’s pension and surviving child’s benet.
REASSESSMENT OF ELIGIBILITY
Service Canada reassesses cases from time to time to ensure that only eligible people receive
disability benets.
If your case is being reassessed, you may be asked to provide Service Canada with details about
your current medical situation or other information.
Once all the necessary information has been collected, Service Canada will make a decision
to continue or stop disability benets. We will send you a letter to inform you of the decision.
OVERPAYMENTS
If you receive payments to which you are not entitled, you will have to pay them back.
Next
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Table of Contents
1.0
CPP
disability
benets
3.0
Applying
4.0
After you
apply
Guide for
health care
professionals
2.0
Child’s
benet
7.0
Examples
Canada Pension Plan Disability Benet Toolkit
5.0
Important
information
Contact us
37
6.0
Glossary and
resources
6.0 Glossary and resources
}
Glossary of terms
Links to other resources
6.0 Glossary and resources
Note: In case of conict between the interpretation of terminology in this toolkit and the terminology
of the
Canada Pension Plan and Regulations
, the terminology of the
Plan and Regulations
prevail.
GLOSSARY OF TERMS
Allowable
earnings
The maximum amount that a CPP disability beneciary can earn in a calendar year
without notifying Service Canada. In 2021, the amount is $6,100 (gross amount).
Automatic
reinstatement
If a person cannot continue working because their disability reoccurs within
a 2-year period, their CPP disability benet can be reinstated automatically.
Service Canada will mail the necessary forms to you when your benets stop.
Beneciary Someone who is receiving Canada Pension Plan benets.
Canada Pension
Plan (CPP)
A mandatory public insurance plan that provides contributors and their families
with partial replacement of earnings in the case of retirement, disability or death.
Canada Pension
Plan death
benet
A one-time, lump-sum payment to the estate on behalf of a deceased
CPP contributor.
Canada Pension
Plan disability
pension
A taxable monthly payment that is available to people who have contributed
to the CPP and who are regularly not able to work because of a severe
and prolonged mental or physical medical condition.
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Table of Contents
1.0
CPP
disability
benets
3.0
Applying
4.0
After you
apply
Guide for
health care
professionals
2.0
Child’s
benet
7.0
Examples
Canada Pension Plan Disability Benet Toolkit
5.0
Important
information
Contact us
38
6.0
Glossary and
resources
6.0 Glossary and resources
}
Glossary of terms
Links to other resources
Canada Pension
Plan retirement
pension
A taxable monthly payment that is available to eligible contributors. You can
apply for, and receive a full CPP retirement pension at age 65, or receive a reduced
pension a early as age 60, or an increased pension as late as age 70.
Canada Pension
Plan survivor’s
pension
A taxable monthly payment that is available to the person who, at the time of
death, is the legal spouse or common-law partner of the deceased contributor.
Child-rearing
provision
If you stopped work or worked less because you were the primary caregiver of
your children under the age of 7, the child-rearing provision allows this period
not to be counted when calculating your CPP contributions and benets amount.
This increases your CPP disability benet payment. It may also help you have
enough years of contributions to be eligible for CPP disability benets.
Custody
and control
Includes formal and informal custody and control arrangements, include sole
custody, shared custody and joint custody.
Dependent
child
A biological or adopted (legally or ‘in fact’) child of a CPP disability beneciary
or a child in the beneciary’s care and custody. The child must be under
the age of 18 or between 18 to 25 and attending school full-time.
Disabled Someone is considered to be disabled for CPP disability purposes if they are
determined under the CPP legislation to have a severe and prolonged mental
or physical medical condition that regularly prevents them from working at any
substantially gainful occupation.
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Table of Contents
1.0
CPP
disability
benets
3.0
Applying
4.0
After you
apply
Guide for
health care
professionals
2.0
Child’s
benet
7.0
Examples
Canada Pension Plan Disability Benet Toolkit
5.0
Important
information
Contact us
39
6.0
Glossary and
resources
6.0 Glossary and resources
}
Glossary of terms
Links to other resources
Disability Basic
Exemption
The Disability Basic Exemption is $6,100 (gross wage). You must earn more
than this amount in 2021 to count it as a “contributory” year for CPP disability
eligibility purposes.
