CF-FC 2002—Declaration of Attendance at an Educational Institute

PDF version ( 828KB)
Help with alternative formats and plug-ins

Protected "B" when completed

Privacy notice

Provision of the personal information is required pursuant to the Department of Public Works and Government Services Act, para. 7(1)(d) and s.13 and will be used for the purpose of administrating the Canadian Forces Superannuation Act (CFSA). Refusal to provide the personal information, or the provision of incorrect information may result in loss of benefits and/or delays in processing incorrect pension estimates, benefits, or statements. Personal information is protected, and only used and disclosed in accordance with the Privacy Act and as described in Personal Information Bank PWGSC PCU 702 – Federal Pension Administration. Under the Act, individuals have a right of access to their personal information and request correction, if erroneous or incomplete.

Note

This form must be completed electronically. If not possible, please complete it in dark ink using capital letters.

Plan member's personal information

Preferred language

Instructions to Student

You must be presently enrolled as a full-time student at an educational institute before completing Section A of this declaration and Section B can only be completed, signed and dated after the commencement of the academic year.

If you are applying for an allowance for the first time, complete a declaration for each educational institute attended since attaining age 18 or since the plan member's death, whichever is later.

Please enclose your birth certificate, if you have not already submitted it to Government of Canada Pension Centre.

Please note, you must send a void cheque or banking information to the Government of Canada Pension Centre along with this form, for direct deposit.

Government of Canada Pension Centre - Mail Facility
150 Dion Boulevard
PO Box 9500
Matane QC
G4W 0H3

Section A—To Be Completed by the Student

Question 1. If you had your allowance previously deposited into a bank account, do you wish to keep the same account?
Question 2. Full Time Studies
Question 3. If full-time student, indicate
Question 4. Continuous attendance to the above program to the present date

If you have not attended any educational institute since attaining age 18 or since the plan member's date of death, whichever occurred later, please attach a statement giving the duration and reasons for any absence.

Full duration (e.g. Sept. 1989 to April 1993)
Current Semester or Academic Year (e.g. Sept. 1989 to April 1990)

I hereby declare that, to the best of my knowledge and belief, the information given above is true and complete and I undertake to notify the Director of Government of Canada Pension Centre should I interrupt or terminate attendance at the educational institute noted in Section B. I hereby authorize the said educational institute to provide the Director of Government of Canada Pension Centre with information regarding my enrollment and attendance.

It is an offence to make a false or misleading statement in this declaration.

Section B—To be completed by the educational institution

To the best of our knowledge and belief, the answers in Section A are correct except as noted hereunder.

Note to institution

This section must only be completed, signed and dated after the student completes all appropriate areas in Section A and after the actual attendance commenced.

Declaration of Attendance at an Educational Institution

Payment of a Dependant Child's Allowance Beyond Age 18 Under the Royal Canadian Mounted Police Superannuation Act.

Conditions of Entitlement

The Royal Canadian Mounted Police Superannuation Act provides that dependant children of certain deceased plan members can receive an allowance beyond age 18 if the following conditions are met.

The dependant child of a plan member must be:

  1. between 18 and 25 years of age
  2. in full-time attendance at an educational institution since
    1. his/her eighteenth birthday; or
    2. the plan member's death, whichever is later

Method and Duration of Payment

Where the director is satisfied that a student meets the conditions of entitlement, payment will be made directly to the student. The amount of the allowance will depend on the salary and length of pensionable service of the deceased plan member and possibly the number of dependant children entitled to an allowance.

Where a dependant student is deemed to be entitled to an allowance, payment will commence with effect from the later of:

  1. the date of the plan member's death; or
  2. the date the child reaches 18 years of age

The payment will continue until the end of the month in which the current academic year ends. Payment will recommence for the following academic year upon receipt of a properly completed declaration of attendance. This form will be issued each year to those individuals currently receiving an allowance. Additional forms will be supplied on request.

Payment will be made on a retroactive basis for regular vacation periods, periods of illness, or other approved absences only if the dependant child commences or resumes full-time attendance at school immediately.

Entitlement to an allowance will terminate when the dependant child ceases attendance or attains age 25 during the academic year. Payments will cease at the end of the month in which such an event occurs.

Notification of a Change of Status

Public Works and Government Services Canada
Government of Canada Pension Centre - Mail Facility
150 Dion Boulevard
PO Box 9500 
Matane QC G4W 0H3

when any of the following events occur:

  • he/she reaches age 25
  • he/she terminates attendance at school
  • he/she changes mailing address

Note: The school official must sign the declaration on the reverse side only after the dependant student completes all appropriate areas in Section A. The form should also bear the official stamp or seal of the educational institute.

For office use only

CF-FC 2002E (2014-12-001)

Report a problem on this page
Date modified: