Québec Pension Plan– Forms concerning disability

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Application for Disability Benefits Under the Québec Pension Plan

Use this form to apply for a disability pension and 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: February 2024.
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Notice to disabled persons

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Medical Report (For physicians only) - Québec Pension Plan


This form is to be used by the physician to submit to Retraite Québec report on the state of health of a person who has applied for disability benefits.

Electronic signature

An electronic signature is accepted on this form.

b-076 form. Last update: December 2023.

Notice to disabled persons

This PDF document may contain barriers to accessibility. You can obtain assistance by calling us.

New Application for Disability Benefits under the Québec Pension Plan


Use this form to make a new application for disability benefits if your disability benefits ended fewer than 24 months ago. The form also allows you to apply for a pension for a disabled contributor's child if you have any children under 18 years of age (in the case of the disability pension only).
B-004 form. Last update: December 2023.

Notice to disabled persons

This PDF document may contain barriers to accessibility. You can obtain assistance by calling us.

Consent and Application for Remittance of Disability Benefits to an Insurer – Québec Pension Plan

You could receive a disability pension under the QPP, but you are already receiving disability benefits from an insurance company? With this form, you are authorizing us to remit the benefits you already received to it, in whole or in part. Complete the first part of the form. Then, ask your insurance company to complete the second part.

Important

By signing the form, you are agreeing to file an Application for Disability Benefits with Retraite Québec. Review your contract with your insurance company, because you may not be required to complete the form.

RRQ-004 form. Last update: November 2023.

Notice to disabled persons

This PDF document may contain barriers to accessibility. You can obtain assistance by calling us.
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