Members of Québec public-sector pension plans administered by Retraite Québec, such as RREGOP, use this report to claim disability benefits in the case of terminal illness. Retraite Québec's health professionals use it to decide whether the member has a terminal illness likely to lead to death within two years of the most recent medical examination, based on the latest medical knowledge.
The member completes the first part (identification and a consent to release medical and psychosocial information) and signs it. The physician completes the physician's part: identification with licence number, medical information, hospitalizations, life expectancy opinion and certification.
Download the current version from the source each time; forms change without notice.
Medical Report for Disability Benefits in the Case of Terminal Illness Under a Public-Sector Pension Plan
Rapport médical pour une prestation de maladie en phase terminale d'un régime de retraite du secteur public
If your copy of the form is a fillable PDF, upload it 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.
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Yes. The French version is the RSP-448, Rapport médical pour une prestation de maladie en phase terminale d'un régime de retraite du secteur public. The English version is numbered RSP-448A, with the current version dated July 2023. Both are on Retraite Québec's website.
Two years. Retraite Québec's health professionals determine whether the applicant suffers from a terminal illness likely to lead to death within the two years following the most recent medical examination. The regular disability medical report, RSP-502A, uses a different test based on permanent and total disability.
Someone can complete the form on the member's behalf and give their own details. Retraite Québec asks whether it has already received a power of attorney or protection mandate; if not, that document must be enclosed with the application.