Request for Pension Benefits Division Information with respect to a Canadian Forces Superannuation Act Pension in Accordance with the Pension Benefits Division Act: CF-FC 2488
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.
Instructions: Read before completing the form
Every person who knowingly makes a false or misleading representation in any application or other proceeding under the Pension Benefits Division Act (PBDA) is guilty of an offence punishable on summary conviction.
Note
This form must be completed electronically. If not possible, please complete it in dark ink using capital letters.
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Instructions for fillable PDF forms
Protected "B" when completed