If you cannot access these forms please contact your Compensation Advisor.
| Form no. | Form name |
|---|---|
| GC 80-1 | Requisition for Payment (Canadian Funds) (accessible only on the Government of Canada network) |
| GC 80-2 | GC 80-2 - Requisition for Payment (Canadian Funds) (accessible only on the Government of Canada network) |
| GC 136 | PWGSC - TPSGC GC 136 - Specimen Signature (accessible only on the Government of Canada network) |
| 178 Fillable | GC -178 - Leave Application and Absence Report (accessible only on the Government of Canada network) |
| 179 Fillable | GC -179 - Extra Duty Pay/Shiftwork Report and Authorization (accessible only on the Government of Canada network) |
| GC 214-E | Emergency Salary Advance (ESA) / Priority Payment (PP) Request Form (60%) (accessible only on the Government of Canada network) |
| GC 215-E | Emergency Salary Advance (ESA) / Priority Payment (PP) Request Form (66%) (accessible only on the Government of Canada network) |
| 380 Fillable | PWGSC - TPSGC 380 - Form 1- Election For Prior Sessions (accessible only on the Government of Canada network) |
| 395 Fillable | Public Service Management Insurance Plan - Judges Entitled to Government-paid Coverage (accessible only on the Government of Canada network) |
| 397 Fillable | Public Service Management Insurance Plan - Judges Entitled to Government-paid Coverage Upon Inception Date (accessible only on the Government of Canada network) |
| 398 | PWGSC - TPSGC 398 - Public Service Management Insurance Plan Post-Retirement Life Insurance Certificate Of Insurance Judges Plan (accessible only on the Government of Canada network) |
| 399 Fillable | PSMIP - Public Service Management Insurance Plan / Judges (accessible only on the Government of Canada network) |
| 400 Fillable | PWGSC - TPSGC 400 - Public Service Management Insurance Plan Certificate Of Insurance Judges Plan (accessible only on the Government of Canada network) |
| 426 Fillable | PWGSC - TPSGC 426 - Form 5 - Election To Contribute On Additional Remuneration Received During Prior Sessions (accessible only on the Government of Canada network) |
| 435 Fillable | PWGSC - TPSGC 435 - Form 3 - Election Under Subsection 9 (2) (accessible only on the Government of Canada network) |
| 446-5E | PWGSC - TPSGC 446-5E - Public Service Pay Centre - Pay Action Request Form |
| 446-6E | PWGSC - TPSGC 446-6E - Public Service Pay Centre - Bulk Pay Action Request Form (accessible only on the Government of Canada network) |
| 535 Fillable | PWGSC - TPSGC 535 - Undertaking and Indemnity (accessible only on the Government of Canada network) |
| 536 Fillable | PWGSC - TPSGC 536 - Undertaking and Indemnity (accessible only on the Government of Canada network) |
| 540 | PWGSC - TPSGC 540 - Affidavit (accessible only on the Government of Canada network) |
| 565-1E | PWGSC - TPSGC 565-1E - Government of Canada Pay System (Phoenix) - Production Access Request Form (Internal) (accessible only on the Government of Canada network) |
| 565-2E | PWGSC - TPSGC 565-2E - Government of Canada Pay System (Phoenix) Security Access Control Officer (SACO) Application Form (accessible only on the Government of Canada network) |
| 565-E | PWGSC - TPSGC 565-E - Government of Canada Pay System (Phoenix) Production Access Request Form (External) (accessible only on the Government of Canada network) |
| 570 Fillable | PWGSC - TPSGC 570 - Payment Transmittal Form |
| 571 Fillable | PWGSC - TPSGC 571 - Enrolment Information and Acknowledgement Of Plan Membership |
| 593 Fillable | PWGSC - TPSGC 593 - Update Employer Contact (accessible only on the Government of Canada network) |
