Prepare claims packages to request records of Canadian coverage, to request medical
evidence from Quebec, and to inform the Canadian agencies about claims for Canadian
benefits. If the claim originated in Canada, no claims package is necessary.
Complete Form SSA-e2960-U3-CQ. Check item B. under “Information Needed” to request a record of Canadian coverage. Check item C. under “Information Needed” to request medical evidence from Quebec files if the claimant has filed for U.S.
disability benefits. Do not request medical evidence from Ottawa.
2. U.S. and Canadian claim
Include the following information in claims packages:
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•
SSA-e2960-U3-CQ. Check item B. under “Information Needed” to request a record of Canadian coverage.
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•
CDN/USA 1 and/or QUE/USA 1 including certification of DCF and vital statistics data.
(See GN 01716.212)
-
-
•
Any additional evidence, including evidence of Canadian residence or medical evidence
the claimant wants to submit.
Include the following information in claims packages:
-
-
•
CDN/USA 1 and/or QUE/USA 1 including certification of DCF and vital statistics data.
(See GN 01716.212)
-
-
•
Any additional evidence, including evidence of Canadian residence or medical evidence
the claimant wants to submit.