Forms
Information: Publiservice Disclaimer
This information is only accessible to federal government employees, and only to federal departments and agencies.
Attention:
If you cannot access these forms please contact your Compensation Advisor
Pay Forms
Alert:
"The pensioner forms are temporarily not available on the website. Please contact awraide.cwahelp@tpsgc-pwgsc.gc.ca and let us know if you require any of these forms. We will make the necessary arrangements to provide you with a copy in a timely fashion. We apologize for this temporary inconvenience."
Pensioner Forms
| Form No. | HTML Format |
|---|---|
| 2002 Fillable |
PWGSC-TPSGC 2002 - Declaration of Attendance at an Educational Institute |
| 2012 Fillable |
PWGSC-TPSGC 2012 - Interpretation Of Medical Examination For Pension Purposes |
| 2016 Fillable |
PWGSC-TPSGC 2016 - Statutory Declaration |
| 2017 Fillable |
PWGSC-TPSGC 2017 - Election To Continue As A Participant Under The Supplementary Death Benefit (SDB) Plan |
| 2040 Fillable |
PWGSC-TPSGC 2040 - Statutory Declaration (Public Service Superannuation Act Administration) |
| 2196 Fillable |
PWGSC-TPSGC 2196 - Naming or Substitution of a Beneficiary |
| 2223 Fillable |
PWGSC-TPSGC 2223 - Supplementary Death Benefit Claim Form |
| 2460 Fillable |
PWGSC-TPSGC 2460 - Application for Diversion from a Public Service Pension |
| 2265 Fillable |
PWGSC-TPSGC 2265 - Pension Information Release |
| 2480 Fillable |
PWGSC-TPSGC 2480 - Election Not To Count Leave Without Pay As Pensionable Service |
| 2483 Fillable |
PWGSC-TPSGC 2483 - Statutory Declaration |
| 2484 Fillable |
PWGSC-TPSGC 2484 - Statutory Declaration |
| 2486 Fillable |
PWGSC-TPSGC 2486 - Application for Division of a Public Service Superannuation Act Pension in Accordance with the Pension Benefits Division Act |
| 2488 Fillable |
PWGSC-TPSGC 2488 - Request for Pension Benefits Division Information with respect to a Public Service Superannuation Act Pension in Accordance with the Pension Benefits Division Act |
Alert:
"The pensioner forms are temporarily not available on the website. Please contact awraide.cwahelp@tpsgc-pwgsc.gc.ca and let us know if you require any of these forms. We will make the necessary arrangements to provide you with a copy in a timely fashion. We apologize for this temporary inconvenience."
Employer Support Services Forms
Obsolete Forms
| Form No. | Form Name |
|---|---|
| 51 | Certification and Reconciliation of Superannuation Contributions (January 2005) (declared obsolete) |
| 61-03 | Pension Adjustment Reversal (PAR) (January 2004) (declared obsolete) |
| 2004 | Personal Documentation Certification Form (May 2008) (declared obsolete) |
| 2007 | Requisition for Payment - Supplementary Death Benefits (December 2009) (declared obsolete) |
| 2008 | Determination of Payee for Return of Contributions - Deceased Contributor with Less than Two Years Pensionable Service (December 2009) (declared obsolete) |
| 2008-1 | Determination of Eligible Survivors - Deceased Contributor with Two or More Years Pensionable Service (December 2009) (declared obsolete) |
| 2011 | Notice of Termination and Option for Benefit - Employees with Two or More Years of Pensionable Service (December 2009) (declared obsolete) |
| 2011-1 | Reason for Termination and Option for Benefit Air Traffic Controllers (ATC) Operational Service (May 2004) (declared obsolete) |
| 2011-2 | Option for Benefit - Operational Service, Correctional Service Canada (August 2010) (declared obsolete) |
| 2011-3 | Notice of Termination and Option for Benefit - Employees with Less than Two Years of Pensionable Service (December 2009) (declared obsolete) |
| 2013 | Screening Form for Public Service Corporations - Public Service Superannuation Act (December 2009) (declared obsolete) |
| 2015 | Form Letter - Acknowledgement of Receipt of Your Request (August 2005) (declared obsolete) |
| 2018 | Notification of Plan Membership (December 2009) (declared obsolete) |
| 2019 | Notice of 35 Years of Pensionable Service (May 2010) (declared obsolete) |
| 2030 | Request for Estimate of Service Buyback Paid to Date for Transfer Value (December 2009) (declared obsolet |
| 2031 | Request for Estimate - Transfer Value (December 2009) (declared obsolete) |
| 2037 | Form Letter - Locating of Pension Cheques (August 2004) (declared obsolete) |
| 2053-1 | Tax Credit Input Form (February 2005) (declared obsolete) |