Disabled
contributor’s
child’s benet
A monthly benet for a dependent child of someone receiving a CPP disability
benet.
Incapacity
provision
A provision that allows CPP disability to consider an application to have been
received earlier if someone was previously mentally or physically incapable
of forming or expressing the intent to apply.
Old Age
Security
pension
A taxable monthly pension available to people aged 65 and older who meet
the eligibility requirements, whether they are still working or have never worked.
Post-retirement
disability
benet
A monthly benet for CPP retirement pension recipients under the age of 65
who have made sucient contributions to the CPP and are regularly incapable of
working because of a severe and prolonged mental or physical medical condition.
Power of
attorney (POA)
A document giving someone the legal authority to act on your behalf to manage
your legal and nancial aairs.
Prolonged A disability is considered prolonged only if the CPP determines that it is likely
to be long-term and of indenite duration or is likely to result in death.
Quebec Pension
Plan
A mandatory public insurance plan for workers in Quebec aged 18 and over
whose annual employment income is over $3,500.
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Table of Contents
1.0
CPP
disability
benets
3.0
Applying
4.0
After you
apply
Guide for
health care
professionals
2.0
Child’s
benet
7.0
Examples
Canada Pension Plan Disability Benet Toolkit
5.0
Important
information
Contact us
40
6.0
Glossary and
resources
6.0 Glossary and resources
}
Glossary of terms
Links to other resources
Reconsideration The rst level of recourse for CPP applicants who disagree with a decision. It is
a review carried out by a Service Canada sta member who was not involved
in the initial decision. You must request a reconsideration in writing within
90 days of receiving the decision letter.
Severe A disability is considered severe only if the CPP determines that it usually
or always prevents you from doing any substantially gainful work.
Social security
agreement
An agreement between Canada and another country that coordinates the
pension programs of both countries for people who have lived or worked
in both countries.
Social Security
Tribunal
An administrative tribunal that makes decisions on appeals related to the
Canada Pension Plan, Old Age Security and Employment Insurance programs.
It operates independently from Service Canada.
Substantially
gainful
occupation
An occupation is any profession or work a person might do to earn a living.
If the total annual amount of earnings from this work is more than 12 times
the maximum monthly CPP disability pension amount, the work is considered
to be substantially gainful.
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Table of Contents
1.0
CPP
disability
benets
3.0
Applying
4.0
After you
apply
Guide for
health care
professionals
2.0
Child’s
benet
7.0
Examples
Canada Pension Plan Disability Benet Toolkit
5.0
Important
information
Contact us
41
6.0
Glossary and
resources
6.0 Glossary and resources
Glossary of terms
}
Links to other resources
LINKS TO OTHER RESOURCES
Benets Finder
You may be eligible for benets other than CPP disability benets. Use the
Benets Finder to nd other Government of Canada, provincial, or territorial
benets.
Canada Revenue
Agency
A Government of Canada agency that administers taxes, benets and related
programs.
Child disability
benet
A tax-free benet for families who care for a child under age 18 who is eligible
for the disability tax credit due to a severe and prolonged impairment in mental
or physical functions.
Disability Award
A tax-free payment for Canadian Armed Forces members or veterans
who have an injury or illness resulting from military service.
Registered
Disability
Savings Plan
(RDSP)
A Government of Canada program that helps parents and others save for
the long-term nancial security of a person who is eligible for the Disablity
Tax Credit.
Registered
Disability
Savings Grant
and Bond
If you have a Registered Disability Savings Plan, you can apply for a Canada
Disability Savings Grant and/or Bond.
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Table of Contents
1.0
CPP
disability
benets
3.0
Applying
4.0
After you
apply
Guide for
health care
professionals
2.0
Child’s
benet
7.0
Examples
Canada Pension Plan Disability Benet Toolkit
5.0
Important
information
Contact us
42
6.0
Glossary and
resources
6.0 Glossary and resources
Glossary of terms
}
Links to other resources
Education
Funding for
People with
Disabilities
Grants and student loans to assist people with disabilities and their families.
Employment
Insurance
sickness benet
A Government of Canada program that oers temporary nancial assistance
to unemployed workers who are unable to work because of sickness, injury,
or quarantine.
