Foreign direct deposit enrolment form

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Protected "B" when completed

This fillable form has been designed to make it easier for you to enrol in direct deposit. Note that the completed form cannot be saved on your computer. Please print, sign and mail the enrolment form. You also have the option of printing the form and completing it by hand. For additional information, you can:

obtain telephone assistance;
consult the Foreign direct deposit enrolment form completion instructions; or
obtain confirmation of your banking information. Please refer to the participating countries for the appropriate foreign banking information required by your country. As information is subject to change without notice, you must ensure that the financial requirement is validated by your financial institution.

Until your direct deposit information has been updated, you will continue to be paid by cheque. The first direct deposit will be made approximately three months after receipt of your completed enrolment form.

To update your banking information, please complete a new direct deposit enrolment form.

Please do not use this form to provide change of address information.

Please read the Privacy notice.

Part A ‑ Identification information

Print clearly and in block letters. Do not use this form to provide changes to your mailing address.

Surname (maximum of 20 characters, letters and punctuation only) (required)

Given name (maximum of 20 characters, letters and punctuation only) (required)

Initial(s) (maximum of 2 characters)

Address (maximum of 50 characters) (required)

City/Town (maximum of 20 characters) (required)

Country (required)

State (only in the United States)(required)

Postal/ZIP code (minimum of 5 characters, maximum of 20 characters) (required)

Telephone No.

Other (TAX ID or RUT, National identity number, etc.) if used in your country

Part B ‑ Payment information

Indicate the payment(s) you currently receive by cheque (at least one selection is required):

Payment information

Veterans Affairs Canada

Veterans Affairs Pension or Award Yes/No Veterans Affairs Financial Benefits Yes/No

War Veterans Allowance Yes/No

If you have specified "Yes" for Veterans Affairs Pension or Award or/and War Veterans Allowance or/and Veterans Affairs Financial Benefits please enter your File No.

File No.(no dashes or spaces, 7 digits)
(required if payment(s) received from Veterans Affairs Canada)

Service Canada - Part I

Old Age Security (OAS) Yes/No Canada Pension Plan (CPP) Yes/No

International agreement - OAS Yes/No International agreement - CPP Yes/No

If you have specified "Yes" for Old Age Security or/and Canada Pension Plan, please enter your Social Insurance No.

Social Insurance No. (Service Canada) (no dashes or spaces, 9 digits)
(required if payment(s) received from Service Canada)

Service Canada - Part II

Canadian Government Annuities Yes/No

If you have specified "Yes" for Canadian Government Annuities, please enter your Contract No.

Contract No. (no dashes or spaces, 10 digits)
(required if payment received from Canadian Government Annuities)

Federal Government Pensions

Canadian Armed Forces Pensions Yes/No Royal Canadian Mounted Police Pensions Yes/No

Judges' Pension Yes/No Public Service Pension Yes/No

Pension No. (Service Canada) (no dashes or spaces, 10 digits)
(required if payment(s) received from Federal Government Pensions)

Part C ‑ Banking information

Must be completed by the financial institution or post office where you want your money deposited.
Complete the box(es) that represent(s) the appropriate foreign banking information required by your country.

Bank sort code (12 digits) Currency (required)

Financial Institution Name and Address

Bank SWIFT code (BIC/SWIFT) (dashes also accepted, 12 digits)

IBAN/NUBAN/CLABE (maximum of 34 characters) Account number (maximum of 34 characters)

Account type (if applicable) Yes/No

Name(s) of Account Holder(s)

Part D ‑ Consent

I, the undersigned, consent to the Receiver General for Canada's issuance of my payments as indicated above, by direct deposit to my bank account and authorize the Receiver General for Canada to convert Canadian dollars to the local currency of my residency.

Personal information, including my Social Insurance Number (SIN), is provided pursuant to the Department of Public Works and Government Services Act, s. 5 and s. 11 and the Financial Administration Act, ss. 35(2). The Receiver General will use and disclose it to the federal institutions identified in Part B and to my financial institution in order to issue direct deposit payments, but will not disclose my SIN to my financial institution. My personal information will be protected, used and disclosed in accordance with the Privacy Act and as described in Personal Information Bank PWGSC PCU 712, Receiver General Payments. Under the Act, I have the right to access and correct my personal information, if erroneous or incomplete.

I, the undersigned, have read the Privacy Notice and consent to the collection, use and disclosure of my personal information as described therein.

Date (YYYY-MM-DD)

2015-09-15

Signature of Applicant

Please ensure that you sign the form before mailing.

Please "clear data" once the form has been printed to ensure that your information is not visible to other users of this computer.

Mailing address

Print and sign your form and mail to:

Receiver General for Canada
CP 5000
Matane QC G4W 4R6
Canada

Telephone assistance

Verify that your country of residence is one of the participating countries.