| 2055 | PBDA Information Request Worksheet (June 2004) (declared obsolete) |
| 2055-1 | PBDA Information Request Worksheet - Public Service Corporations/Operational Service (July 2000) (declared obsolete) |
| 2057 | Estimate of Cost for a Service Buyback (December 2009) (declared obsolete) |
| 2068 | Arrears of Payment Calculation (December 2009) (declared obsolete) |
| 2075 | Request for documents (August 2010) (declared obsolete) |
| 2075-1 | Request for documents (December 2009) (declared obsolete) |
| 2077 | Details of Transfer under a Reciprocal Agreement (December 2009) (declared obsolete) |
| 2090-1 | Disposal of Dormant Files Under the Public Service Superannuation Act Administration (April 2002) (declared obsolete) |
| 2093 | Form Letter - Requesting Additional Information to Positively Identify a Person (contributor) (May 2004) (declared obsolete) |
| 2093-1 | Form Letter - Requesting Additional Information to Positively Identify a Person (July 2004) (declared obsolete) |
| 2096 | Supplementary Death Benefit Control (December 2009) (declared obsolete) |
| 2097 | Service Buyback Notice (December 2009) (declared obsolete) |
| 2120 | Employment or Termination Advice (June 2004) (declared obsolete) |
| 2170 | Supplementary Death Benefit - Notice Of Payment Due (December 2009) (declared obsolete) |
| 2171 | Statement of Earnings - Deceased Pensioner (May 2010) (declared obsolete) |
| 2219 | Superannuation Directorate - Production Control File Relocation System (August 2002) (declared obsolete) |
| 2219-2 | Production Control File Location System (May 2005) (declared obsolete) |
| 2241 | Superannuation Documentation Transmittal Slip (September 2009) (declared obsolete) |
| 2268-1 | Form Letter - Pensionable Employment With (December 2009) (declared obsolete) |
| 2276 | Contributor System - TOS - Screening (September 2003) (declared obsolete) |
| 2287 | Control Notice (April 2004) (declared obsolete) |
| 2292 | Monthly Remittance of Superannuation Contributions (Public Service Corporation) (July 2000) (declared obsolete) |
| 2321 | Termination and Contributions Advice (December 2009) (declared obsolete) |
| 2343 | Contributor System - Public Service Corporations Annual Pro Forma (October 1997) (declared obsolete) |
| 2347 | Form Letter - Request for Screening Documents (February 2004) (declared obsolete) |
| 2348 | Form Letter - Acknowledgment of Retirement (May 2006) (declared obsolete) |
| 2355 | Form Letter - Beneficiary Card Invalid (March 2006) (declared obsolete) |
| 2355-1 | Form Letter - Designation of Beneficiary Card (June 2004) (declared obsolete) |
| 2355-3 | Form Letter - Naming or Substitution of a Beneficiary (August 2004) (declared obsolete) |
| 2355-4 | Form Letter - Invalid Naming or Substitution of Beneficiary (November 2004) (declared obsolete) |
| 2364 | Daily Cheque Listing (April 1999) (declared obsolete) |
| 2388 | Form Letter - Outstanding Cheque (June 2005) (declared obsolete) |
| 2432 | Call Back Control Form (March 2005) (declared obsolete) |
| 2437 | Client Inquiry - Survivors Case Checklist (December 2009) (declared obsolete) |
| 2439-4 | Contributor Identification Card (October 2003) (declared obsolete) |
| 2459 | Proof of Contributor Effective Date (November 2004) (declared obsolete) |
| 2468 | Application for Certification of a Provisional Past Service Pension Adjustment (November 2009) (declared obsolete) |
| 2478 | Election to Become a Contributor to the Public Service Pension Plan (October 2004) (declared obsolete) |
| 2482 | Transfer Service Record (December 2009) (declared obsolete) |
| 2577 | Request for Return of Superannuation Contributions December 2009) (declared obsolete) |
Other Forms
- Application for Social Insurance Number (SIN)/Replacement SIN Card
- Canada Revenue Agency - Forms listed by form number
- Claim Form for Public Service Dental Care Plan
- Government of Canada (GC) Forms Web site - This information is only accessible to federal government employees, and only to federal departments and agencies.
- Service Canada Forms
- Canada Pension Plan and Old Age Security
- Pensioners' Dental Services Plan (PDSP) - Claim Form
- Public Service Health Care Plan (PSHCP) Claim Forms
- Quebec Pension Plan
- Source Deductions Return TP-1015.3-V
- Treasury Board of Canada Secretariat TBS-SCT Forms
- TD1 2012 Personal Tax Credits Return
- Date modified: