Australia Direct Deposit Enrolment Form

  • You can copy and paste the required form information below into a word processor, provide the appropriate information, print, sign and send by mail to the address at the bottom of this form.
  • You can also print the form, fill in the fields by hand, sign and send by mail to the address at the bottom of this form.
  • For help, consult the Australia Form Completion Instructions
  • For information, call 1-800-041-432 between the hours of 8 a.m. and 8 p.m., Eastern time.

Part A

Please print clearly.

Please keep the appropriate federal government department informed of any change to your mailing address.

  1. Surname:
  2. Given name and initial(s):
  3. Address:



  4. Is this a new address? Yes/No
  5. Telephone number:

Part B

  1. Select the payment(s) you wish to receive by direct deposit.
  2. Enter the number associated to each type of payment you wish to receive.

Service Canada

  • Old Age Security (OAS): Yes/No
  • International Agreements - OAS: Yes/No
  • Canada Pension Plan (CPP): Yes/No
  • International Agreements - CPP: Yes/No
  • Social Insurance No. (9 digits):

  • Canadian Government Annuities: Yes/No
  • Contract No. (10 digits):

Veterans Affairs Canada

  • Veterans Affairs Pension or Award: Yes/No
  • War Veterans Allowance: Yes/No
  • Veterans Affairs Financial Benefits: Yes/No
  • File No. (7 digits):

Compensation

  • Canadian Forces Pension: Yes/No
  • Public Service Pension: Yes/No
  • RCMP Pension: Yes/No
  • Judges' Pension: Yes/No
  • Pension No. (9 digits):

  • Members of Parliament Retiring Allowances: Yes/No
  • Personal Record Identifier (9 digits):

Part C

  1. Must be completed by the financial institution or post office where you want your money deposited.
  2. Select the appropriate account type.
    • Bank Account: Yes/No
      • Bank State Branch (BSB) (6 digits):
      • Account No. (9 digits):
    • Postal Account: Yes/No
      • Post Office Identification No. (6 digits):
      • Account No. (8 digits):
    • Building Society Account: Yes/No
      • Bank State Branch (BSB) (6 digits):
      • Account No. (8 digits):
    • Bank Information Code (BIC/SWIFT): Yes/No
      • No. (11 digits):
  3. Name(s) of account holder(s):



  4. Financial institution name, address and postcode (stamp may be used):





  5. Signature of financial institution official:
    Date (yy-mm-dd):
  6. Telephone number of financial institution:
  7. I, as the person entitled to receive the aforementioned payment(s) and in lieu of my receiving a Receiver General cheque for it, hereby authorize the Receiver General for Canada to convert Canadian dollars to Australian dollars and to deposit the payment(s), until further notice, into my account noted herein by means of direct deposit. I hereby agree to accept the exchange rate applied to the payment(s). I also agree that neither the Canadian government nor its agents shall be liable to myself or any third party for any special, consequential or incidental damages arising from delay.

    Signature:
    Date (yy-mm-dd):

Mail the Form

Cheque Redemption Control Directorate
P.O. Box 7000
Matane, QC
G4W 4T5
Canada

Provision of the information requested on this form is required to effect direct deposit payments. This personal information will be stored in Personal Information Bank Number PWGSC PPU 085 and is protected under the Privacy Act. Under the Act you have the right to request access to and request correction if erroneous or incomplete. The information is retained for six years after the last administrative action and then destroyed.