Human Resources and Social Development Canada has a number of programs and services designed to assist workers who have particular employment needs. The information sought below is for determining your eligibility for these programs and services and also for statistical purposes.
This information will also be used to determine how much income tax, if any, will be deducted from your benefits.
Completion of this section is mandatory.
I am ________
(Status Indian is someone who is registered with Indian and Northern Affairs Canada as an Indian, or who is entitled to be so registered, according to the terms of the Indian Act)
Person with a disability