T1212 Statement of Deferred Security Options Benefits

Complete this form to keep track of the security options benefits you have deferred as a result of exercising a security option after February 27, 2000, and up to and including 4:00 p.m. EST on March 4, 2010, to acquire eligible securities as a result of your employment.

Ways to get the form

Download and fill out with Acrobat Reader
You must download and open fillable PDFs in Acrobat Reader 10 or higher.
- Accessible Fillable PDF (t1212-fill-25e.pdf)
Previous years: Accessible Fillable PDFs
This form is also available for the years listed below:
Print and fill out by hand
- Standard print PDF (t1212-25e.pdf)
Previous years: Standard print PDFs
This form is also available for the years listed below:
Ask for an alternate format
You can order alternate formats such as digital audio, electronic text, braille, and large print.
- Order alternate formats for persons with disabilities

Page details

2026-01-20

Choose a theme

T1212 Statement of Deferred Security Options Benefits

Ways to get the form

Download and fill out with Acrobat Reader

Print and fill out by hand

Ask for an alternate format

Page details

Quick Enquiry

Migova AI Assistant