Régie des rentes du Québec


Application for Disability Benefits

Use this form to apply for a disability pension, a pension for a disabled person's child or the additional amount for disability for retirement pension beneficiaries. Complete section 1 of the Medical Report form included with the application and then give it to your attending physician.
B-071 form. Last update: January 2014.
  • PDF - Application for Disability Benefits (B-071) download, 18 pages, 754 kB
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