Federal Excise
Gasoline Tax
refund Program
If you have a permanent mobility impairment and cannot safely use public
transportation, you can ask for a refund of part of the federal excise tax
on gasoline you buy.
Foreign Benets
If you
live or have lived or worked in another country
, you may also be eligible
for benets from that country. Canada’s social security agreements with other
countries may help you qualify. Each agreement is dierent so you will need to
contact Service Canada to nd out more about your situation. If you have lived
or worked in a country that does not have an agreement with Canada, contact
that country directly to nd out if you are eligible for a benet.
Quebec Pension
Plan disability
benets
Apply for Quebec Pension Plan (QPP) disability benets instead of CPP if you
worked only in Quebec, you currently live in Quebec and have contributed to
both the CPP and QPP, or you have worked in Quebec, currently live outside
Canada and your last province of residence was Quebec.
Tax credits
and deductions
for persons with
disabilities
Tax credits and deductions are available for people with disabilities,
their supporting family members, and their caregivers.
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1.0
CPP
disability
benets
3.0
Applying
4.0
After you
apply
Guide for
health care
professionals
2.0
Child’s
benet
Canada Pension Plan Disability Benet Toolkit
6.0
Glossary and
resources
5.0
Important
information
Contact us
43
7.0
Examples
7.0 Examples
}
CPP disability
benets examples
Disabled contributor’s
child’s benet
examples
7.0 Examples
CPP disability benets examples
1 2
Contributions in 4 of the last 6 years 25 years of contributions with
contributions in 3 of the last 6 years
} Who } Who
Zan is 32 years old and stopped working this month
because of a
severe and prolonged
medical condition
(according to CPP legislation).
Jamie started working and contributing to the CPP
at age 18.
} Scenario } Scenario
Zan applies for the CPP disability pension. His salary
was $45,000 per year. He contributed to the CPP
in 4 of the last 6 years.
After working for 22 years, at age 40 Jamie decided
to return to school to change careers. At age 45, Jamie
went back to work. He contributed to the CPP for 3 years
before having to stop work due to a terminal illness.
Jamie has contributed to the CPP for at least 25 years,
with contributions in 3 of the last 6 years.
} Outcome } Outcome
Zan is eligible and starts receiving the CPP
disability pension.
Jamie is eligible for the CPP disability pension.
Next
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RETURN TO
ELIGIBILITY MAP
1.0
CPP
disability
benets
3.0
Applying
4.0
After you
apply
Guide for
health care
professionals
2.0
Child’s
benet
Canada Pension Plan Disability Benet Toolkit
6.0
Glossary and
resources
5.0
Important
information
Contact us
44
7.0
Examples
7.0 Examples
}
CPP disability
benets examples
Disabled contributor’s
child’s benet
examples
CPP disability benets examples
3 4
Late applicant provision Credit splitting
} Who } Who
Wayan had to stop working several years ago
because of a
severe and prolonged
medical condition
(according to CPP legislation). He did not apply for CPP
disability benets until recently.
Rishi and Roni were married for many years and
have now separated. Rishi never worked because of
a disability, while Roni worked and contributed to the
CPP. Rishi had not been receiving CPP disability benets
because he had no CPP contributions.
} Scenario } Scenario
In the 6 years before becoming
disabled
, Wayan
contributed to the CPP for 4 years. His annual earnings
were more than the
Disability Basic Exemption
.
Rishi contacts Service Canada to apply for a division of
pension credits. The CPP contributions Roni made while
they lived together are combined, then divided equally
between them.
} Outcome } Outcome
Wayan is eligible for CPP disability benets
based on the late applicant provision. He will
receive 12 months of retroactive payments from
the date Service Canada received his application.
Rishi now has valid contributions to be considered
for CPP disability benets.
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RETURN TO
ELIGIBILITY MAP
1.0
CPP
disability
benets
3.0
Applying
4.0
After you
apply
Guide for
health care
professionals
2.0
Child’s
benet
Canada Pension Plan Disability Benet Toolkit
6.0
Glossary and
resources
5.0
Important
information
Contact us
45
7.0
Examples
7.0 Examples
}
CPP disability
benets examples
Disabled contributor’s
child’s benet
examples
CPP disability benets examples
5 6
International social security agreements Child-rearing provision
} Who } Who
Paz contributed to the social security system of Peru for
many years before immigrating to Canada. Paz began
working in Canada upon his arrival, but within 2 years,
he had to stop work because of a
severe and
prolonged
medical condition.