| 598 Fillable | PWGSC - TPSGC 598 - Dual Remuneration-Same Pay Office and Department (accessible only on the Government of Canada network) |
| 2026 Fillable | PWGSC - TPSGC 2026 - Disability Insurance (accessible only on the Government of Canada network) |
| 2026-1 | PWGSC - TPSGC 2026-1 - Disability Insurance Part-time Employee Only (accessible only on the Government of Canada network) |
| 2027 | PWGSC - TPSGC 2027 - Long-term Disability Insurance - Public Service Management Insurance Plan |
| 2027-1 | PWGSC - TPSGC 2027-1 - Long-term Disability Insurance - Public Service Management Insurance Plan |
| 2028 | PWGSC - TPSGC 2028 - Public Service Management Insurance Plan (accessible only on the Government of Canada network) |
| 2028-1 Fillable | PWGSC - TPSGC 2028-1 - Public Service Management Insurance Plan |
| 2028-5 | PWGSC - TPSGC 2028-5 - Public Service Management Insurance Plan |
| 2028-7 | Public Service Management Insurance Plan - Members Entitled to Government-Paid Coverage (accessible only on the Government of Canada network) |
| 2028-8 Fillable | PWGSC - TPSGC 2028-8 - Public Service Health Care Plan (PSHCP) Application for Designation of Additional Dependant for Comprehensive Coverage (accessible only on the Government of Canada network) |
| 2029 Fillable | PWGSC - TPSGC 2029 - PSMIP Certificate of Insurance (accessible only on the Government of Canada network) |
| 2029-1 Fillable | PWGSC - TPSGC 2029-1 - PSMIP Certificate of Insurance Members Entitled to Employer-Paid Coverage (accessible only on the Government of Canada network) |
| 2032 Fillable | PWGSC - TPSGC 2032 - Statutory Declaration ( Public Service Superannuation Act ) (accessible only on the Government of Canada network) |
| 2033 Fillable | PWGSC - TPSGC 2033 - Request to Deposit Public Service Pension Cheques in a Financial Institution (accessible only on the Government of Canada network) |
| 2221 Fillable | PWGSC - TPSGC 2221 - Notice to Repay Pension of Canadian Forces, RCMP or Members of Parliament (accessible only on the Government of Canada network) |
| 2229 Fillable | PWGSC - TPSGC 2229 - Confidential Questionnaire - Employee Group Insurance, Declaration of Personal Insurability (accessible only on the Government of Canada network) |
| 2232 Fillable | PWGSC - TPSGC 2232 - Certificate of Entitlement (accessible only on the Government of Canada network) |
| 2268 Fillable | PWGSC - TPSGC 2268 - Release Authorization (accessible only on the Government of Canada network) |
| 2278 Fillable | PWGSC - TPSGC 2278 - Contribution Remittance For Period of Leave Without Pay (PSHCP) (accessible only on the Government of Canada network) |
| 2278-1 Fillable | PWGSC - TPSGC 2278-1 - Remittance of Dental Care Plan (DCP) Contributions For a Period of Leave Without Pay (accessible only on the Government of Canada network) |
| 2347-19 | PWGSC - TPSGC 2347-19 - Remittance of Dental Care Plan (DCP) Contributions For a Period of Leave Without Pay (accessible only on the Government of Canada network) |
| 2397 Fillable | PWGSC - TPSGC 2397 - Notice of Cancellation - Public Service Health Care Plan (PSHCP) (accessible only on the Government of Canada network) |
| 2451 Fillable | PWGSC - TPSGC 2451 - Post-Retirement Life Insurance Plan (accessible only on the Government of Canada network) |
| 2451-2 Fillable | PWGSC - TPSGC 2451-2 - Post-Retirement Life Insurance Plan - Certificate of Insurance Members Entitled to Employer-Paid Coverage (accessible only on the Government of Canada network) |
| 2471 Fillable | PWGSC - TPSGC 2471 - Certification of Operational Service - Correctional Service of Canada (accessible only on the Government of Canada network) |
