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Québec Pension Plan– Forms concerning disability

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Québec Pension Plan

Application for a Disability Benefits

Use this form to apply for a disability pension or a pension for a disabled person's child. 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: janvier 2012.

download, 18 pages, 579 kB
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Application for Review

Use this form to apply for a review of a decision rendered by the Régie with respect to a disability pension or a pension for a disabled person's child.

B-026-2 form. Last update: octobre 2009.

download, 2 pages, 232 kB

Medical Report (For physicians only)

This form is to be used by the physician in order to submit a report to the Régie about the state of health of a person who has applied for a disability pension.

B-076 form. Last update: janvier 2012.

download, 6 pages, 249 kB

New Application for a Disability Pension

Use this form to make a new application for a disability pension if your disability pension ended fewer than 24 months ago. It also allows you to apply for a pension for a disabled person's child if you have any children under 18 years of age.

B-004 form. Last update: février 2012.

download, 6 pages, 418 kB

Consent and Application for Remittance of Disability Benefits to an Insurer (For the use of insurance companies only)

Insurance companies can use this form to obtain an applicant's consent to the reimbursement of disability benefits to the insurer. This form is also used to file the insurer's application for remittance.

RRQ-004 form. Last update: février 2008.

download, 2 pages, 58 kB
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