Veterans Well-being Regulations

17 (1) An application for an income replacement benefit shall be in writing and shall include

• (a) in the case of an application made under subsection 18(1) of the Act,

  • (i) information that is necessary to determine the veteran’s imputed income and all amounts payable from prescribed sources under subsection 19(1) of the Act,

  • (ii) medical reports or other records that document the veteran’s physical or mental health problem,

  • (iii) any information or document that indicates the nature of the veteran’s service in the Canadian Forces, and

  • (iv) any other information or document that indicates the circumstances of the veteran’s physical or mental health problem that the veteran considers to be relevant in support of the application;

• (b) in the case of an application made under subsection 22(1) of the Act,

  • (i) information that is necessary to determine the imputed income in respect of the member or veteran referred to in subsection 23(3) of the Act and all amounts payable from prescribed sources in respect of the member or veteran,

  • (ii) a copy of the member’s or veteran’s death certificate, and

  • (iii) medical reports or other records that document the member’s or veteran’s injury or disease, diagnosis and cause of death;

• (c) in the case of an application made under subsection 24(1) or 26(1) of the Act, a copy of the member’s or veteran’s death certificate; and

• (d) in all cases,

  • (i) a declaration attesting to the truth of the information provided, and

  • (ii) at the Minister’s request, any other information or documents that are necessary to enable the Minister to assess the applicant’s eligibility for the benefit or to determine the amount payable.

(2) For the purposes of paragraph 18(3)(a) of the Act, the information and documents referred to in subparagraphs (1)(a)(ii) to (iv) are the prescribed information.