| 2472 Fillable | PWGSC - TPSGC 2472 - Estimate Request and Information Release Authorization for Reciprocal Transfer Agreement Purposes (accessible only on the Government of Canada network) |
| 2476 Fillable | PWGSC - TPSGC 2476 - Request for Estimate of Spousal Benefit Coverage and a Reduced Pension Entitlement for a Marriage after Retirement (accessible only on the Government of Canada network) |
| 2477 Fillable | PWGSC - TPSGC 2477 - Election for Spousal Benefit Coverage and a Reduced Pension Entitlement for a Marriage After Retirement (accessible only on the Government of Canada network) |
| 2485 Fillable | PWGSC - TPSGC 2485 - Request for Division of Members of Parliament pension benefits in accordance with the Pension Benefits Division Act (accessible only on the Government of Canada network) |
| 2487 Fillable | PWGSC - TPSGC 2487 - Request for Pension Benefits Division Information with Respect to Members of Parliament Pension Benefits in Accordance with the Pension Benefits Division Act (accessible only on the Government of Canada network) |
| 2493 Fillable | PWGSC - TPSGC 2493 - Confirmation of Information - Pension Benefits Division (accessible only on the Government of Canada network) |
| 2517-1 Fillable | PWGSC - TPSGC 2517-1 - Personnel - Pay Input Form (accessible only on the Government of Canada network) |
| 4002 Fillable | PWGSC - TPSGC 4002 - Production Control Requisition (accessible only on the Government of Canada network) |
| 4023 Fillable | PWGSC - TPSGC 4023 - Payroll Transfer Journal Voucher (accessible only on the Government of Canada network) |
| 4142 | PWGSC - TPSGC 4142 - Pension Deductions (Members of Parliament) (accessible only on the Government of Canada network) |
| 4144 Fillable | PWGSC - TPSGC 4144 - Withdrawal Allowance (accessible only on the Government of Canada network) |
| 4168 Fillable | PWGSC - TPSGC 4168 - Notice of Termination and Option for Benefit (accessible only on the Government of Canada network) |
| 4170 Fillable | PWGSC - TPSGC 4170 - Eligibility to Contribute (accessible only on the Government of Canada network) |
| 4175 | PWGSC - TPSGC 4175 - Members of Parliament Retiring Allowance Act (accessible only on the Government of Canada network) |
| 5136 Fillable | PWGSC - TPSGC 5136 - Security Request (accessible only on the Government of Canada network) |
| 8432-2 Fillable | PWGSC - TPSGC 8432-2 - Direct Deposit - Intercept or Recall Request - Pay (accessible only on the Government of Canada network) |
| 8437 Fillable | PWGSC - TPSGC 8437 - Direct Deposit Enrolment Request (accessible only on the Government of Canada network) |
| 8882-4 Fillable | PWGSC - TPSGC 8882-4 - Common Architecture Security Request (accessible only on the Government of Canada network) |
Pensioner forms
| Form no. | Form name |
|---|---|
| 481 E Fillable | PWGSC - TPSGC 481 - Public Service Health Care Plan (PSHCP) Relief Provision Application Form |
| 1422 Fillable | PWGSC - TPSGC 1422 - Deductions From Annuity or Annual Allowance |
| 2002 Fillable | PWGSC - TPSGC 2002 - Declaration of Attendance at an Educational Institute |
| 2012 Fillable | PWGSC - TPSGC 2012 - Interpretation Of Medical Examination For Pension Purposes |
| 2016 Fillable | PWGSC - TPSGC 2016 - Statutory Declaration |
| 2017 Fillable | PWGSC - TPSGC 2017 - Election To Continue As A Participant Under The Supplementary Death Benefit (SDB) Plan |
| 2040 Fillable | PWGSC - TPSGC 2040 - Statutory Declaration ( Public Service Superannuation Act Administration ) |
| 2196 Fillable | PWGSC - TPSGC 2196 - Naming or Substitution of a Beneficiary |
