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Notice to disabled persons
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.
By signing this form, you are agreeing to file an application subsequently for disability benefits with Retraite Québec. We recommend that you review the clauses of your contract with your insurance company because you may not be required to complete the form.
See our Frequently Asked Questions for details on the temporary easing measure we have implemented regarding LIF withdrawals during the COVID-19 pandemic.
Please note that our LIF Quick Calc tool, which makes it possible to determine the amounts that you can withdraw from an LIF, does not take into account the measure and will not be modified during the outbreak.
See the Frequently Asked Questions for details regarding the temporary easing measures for supplemental pension plans within the context of the COVID-19 pandemic.