Forms—Active member—Canadian Armed Forces pensions

Here you will find a collection of forms related to your pension. To use the forms below, complete, print and return them to the address indicated on the form.

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If you need assistance, our help file explains how to use various available file formats.

Pension

CF-FC 2016 – Statutory Declaration-Common Law
Complete this form if you wish to provide information about your common-law relationship
CF-FC 2196 – Naming or Substitution of a Beneficiary
Complete this form if you wish to name or change your beneficiary under the Supplementary Death Benefit
CF-FC 2223 – Supplementary Death Benefit Beneficiary Information
Complete this form if you are the designated beneficiary to claim the Supplementary Death Benefit payment
CF-FC 2441 – Request for Eligibility Review Canadian Forces Superannuation Act (CFSA)
Complete this form if you are a Reserve Force member who requests an eligibility service review
CF-FC 2444 – Pre-Authorized Debit
Complete this form if you are a Reserve Force member and choose to pay for your service buyback by means of monthly deductions
CF-FC 2483 – Statutory Declaration in the matter of provision of Pension Division Benefits Information
Complete this form if you are requesting an estimate of the maximum transferable amount allowed for division, to establish your period of cohabitation (including any interruptions)
CF-FC 2484 – Statutory Declaration in the matter of an application of Pension Division Benefits
Complete this form if you are applying for a pension division and your Court Order or Agreement does not include the cohabitation period
CF-FC 2486 – Application for Division of Pension of a Canadian Forces Superannuation Act and Pension Benefits in Accordance with the Pension Benefits Division Act
Complete this form if you are applying for a division of the pension benefits accumulated during the period of cohabitation
CF-FC 2488 – Request for Pension Benefits Division Information with respect to a Canadian Forces Superannuation Act Pension in Accordance with the Pension Benefits Division Act
Complete this form to request an estimate of the maximum transferable amount allowed for Division
CF-FC 2582 – Early Contribution Option
Complete this form if you are a Reserve Force member who is a CFSA annuitant as a result of prior Regular Force service and wish to exercise an early contribution option thereby surrendering the right to an existing CFSA annuity entitlement

Leave Without Pay

CFSA 106 – Surrender of Right to Count Pensionable Service Without Pay
Complete this form if you are a Part I member and you choose not to count your period of leave without pay, in excess of the first three months, as pensionable service
CF-FC 2480 – Election Not to Count Leave Without Pay as Pensionable Service
Complete this form if you are a Part I.1 member and you choose not to count your entire period of leave without pay pensionable service

Service Buyback

CFSA 100 – Election to Pay for Prior Pensionable Service
Complete this form if you are a Regular Force member and wish to buy back prior service under the Canadian Armed Forces (CAF) pension plan
CFSA 103 – Election to Surrender Annuity or Annual Allowance under Public Service Superannuation Act or Royal Canadian Mounted Police Superannuation Act
Complete this form if you wish to surrender your benefits under the Public Service or the Royal Canadian Mounted Police and have that service counted as pensionable service under the Canadian Armed Forces (CAF) pension plan
CFSA 105 – Application for Reduction of Instalments
Complete this form to apply for a reduction in your monthly instalments in respect of an election made under the Canadian Forces Superannuation Act (CFSA)
CF-FC 570 – Payment Transmittal Form
Please complete this form and attach it to any cheque that you are sending in to the Pension Centre to ensure that is associated with your case
CF-FC 578 – Revocation of Election
Complete this form if you request revocation, in whole or in part of an election to pay for service made under the Canadian Forces Superannuation Act (CFSA)
CF-FC 2005 – Service Buyback Form for Transfer Value Service
Complete this form if you are a Part I.1 member and wish to buy back prior service for which you received a Transfer Value
CF-FC 2438 – Past Service Election Reserve Force Pension Plan (RFPP)
Complete this form if you are a Reserve Force member and wish to buy back prior service under the Canadian Armed Forces (CAF) pension plan
CF-FC 2440 – Record of Qualifying Service-Regular Force/Reserve
Complete this form to request recalculation of your qualifying service as a member including non-elective service

Retirement

006492 – Public Service Health Care Plan Pensioner Application (PDF, 91KB)
Complete this form if you are eligible to apply for this coverage
CF-FC 1422 – Deductions from Annuity or Annual Allowance
Complete this form to authorize deductions from a monthly pension benefit payable on release
CF-FC 2017 – Election to continue Supplementary Death Benefit (SDB)
Complete this form if you wish to continue coverage under the Supplementary Death Benefit Plan at commercial rates
CF-FC 2265 – Pension Information Release
Complete this form to verify your entitlement to Canada and Quebec Pension Plan disability and retirement benefits
CF-FC 2347-18 – Certification of Lock-in Purposes of the Canadian Forces Superannuation Act or the Pension Benefit Division Act
Complete this form to certify lock-in of pension funds for a Transfer Value payment. Please complete the Plan member's personal information section and ask your financial institution to complete the Certification section
PWGSC-TPSGC 8438 – Direct Deposit Form
Complete this form if you want your Canadian Armed Forces (CAF) pension deposited to a financial institution in Canada
T2151 – Direct Transfer of a Single Amount Under Section 147(19) or Section 147.3 T2151
Complete this form to transfer pension funds to a registered pension plan

Public Service Health Care Plan

6482 – Public Service Health Care Plan Claim Form (PDF, 614KB)
Complete this form if you are claiming medical expenses under the Public Service Health Care Plan
6483 – Claim Form for Out-of-Country claims (Comprehensive Coverage) (PDF, 692KB)
Complete this form if you are claiming out of the country medical expenses under the Public Service Health Care Plan

Other Forms

Foreign Direct Deposit Form
Complete the Foreign Direct Deposit Enrolment Form if you want your Canadian Armed Forces (CAF) pension deposited to a financial institution outside Canada. For more information on how to obtain the list of participating countries, please refer to the link above

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.

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Forms—Active member—Canadian Armed Forces pensions

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Pension

Leave Without Pay

Service Buyback

Retirement

Public Service Health Care Plan

Other Forms

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