Public service pension plan forms
Related forms
- Government of Canada Pension Centre – Employer Support Services forms (for compensation advisors)
Active members
Leave without pay
Complete the following form to send your payments in respect of a period of leave without pay or a service buyback.
Complete the following form if you choose not to count your period of leave without pay, in excess of the first three months, as pensionable service.
Service buyback
Complete the following form if you wish to buy back prior service for which you received a transfer value.
- Form 2005 - Service Buyback Form for Transfer Value Service
Ask your former employer to complete the following form if you are buying back prior service outside the federal public service.
- Form 2069 - Pensionable Employment Questionnaire
Complete the following form if you wish to surrender your pension benefits under the Canadian Forces or the Royal Canadian Mounted Police and have that service counted as pensionable service under the public service pension plan.
- Form 2092 - Surrender of Benefits
Complete the following form if you wish to buy back prior service and have it counted as pensionable under the public service pension plan. This form is only available on the Government of Canada network.
- Form 3006 E - Service Buyback Form
Pension Benefits Division
The following form is used to certify the lock-in of pension funds for the division of pension benefits. Complete the Plan Member's Personal Information section and ask your financial institution to complete the certification section.
If you are requesting an estimate of the maximum transferable amount allowed for division, complete the following form to establish your period of cohabitation (including any interruptions).
Complete the following form if you are applying for a pension division and your court order or agreement does not include the cohabitation period.
Complete the following form if you are applying for a division of the pension benefits accumulated during the period of cohabitation.
Complete the following form to request an estimate of the maximum transferable amount allowed for division.
Pension diversion
Complete the following form if you are applying for a diversion from your pension under the federal public service pension plan.
Retirement or termination of employment
Complete the following form to authorize deductions from a monthly pension benefit payable on termination.
- Form 1422 - Deductions From Annuity or Annual Allowance
The following form is required to verify your entitlement to Canada and Quebec Pension Plan disability and retirement benefits.
- Form 2265 - Pension information release
The following form is used to certify lock-in of pension funds for a transfer value payment. Complete the Plan Member's Personal Information section and ask your financial institution to complete the certification section.
- Form 2347-18 - Certification of Lock-In For Purposes of the Public Service Superannuation Act or the Pension Benefits Division Act
The following form is used to transfer out pension funds.
Complete the following form if you wish to have your pension payment direct deposited to your Canadian bank account.
- Form 8001-552 - Canada direct deposit enrolment form (HTML and PDF format)
Complete the following form if you wish to have your pension payment deposited to your foreign bank account.
- Form 8002-501 - Foreign direct deposit enrolment form (HTML and PDF format)
Complete the following form if you wish to continue coverage under the Supplementary Death Benefit Plan at commercial rates.
Complete the following form if you are eligible to apply for Public Service Health Care Plan coverage.
- Form 006492 - Public Service Health Care Plan Pensioner Application (PDF, 92KB)
Complete the following form if you are eligible to apply for the PSHCP Relief Provision.
The following form is required in cases where the pensioner is unable to manage his own affairs.
Supplementary Death Benefit
Complete the following form if you wish to name or change your beneficiary under the Supplementary Death Benefit Plan.
- Form 2196 - Naming or Substitution of a Beneficiary
Complete the following form if you wish to reduce your Supplementary Death Benefit coverage to $10,000.00.
- Form 2041-1 - Election to Reduce Benefit to $10,000 - Form A
The designated beneficiary must complete the following form to claim the Supplementary Death Benefit payment.
Survivor
Complete the following form if you wish to provide information about your common-law relationship.
- Form 2016 - Statutory Declaration
Forms only available from the Government of Canada Pension Centre
Complete the following form to indicate your pension option.
- Form 2011E-PF - Pension Benefit Options Statement
Complete the following form to apply for Pensioners' Dental Services Plan coverage.
- Form 439-E - Pensioners' Dental Services Plan (PDSP) Form
Retired members
Leave without pay and service buyback
Complete the following form to send your payments in respect of a period of leave without pay or a service buyback.
