Certificate Respecting an Impairment
This form is used to certify that a person 18 or over has a severe mental or physical impairment over an extended period.
Instead of using this form, 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 this form 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 needs assistance in carrying out a basic activity of daily living because of a severe and prolonged impairment.