T5007SUM Summary of Benefits

Summary form for agencies or bodies to report payments for workers' compensation benefits or social assistance.

Ways to get the form

• Download and fill out with Acrobat Reader

  You must download and open fillable PDFs in Acrobat Reader 10 or higher.

  • Accessible Fillable PDF (t5007sum-fill-25e.pdf)

• Print and fill out by hand

  • Standard print PDF (t5007sum-25b.pdf)

• Ask for an alternate format

  You can order alternate formats such as digital audio, electronic text, braille, and large print.

  • Order alternate formats for persons with disabilities

Related documents

• T4115 T5007 Guide - Return of Benefits