Pension benefits division
The following form is used to certify the lock-in of pension funds for the division of pension benefits. Complete the Plan Member's Personal Information section and ask your financial institution to complete the certification section.
If you are requesting an estimate of the maximum transferable amount allowed for division, complete the following form to establish your period of cohabitation (including any interruptions).
Complete the following form if you are applying for a pension division and your court order or agreement does not include the cohabitation period.
Complete the following form if you are applying for a division of the pension benefits accumulated during the period of cohabitation.
Complete the following form to request an estimate of the maximum transferable amount allowed for division.
Pension diversion
Complete the following form if you are applying for a diversion from your pension under the federal public service pension plan.
Retirement or termination of employment
The following form is required to verify your entitlement to Canada and Quebec Pension Plan disability and retirement benefits.
- Form 2265 - Pension information release
The following form is used to transfer out pension funds.
Complete the following form if you wish to have your pension payment direct deposited to your Canadian bank account.
- Form 8001-552 - Canada direct deposit enrolment form (HTML and PDF format)
Complete the following form if you wish to have your pension payment deposited to your foreign bank account.
- Form 8002-501 - Foreign direct deposit enrolment form (HTML and PDF format)
Complete the following form if you are eligible to apply for Public Service Health Care Plan coverage.
- Form 006492 - Public Service Health Care Plan Pensioner Application (PDF, 92KB)
Complete the following form if you are eligible to apply for the PSHCP Relief Provision.
The following form is required in cases where the pensioner is unable to manage his own affairs.
Supplementary Death Benefit
Complete the following form if you wish to name or change your beneficiary under the Supplementary Death Benefit Plan.
- Form 2196 - Naming or Substitution of a Beneficiary
Complete the following form if you wish to reduce your Supplementary Death Benefit coverage to $10,000.00.
- Form 2041-1 - Election to Reduce Benefit to $10,000 - Form A
The designated beneficiary must complete the following form to claim the Supplementary Death Benefit payment.
Survivor
Complete the following form if you wish to provide information about your common-law relationship.
- Form 2016 - Statutory declaration
Forms only available from the Government of Canada Pension Centre
The following form is used to apply for Pensioners' Dental Services Plan coverage.
- Form 439-E - Pensioners' Dental Services Plan (PDSP) Form
Survivor and dependants
Complete the following form if you wish to have your pension payment direct deposited to your Canadian bank account.
- Form 8001-552 - Canada direct deposit enrolment form (HTML and PDF format)
Complete the following form if you wish to have your pension payment deposited to your foreign bank account.
- Form 8002-501 - Foreign direct deposit enrolment form (HTML and PDF format)
Complete the following form if you are eligible to apply for Public Service Health Care Plan coverage.
- Form 006492 - Public Service Health Care Plan Pensioner Application (PDF, 92KB)
Complete the following form if you are eligible to apply for the PSHCP Relief Provision.
The following form is required in cases where the pensioner is unable to manage his own affairs.
The designated beneficiary must complete the following form to claim the Supplementary Death Benefit payment.
Complete the following form if you are an eligible dependant of a deceased plan member and are requesting a student allowance.
Complete the following form if you wish to provide information about your common-law relationship.
- Form 2016 - Statutory Declaration
Complete the following form if you are the guardian of the surviving child of a deceased plan member and are applying for the children's allowance.
Complete the following form if you are the common-law partner of a deceased plan member and are applying for the survivor pension.
Have two persons who know of your common-law relationship each complete the following form in support of your claim for a survivor pension as a common-law partner of a deceased plan member.
- Form 2467-1 - Statutory Declaration - Public Service SuperannuationAct - Subsections 25(4), 25(4.1) and 25(10) - Supporting Statement
Forms only available from the Government of Canada Pension Centre
The following form is used to apply for Pensioners' Dental Services Plan coverage.
- Form 439-E - Pensioners' Dental Services Plan (PDSP) Form
Personal tax credits
If you wish to increase your tax credit beyond the basic personal amount, please complete the TD1 Personal Tax Credits Return form as well as the corresponding provincial form below.
TD1 Personal Tax Credits Return
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