Transcription of Certificate of Incapability-OAS/CPP
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Certificate of Incapability-OAS/CPP
SC ISP-3505 (2015-07-03) E of 2 Service CanadaPROTECTED B (when completed)Personal Information Banks ESDC PPU 116, 146 Service Canada delivers Employment and Social Development Canada programs and services for the Government of Canada. Disponible en fran aisCertificate of IncapabilityInformation about the Old Age Security and/or Canada Pension Plan beneficiaryBeneficiary's Social Insurance First Name and InitialLast NameAddress - No., Street, Apt., Box, and CityProvince or TerritoryCountry - If other than CanadaPostal CodeNote: If you are applying on behalf of an individual who is homeless or at imminent risk of being homeless please enter the community where the individual note that, to be considered incapable of managing his/her own affairs, a person must be suffering from severe mental impairment or a physical illness or impairment.
Canada or the United States: 1-800-277-9914 All other countries: 613-957-1954 (we accept collect calls) TTY: 1-800-255-4786 Important: Please have your social insurance number ready when you call. NEWFOUNDLAND AND LABRADOR Service Canada PO Box 9430 Station A St. John's NL A1A 2Y5 CANADA
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