Chris recently stopped working because of a
severe
and prolonged
medical condition.
} Scenario } Scenario
Paz does not have enough contributions to the CPP to
be considered for CPP disability benets. However, since
March 2017, Canada has an International social security
agreement with Peru.
He had previously been out of the workforce to look
after his daughter since she was born 6 years ago.
During that time, Chris received the child tax benet/
canada child benet.
Before his daughter was born, Chris had worked
half-days for 4 years.
} Outcome } Outcome
Paz can be considered for CPP disability benets.
By combining his years of contributions to the
Peruvian social security system with those to the
Canada Pension Plan
, Paz will meet the requirement
for contributions in 4 of the last 6 years. The amount
that Paz receives will be based only on his CPP
contributions. Paz should consider applying for
a disability pension from Peru as well.
Chris does not have enough CPP contributions in
the last 6 years to qualify for CPP disability benets.
However,
the child-rearing provision
allows Chris
to exclude the last 6 years. Chris is eligible for
CPP disability benets because he has 4 years
of contributions in the 6 years before he stayed
home to raise his daughter.
Next
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RETURN TO
ELIGIBILITY MAP
1.0
CPP
disability
benets
3.0
Applying
4.0
After you
apply
Guide for
health care
professionals
2.0
Child’s
benet
Canada Pension Plan Disability Benet Toolkit
6.0
Glossary and
resources
5.0
Important
information
Contact us
46
7.0
Examples
7.0 Examples
}
CPP disability
benets examples
Disabled contributor’s
child’s benet
examples
CPP disability benets examples
7
Applying for the post-retirement
disability benet
} Who
Carl began to receive his retirement pension at age 60
after 40 years of work. He had a disabling event at age 62.
} Scenario
Since Carl has been receiving his retirement pension
for more than 15 months, he is not able to cancel his
retirement pension to receive a disability pension. Since
Carl has contributions to the CPP in 3 of the last 6 years
prior to the disabling event, he may receive the
post-retirement disability benet.
} Outcome
If the post-retirement disability benet is approved,
Service Canada will send him a monthly amount
equal to the at-rate portion of the disability
pension as a top-up to his retirement pension.
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RETURN TO
ELIGIBILITY MAP
1.0
CPP
disability
benets
3.0
Applying
4.0
After you
apply
Guide for
health care
professionals
2.0
Child’s
benet
Canada Pension Plan Disability Benet Toolkit
6.0
Glossary and
resources
5.0
Important
information
Contact us
47
7.0
Examples
7.0 Examples
CPP disability
benets examples
}
Disabled contributor’s
child’s benet
examples
Disabled contributor’s child’s benet examples
1 2
Child Under 18 years of age who is
in the care and custody of the disabled
contributor
Child Under 18 years of age who is not
in the care and custody of the disabled
contributor
} Who } Who
Lane is the legal guardian of Lee, aged 11. Morgan and Marley are separated and have a daughter
together. Morgan recently applied for and was granted
CPP disability benets.
} Scenario } Scenario
Lane recently applied for and was granted a CPP
disability benets. On the application, Lane stated
that Lee was in his custody and control.
On the application, Morgan stated that her daughter
Madison, age 10, was in the custody and control of
Madison’s other parent. However, there is continuing
contact between Morgan and Madison. Morgan gave
consent to Service Canada to contact and tell Marley,
the other parent, that Madison is entitled to the
disabled
contributor’s child’s benet
.
} Outcome } Outcome
Lane will receive the
disabled contributor child’s
benet
on Lee’s behalf.
Because there is continuing contact between
Morgan and Madison, Morgan must complete the
Application for Benets for under Age 18 Children
of Disabled Contributor (ISP1152)
to receive
the benet on Madison’s behalf.
