Pension Life Certificate

Form ID: 
D9362
Audience: 
General

Completion of this form by Veterans’ Affairs pensioners in person (or by a trustee or agent as stated below) is necessary to establish that a client is still eligible to receive a pension. Issued to clients turning 100 years of age.

If you are using an Apple computer and want to fill out your form electronically, please download the form and open it with Acrobat 7 or later.

How can I access this form?: 
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