Certificate Respecting an Impairment

Form TP-752.0.14-V is used to certify that a person 18 or over has a severe and prolonged impairment in mental of physical functions.

Alternatively, you can send us a copy of federal form T2201, Disability Tax Credit Certificate, to certify that you or a person in respect of whom you are claiming a tax credit in your return has a severe and prolonged impairment.

However, use form TP-752.0.14-V if you are required to provide us with a certificate confirming:

  • that the impairment is considered severe because of the time spent undergoing therapy that is essential to sustain a vital function; or
  • that someone in respect of whom you are claiming the tax credit for caregivers is unable to live alone or needs assistance in carrying out a basic activity of daily living because of a severe and prolonged impairment.
Note about electronic signatures.

This form can be signed electronically.

End of note

To complete the form, save it to your computer and open it in Adobe Reader.

End of note

Our downloadable documents may not comply with Web accessibility standards. If you are having problems using them, please contact us.

End of note

2022-03 version

One mission. Concrete actions.

Read all about how we work to support and inform you. Our vision and values guide us as we carry out our role.

Veuillez patienter