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1.0
CPP
disability
benets
3.0
Applying
4.0
After you
apply
Guide for
health care
professionals
2.0
Child’s
benet
Canada Pension Plan Disability Benet Toolkit
6.0
Glossary and
resources
5.0
Important
information
Contact us
48
7.0
Examples
7.0 Examples
CPP disability
benets examples
}
Disabled contributor’s
child’s benet
examples
Disabled contributor’s child’s benet examples
3 4
Transition from under 18 years of age
to over 18 years of age
Disabled Contributor’s Child’s Benet
Over 18 years of age
New applicant for disabled contributor’s
child benet
} Who } Who
Sushila has a parent who is receiving CPP disability
benets. Sushila just turned 18 years old and is still
in school.
Nicki is 20 years old and attends college full time.
One of Nicki’s parents has just been diagnosed with a
serious illness and is applying for CPP disability benets.
} Scenario } Scenario
This fall, Sushila will be attending university full time.
Each year that Sushila attends, she will have to complete
the
Declaration of Attendance at School or
University (ISP1401)
.
Since Nicki is over 18, he must complete the
Application
for Child’s Benet (ISP1400)
and the
Declaration
of Attendance at School or University (ISP1401)
.
} Outcome } Outcome
The
disabled contributor’s child’s benet
will be
paid directly to Sushila.
If Nicki’s parent is granted a CPP disability benet,
the
disabled contributor’s child’s benet
will be paid
directly to Nicki.
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1.0
CPP
disability
benets
3.0
Applying
4.0
After you
apply
Guide for
health care
professionals
2.0
Child’s
benet
7.0
Examples
Canada Pension Plan Disability Benet Toolkit
6.0
Glossary and
resources
5.0
Important
information
49
Contact us
Contact us
Visit the nearest
Service Canada Oce
or contact Service Canada by phone from Canada
or the United States, toll-free at 1-800-277-9914 or TTY: 1-800-255-4786.
Oce hours: 8:30 am to 4:30 pm Eastern Time, Monday to Friday.
Mail
documents to Service Canada.
To apply online for CPP disability benets or to access information on your le, use
My Service
Canada Account
.
For more information, and to connect with Service Canada on social media:
Visit us on Twitter
Watch our videos on YouTube
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1.0
CPP
disability
benets
3.0
Applying
4.0
After you
apply
2.0
Child’s
benet
7.0
Examples
Canada Pension Plan Disability Benet Toolkit
6.0
Glossary and
resources
5.0
Important
information
Contact us
50
Guide for
health care
professionals
Guide for health care
professionals
}
Overview
Working with your patient
Patient eligibility
Summary of CPP disability
adjudication guidance
Application forms
Type of medical information
needed
Medical information
for continuing eligibility
Other information
Billing
Privacy
Guide for health care professionals
OVERVIEW
As a health care professional, you play a key role in our process. You may be asked to provide
medical information about a patient of yours who has submitted an application for CPP disability
benets. The medical information that you provide will enable Service Canada to assess your
patient’s eligibility or continued eligibility.
We may also seek information from specialists or obtain a second opinion from an independent
medical examiner.
CPP disability benets provide partial earnings replacement in the form of monthly payments
to
Canada Pension Plan
contributors who have made the required contributions and are deemed
regularly unable to work at any
substantially gainful occupation
due to a
severe and prolonged
mental or physical disability.
CPP disability benets:
• do not provide additional payments for prescription drugs, medical supplies, assistive devices
or other health-related services
• are not intended for short-term disability coverage, and
• automatically convert to a CPP retirement pension at age 65
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1.0
CPP
disability
benets
3.0
Applying
4.0
After you
apply
2.0
Child’s
benet
7.0
Examples
Canada Pension Plan Disability Benet Toolkit
6.0
Glossary and
resources
5.0
Important
information
Contact us
51
Guide for
health care
professionals
Guide for health care
professionals
Overview
}
Working with your patient
Patient eligibility
Summary of CPP disability
adjudication guidance
Application forms
Type of medical information
needed
Medical information
for continuing eligibility
Other information
Billing
Privacy
WORKING WITH YOUR PATIENT
The medical information you submit about your patient’s capacity to work in any substantially gainful
occupation is essential, not only for the initial application, but also during appeals, reassessments
or vocational rehabilitation.
Note: Substantially gainful work or occupation is considered to be any profession or work a person
might do to earn a living. If the total annual amount of earnings from this work is more than 12 times
the maximum monthly CPP disability pension amount, the work is considered to be substantially gainful.
