Certificate Respecting an Impairment

This form is used to certify a person's severe mental or physical impairment over an extended period.

Instead of using form TP-752.0.14-V, Certificate Respecting an Impairment, you may 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 a person in respect of whom you are claiming the tax credit for caregivers has a severe and prolonged impairment rendering the person unable to live alone.

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

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

2018-05 version

2017-11 version

2016-10 version

2010-10 version

2006-10 version

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