Lifestyle rating

You have applied for a Disability Compensation Payment or Permanent Impairment compensation, or for an increase in your Disability Compensation Payment or Permanent Impairment compensation. In order to process your claim, we need to know your lifestyle rating. Your lifestyle rating is based on the effects of your accepted or newly claimed disabilities on four aspects of your lifestyle.

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.