Service Canada needs enough information to be satised that your patient meets the eligibility
requirements for CPP disability benets.
What we need from you is a clear and comprehensive assessment of your patient’s medical condition,
together with information about any limitations on their capacity to function.
You can help your patient by submitting the medical report promptly.
Note: We cannot make a decision to grant a disability benet until we receive your report.
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1.0
CPP
disability
benets
3.0
Applying
4.0
After you
apply
2.0
Child’s
benet
7.0
Examples
Canada Pension Plan Disability Benet Toolkit
6.0
Glossary and
resources
5.0
Important
information
Contact us
52
Guide for
health care
professionals
Guide for health care
professionals
Overview
Working with your patient
}
Patient eligibility
Summary of CPP disability
adjudication guidance
Application forms
Type of medical information
needed
Medical information
for continuing eligibility
Other information
Billing
Privacy
PATIENT ELIGIBILITY
To be eligible for CPP disability benets, the applicant must:
• have a mental or physical impairment that is both
severe and prolonged
• be under the age of 65, and
• meet the CPP contribution requirements
Eligibility is determined on the basis of other factors in addition to the medical diagnosis. Our medical
adjudicators consider the individual’s circumstances, including:
• the nature and severity of their medical condition
• the impact of the medical condition and treatment on their capacity to work
• their prognosis
• their personal characteristics such as age, education, language prociency and work experience, and
• their work performance and productivity
Medical adjudicators do not consider the availability of suitable employment in the applicant’s region
when determining eligibility for CPP disability benets.
For more information on eligibility criteria, see
Section 1.0
.
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1.0
CPP
disability
benets
3.0
Applying
4.0
After you
apply
2.0
Child’s
benet
7.0
Examples
Canada Pension Plan Disability Benet Toolkit
6.0
Glossary and
resources
5.0
Important
information
Contact us
53
Guide for
health care
professionals
Guide for health care
professionals
Overview
Working with your patient
Patient eligibility
}
Summary of CPP disability
adjudication guidance
Application forms
Type of medical information
needed
Medical information
for continuing eligibility
Other information
Billing
Privacy
SUMMARY OF CPP DISABILITY ADJUDICATION GUIDANCE
The Canada Pension Plan Adjudication Framework can be found
here
.
Key Medical and Work Factors Determining Eligibility
for CPP Disability Benets
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Nature
of the
medical
condition
Click to read more
Functional
limitations
Click to read more
Impact of
treatments
Click to read more
Statements
and/or
opinions
expressed
by medical
practitioners
Click to read more
Existence
of multiple
medical
conditions
Click to read more
Personal
characteristics
Click to read more
1.0
CPP
disability
benets
3.0
Applying
4.0
After you
apply
2.0
Child’s
benet
7.0
Examples
Canada Pension Plan Disability Benet Toolkit
6.0
Glossary and
resources
5.0
Important
information
Contact us
54
Guide for
health care
professionals
Guide for health care
professionals
Overview
Working with your patient
Patient eligibility
Summary of CPP disability
adjudication guidance
}
Application forms
Type of medical information
needed
Medical information
for continuing eligibility
Other information
Billing
Privacy
APPLICATION FORMS
The
Application Kit for CPP Disability Benets (ISP1151)
is available online or by contacting
Service Canada. Service Canada’s contact information can be found on
page 49
.
The application kit includes:
• an
Application for a Canada Pension Plan Disability Benet (ISP1151)
– to be completed
by the applicant
• a
Medical Report for a Canada Pension Plan Disability Benet (ISP2519)
– sections 3 to 9
to be completed by the applicant’s physician or nurse practitioner
You must complete the medical report on behalf of your patient. The medical information you provide
is critical to our assessment of an application.
Note: If you diagnose your patient with a terminal illness, you are responsible for either:
• completing Section 3 of the
Terminal Illness Attestation for a Disability Benets under
the Canada Pension Plan (ISP2530B)
, or
• completing Sections 3 to 9 of the
Medical Report for a Canada Pension Plan Disability
Benet (ISP2519)
and indicating the illness is terminal in section 4
The application will be processed within 5 business days for the terminally ill and within 30 calendar
days for the gravely ill.
