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Revenu Québec TPZ-1029.MD.A: Dependent Senior Status

Seniors claiming Québec's tax credit for home-support services who must prove they are dependent use this one-page certification. A physician or specialized nurse practitioner answers two questions in Part 2, on permanent dependence for personal care and on constant supervision for a serious mental disorder, and gives the date the patient became dependent. A Yes to either question certifies dependent senior status.

Who completes it

The physician or specialized nurse practitioner completes Part 2, Medical evaluation, and signs the Part 3 certification with their provincial licence number. The senior completes Part 1 with their identification and address.

Submitting and payment

How to submit it
The completed form is mailed to Revenu Québec at the Québec City address printed at the top of the form.

Good to know

  • Question 20 covers permanent dependence, for a prolonged and indefinite period, on others for most needs and personal care: hygiene, dressing, eating and drinking, mobility in the home and transfers.
  • Question 21 covers the need for constant supervision because of a serious mental disorder characterized by an irreversible breakdown in thought activity.
  • If you answer Yes to either question, enter the date on which, to the best of your knowledge, the patient became dependent.
  • The form is fillable, published in English (TPZ-1029.MD.A-V) and French (TPZ-1029.MD.A), and Revenu Québec accepts an electronic signature on it.

Get the official form

Download the current version from the source each time; forms change without notice.

Certification of Dependent Senior Status - Tax Credit for Home-Support Services for Seniors

Attestation – Statut de personne non autonome – Crédit d'impôt pour maintien à domicile des aînés

Official pagePDFVersion française

Fill it with Vero

Upload the fillable PDF once and Vero Documents fills it from the visit note and the chart, ready for you to review and sign. Download, print, or email the finished form, with the patient’s consent.

See how Vero Documents works

How this list is checked

A form is listed only after its name and number were confirmed on the issuing agency’s or insurer’s own website, or in the form itself. Each entry links to that source. The list was last checked in October 2026. Forms change without notice, so download the current version from the official page before you fill it in.

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Frequently asked questions

Can a nurse practitioner sign the dependent senior certificate?

Yes, a specialized nurse practitioner can. The form asks for written certification from a physician or specialized nurse practitioner, who completes the medical evaluation in Part 2 and signs Part 3 with their provincial licence number, phone number and the date.

When is a senior certified as dependent on TPZ-1029.MD.A?

Only if the physician or specialized nurse practitioner answers Yes to question 20, permanent dependence on others for most needs and personal care, or question 21, constant supervision needed because of a serious mental disorder with irreversible breakdown in thought activity. Each question also offers a Not applicable option.