Federal form
CPP Terminal Illness medical attestation (ISP-2530B)
ISP-2530B is the short medical attestation Service Canada uses when a CPP Disability applicant has a terminal illness. It is not the regular ISP-2519 medical report, and it is not a death certificate. You are asked whether you can support a life expectancy of six months or less so the application can be processed on the terminal-illness path.
What ISP-2530B is asking
The applicant (or someone applying on their behalf) uses the terminal-illness application (ISP-2530A). You complete the medical attestation (ISP-2530B). Service Canada wants a treating practitioner’s opinion that death is likely within six months. Metastatic cancer on third-line treatment with a documented palliative plan is the usual fact pattern. A chronic illness that will eventually be fatal, years from now, is not.
Get the current PDF from the CPP Disability apply page on Canada.ca. Do not reuse a clinic letterhead “to whom it may concern” and hope it is accepted as ISP-2530B. If you cannot support the six-month test, stop and complete ISP-2519 instead.
Do not stretch prognosis to speed a claim
A shorter form is not a reason to overstate life expectancy. If the honest prognosis is 12–24 months, say so on the regular medical report. You certify clinical facts. Service Canada decides the benefit.
Who may complete the attestation
- The physician or nurse practitioner who is treating the terminal condition, or the most responsible practitioner who has the oncology, palliative, or relevant specialist notes in hand.
- Palliative care, oncology, internists, and family physicians commonly sign when they have assessed the patient.
- Do not sign from a second-hand message that “the specialist said months.” Read the consult or speak to that service first.
- If you are covering a colleague’s inbox and have never seen the patient, do not complete ISP-2530B.
The applicant still has to meet CPP contribution rules. A correct attestation does not create eligibility if they have not contributed enough. That is not your problem to solve on this form.
How to complete the clinical sections
This attestation is short on purpose. It is not a full functional capacity evaluation. Still write enough that a medical adjudicator can see why six months is the prognosis, not a guess.
- Name the terminal condition and the date you (or the treating service) established that prognosis.
- State that life expectancy is six months or less, if that is your opinion, and on what you base it: staging, progression, treatment stopped or palliative, functional decline.
- List current treatment in one line: systemic therapy stopped, hospice involved, PPS or ECOG if you use them in the chart. Do not invent scores you do not record.
- Attach the key consult or imaging report if it is already in the chart. Do not dump the entire hospital admission.
- If prognosis is uncertain, say uncertain. An honest “not able to attest to six months” is better than a form that later contradicts oncology notes.
- Complete identifiers, licence number, and contact. Terminal files still get returned for a missing signature.
The patient or a representative submits the package. You do not fax this to “CPP head office” unless Service Canada has given the applicant a specific intake path. Keep a copy in the chart.
Worked example (fictional)
Palliative oncology — family practice with specialist notes
Fictional 63-year-old. Do not copy into a real ISP-2530B. Prognosis is the patient’s, not this sample.
Terminal condition: metastatic pancreatic adenocarcinoma, diagnosed January 2026. Liver and peritoneal disease. ECOG 3 as of last oncology visit. Treatment: FOLFIRINOX stopped after 4 cycles for toxicity and progression (oncology note 2026-06-18). Now palliative. Home care and palliative medicine involved. Not a candidate for further systemic therapy. Prognosis: life expectancy reasonably estimated at less than 6 months based on progression off treatment, declining oral intake, and specialist opinion dated 2026-07-02. I am the family physician; I assessed the patient 2026-07-10 and have the oncology and palliative notes on file. Oncology consult attached. This is ISP-2530B, not ISP-2519.
Why the attestation gets sent back
- Attesting to six months when the chart says surveillance, adjuvant therapy, or a longer palliative course.
- No diagnosis, no date, no basis for the prognosis.
- Signing as a locum who has never assessed the person.
- Using ISP-2530B for a severe but non-terminal CPP-D claim that belongs on ISP-2519.
- Missing practitioner identifiers or an unsigned attestation.
Complete ISP-2530B from the chart, then read it back
In Scribeberry, open Forms, search for the CPP terminal illness medical attestation, or upload Service Canada’s current ISP-2530B PDF. Generate from the encounter and your notes, then review every field before you sign. The clinician still certifies the prognosis. Scribeberry does not file with Service Canada or the Government of Canada.
Frequently asked questions
What is the six-month rule?
The terminal-illness path is for applicants whose medical practitioner can support a life expectancy of six months or less. If you cannot support that, use the regular CPP Disability medical report (ISP-2519).
Is ISP-2530B the same as the terminal-illness application?
No. ISP-2530A is the applicant’s terminal-illness application. ISP-2530B is the medical attestation you complete. Both live on the CPP Disability apply page on Canada.ca.
Can I write a clinic letter instead of ISP-2530B?
Use the current Service Canada attestation. A letter may be attached, but it is a poor substitute for the form they asked for. If you are unsure which PDF is current, download it from Canada.ca that day.
Does Scribeberry file ISP-2530B with Service Canada?
No. Scribeberry helps you complete the PDF from clinical context. The applicant or their representative submits it. You keep a copy in the chart.
Forms