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1.0
CPP
disability
benets
3.0
Applying
4.0
After you
apply
2.0
Child’s
benet
7.0
Examples
Canada Pension Plan Disability Benet Toolkit
6.0
Glossary and
resources
5.0
Important
information
Contact us
55
Guide for
health care
professionals
Guide for health care
professionals
Overview
Working with your patient
Patient eligibility
Summary of CPP disability
adjudication guidance
Application forms
}
Type of medical information
needed
Medical information
for continuing eligibility
Other information
Billing
Privacy
TYPE OF MEDICAL INFORMATION NEEDED
The following information related to an applicant’s medical history is required for the medical report:
• the medical diagnosis of the mental or physical illness aecting the client’s ability to work
• the ndings upon which the diagnosis was made
• the resulting mental or physical functional limitations or restrictions
• the date of onset of the limitations or restrictions
• the prognosis of the medical condition
• the impacts of treatment, and
• whether the applicant’s medical condition is recurrent/episodic, continuous, or unknown
We do not need your patient’s entire medical le. Provide only the information relevant to the main
mental or physical mental conditions that aect your patient’s capacity to work, including supporting
documents such as:
• consultants’ reports
• diagnostic test results
• investigative reports
• hospital notes
If your patient is regularly capable of working, they are unlikely to be eligible for CPP disability benets.
Next
Previous
Table of Contents
1.0
CPP
disability
benets
3.0
Applying
4.0
After you
apply
2.0
Child’s
benet
7.0
Examples
Canada Pension Plan Disability Benet Toolkit
6.0
Glossary and
resources
5.0
Important
information
Contact us
56
Guide for
health care
professionals
Guide for health care
professionals
Overview
Working with your patient
Patient eligibility
Summary of CPP disability
adjudication guidance
Application forms
}
Type of medical information
needed
Medical information
for continuing eligibility
Other information
Billing
Privacy
If your clinical notes address all the questions in the medical report, you may send those notes instead
of completing the entire medical report (which will have been sent to you to ll out). However, you must
complete the prognosis section of the report and sign the form.
We ask that you address the impairment(s) and associated functional limitations (physical, cognitive,
emotional/behavioral) of the medical condition on your patient’s capacity to work.
Please provide supporting documents for your comments as this will greatly assist us in making a decision.
In the case of a late application, we may ask you for information going back a number of years
in order to determine when the application met the contributory requirements. With the appropriate
information, we can treat an application as though it had been submitted at an earlier date, if the applicant
was disabled when they last met the contributory requirements.
We must determine whether your patient can be considered to have been medically eligible
from that date, continuously, to the present time.
Contact Service Canada
if you are not able to provide the medical information requested. This will help
prevent delays in determining your patient’s eligibility.
We may be able to get information from your patient or from other sources, or we may decide to send
your patient for an independent medical consultation.
Our medical adjudicators are responsible for making decisions on applications for CPP disability benets
using the
Canada Pension Plan Adjudication Framework
, and may request additional information.
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Previous
Table of Contents
1.0
CPP
disability
benets
3.0
Applying
4.0
After you
apply
2.0
Child’s
benet
7.0
Examples
Canada Pension Plan Disability Benet Toolkit
6.0
Glossary and
resources
5.0
Important
information
Contact us
57
Guide for
health care
professionals
Guide for health care
professionals
Overview
Working with your patient
Patient eligibility
Summary of CPP disability
adjudication guidance
Application forms
Type of medical information
needed
}
Medical information
for continuing eligibility
Other information
Billing
Privacy
MEDICAL INFORMATION FOR CONTINUING ELIGIBILITY
You are very important in helping us determine whether your patient should continue to receive a disability
benet, or whether they might be eligible for the
CPP Disability Vocational Rehabilitation Program
.
We periodically review a
beneciary’s
case to ensure continuing eligibility, and we may ask you for
up-to-date medical information on your patient’s condition. If so, you may be asked to complete
a short medical report.
Our periodic reviews give us an opportunity to make contact with clients and identify what services
would suit them best. If your patient’s case is being reviewed, your patient will also be asked to provide
medical and non-medical information.
