Service Pension Claim - Work Test Questionnaire

Form ID
For providers

This form is used when a claimant applies for the Invalidity Service Pension. This form is used by the claimant's treating doctor to give an assessment of the effect of a claimant's incapacity on their ability to work.

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?
Form (PDF or Word)