Because everyone’s medical condition is unique, each case is looked at individually. Once all the
necessary information has been collected, a decision to continue or stop disability benets is made.
Note: To avoid delays for your patient, please answer all the questions on any forms you are asked
to ll out and send it back to Service Canada as soon as possible.
Next
Previous
Table of Contents
1.0
CPP
disability
benets
3.0
Applying
4.0
After you
apply
2.0
Child’s
benet
7.0
Examples
Canada Pension Plan Disability Benet Toolkit
6.0
Glossary and
resources
5.0
Important
information
Contact us
58
Guide for
health care
professionals
Guide for health care
professionals
Overview
Working with your patient
Patient eligibility
Summary of CPP disability
adjudication guidance
Application forms
Type of medical information
needed
Medical information
for continuing eligibility
}
Other information
Billing
Privacy
OTHER INFORMATION
While medical information is of primary importance, the CPP disability program takes a holistic
approach to decision-making.
For example, some factors considered are:
• age
• education
• language prociency
• transferable work skills
• experience
Note: Local socio-economic conditions are not considered.
Applicants and beneciaries who are deemed ineligible for benets may request a reconsideration of
the initial decision to deny or discontinue a benet. If the applicant is not satised with the reconsideration
decision, they may appeal to the
Social Security Tribunal
.
Next
Previous
Table of Contents
1.0
CPP
disability
benets
3.0
Applying
4.0
After you
apply
2.0
Child’s
benet
7.0
Examples
Canada Pension Plan Disability Benet Toolkit
6.0
Glossary and
resources
5.0
Important
information
Contact us
59
Guide for
health care
professionals
Guide for health care
professionals
Overview
Working with your patient
Patient eligibility
Summary of CPP disability
adjudication guidance
Application forms
Type of medical information
needed
Medical information
for continuing eligibility
Other information
}
Billing
Privacy
BILLING
You must mail your invoice to the Service Canada oce address indicated on the application form.
You will be paid by cheque and payment will be mailed to the address you provide on the invoice.
Your invoice must include:
• your patient’s name
• your patient’s address, and date of birth or Social Insurance Number, and
• your business number, GST/HST number or Social Insurance Number
Service Canada will pay up to the following amounts
Initial Medical Report
for Canada Pension Plan Disability Benet
(ISP2519
) $85
Terminal Illness Medical Attestation for a Disability Benet Under the Canada
Pension Plan
(ISP2530B)
$85
Reinstatement of CPP Disability Benets Physician Conrmation
Form*
$20
If Service Canada ask for other information, including a narrative, and depending
on the complexity and the time required for completion.
$150
Your patient is responsible for covering any extra costs. Fees outlined in this section are set in consultation
with the Canadian Medical Association and are subject to change.
* Note: The Reinstatement of CPP Disability Benets Physician Conrmation Form is only provided
to clients who request it by contacting Service Canada.
Next
Previous
Table of Contents
1.0
CPP
disability
benets
3.0
Applying
4.0
After you
apply
2.0
Child’s
benet
7.0
Examples
Canada Pension Plan Disability Benet Toolkit
6.0
Glossary and
resources
5.0
Important
information
Contact us
60
Guide for
health care
professionals
Guide for health care
professionals
Overview
Working with your patient
Patient eligibility
Summary of CPP disability
adjudication guidance
Application forms
Type of medical information
needed
Medical information
for continuing eligibility
Other information
}
Billing
}
Privacy
Employment and Social Development Canada (ESDC) no longer provides copies of T1204 tax slips to
service providers. However, ESDC will continue to submit all T1204 information to the Canada Revenue
Agency as required. Refer to the
Canada Revenue Agency
for information for recipients.
PRIVACY
The personal information of patients is administered pursuant to the
Canada Pension Plan
legislation
as well as the
Access to Information Act
and the
Privacy Act
, under which applicants and beneciaries
have the right to formally request a copy of their CPP disability le, including the medical reports
and supporting documents.
Appropriate exemption to the release of information may be applied if release of medical information
is considered to be contrary to the best interest of the individual (section 28 of the
Privacy Act
).
If you believe it would be detrimental to your patient to be given particular information about their
medical condition, indicate this in your report. We will contact you directly to determine whether
this information can be withheld.
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Table of Contents
Thank you