| 2223 Fillable | PWGSC - TPSGC 2223 - Supplementary Death Benefit Claim Form |
| 2265 Fillable | PWGSC - TPSGC 2265 - Disability Benefit from CPP or QPP |
| 2451-1 Fillable | PWGSC - TPSGC 2451-1 - Post-retirement Life Insurance Plan - Change of Name/Beneficiary |
| 2460 Fillable | PWGSC - TPSGC 2460 - Application for Diversion from a Public Service Pension |
| 2480 Fillable | PWGSC - TPSGC 2480 - Election Not To Count Leave Without Pay As Pensionable Service |
| 2483 Fillable | PWGSC - TPSGC 2483 - Statutory Declaration |
| 2484 Fillable | PWGSC - TPSGC 2484 - Statutory Declaration |
| 2486 Fillable | PWGSC - TPSGC 2486 - Application for Division of a Public Service Superannuation Act Pension in Accordance with the Pension Benefits Division Act |
| 2488 Fillable | PWGSC - TPSGC 2488 - Request for Pension Benefits Division Information with respect to a Public Service Superannuation Act Pension in Accordance with the Pension Benefits Division Act |
Pension Centre employer support services forms
| Form no. | Form name |
|---|---|
| 140 Fillable | PWGSC - TPSGC 140 - Notification of Rehabilitation Leave, Education Leave (with allowance) or Dual Employment - same pay office, same department |
| 571 Fillable | PWGSC - TPSGC 571 - Enrolment Information and Acknowledgement Of Plan Membership |
| 577 Fillable | PWGSC - TPSGC 577 - Plan Member Contact Information |
| 591 Fillable | PWGSC - TPSGC 591 - Employer Representative User ID Request |
| 1422 Fillable | PWGSC - TPSGC 1422 - Deductions from Annuity or Annual Allowance |
| 1871 Fillable | PWGSC - TPSGC 1871 - Default Notice |
| 2001 Fillable | PWGSC - TPSGC 2001 - Elective Non-Contributory Pensionable Service Record |
| 2001-1 Fillable | PWGSC - TPSGC 2001-1 - Elective Pensionable Service Record for Operational Service |
| 2005 Fillable | PWGSC - TPSGC 2005 - Service Buy back Form For Transfer Value Service (accessible only on the Government of Canada network) |
| 2010 Fillable | PWGSC - TPSGC 2010 - Statutory Declaration |
| 2014 Fillable | PWGSC - TPSGC 2014 - Notification of Death In Service |
| 2020 Fillable | PWGSC - TPSGC 2020 - Confirmation of Salary and Service |
| 2020 Fillable | PWGSC - TPSGC 2020 - Confirmation of Salary and Service - This site is only accessible to federal government employees, and only to federal departments and agencies. |
| 2028-7 | PWGSC - TPSGC 2028-7 - Public Service Management Insurance Plan - Members Entitled to Government-Paid Coverage - This site is only accessible to federal government employees, and only to federal departments and agencies. |
| 2041-1 Fillable | PWGSC - TPSGC 2041-1 - Election to Reduce Benefit to $10,000 - Form A |
| 2069 Fillable | PWGSC - TPSGC 2069 - Pensionable Employment Questionnaire (accessible only on the Government of Canada network) |
| 2092 Fillable | PWGSC - TPSGC 2092 - Surrender of Benefits |
| 2123 Fillable | PWGSC - TPSGC 2123 - Certification of Leave Without Pay |
| 2201 Fillable | PWGSC - TPSGC 2201 - Request to Certify a Salary Rate (accessible only on the Government of Canada network) |
| 2270 Fillable | PWGSC - TPSGC 2270 - Notice to Start Service Buy back Deductions (accessible only on the Government of Canada network) |
| 2292 Fillable | PWGSC - TPSGC 2292 - Monthly Remittance of Superannuation Contributions (Public Service Corporation) (accessible only on the Government of Canada network) |
| 2347-18 Fillable | PWGSC - TPSGC 2347-18 - Certification of Lock-In For Purposes of the Public Service Superannuation Act or the Pension Benefits Division Act |
| 2429 Fillable | PWGSC - TPSGC 2429 - Pension Reduction Waiver Request (accessible only on the Government of Canada network) |
| 2467 Fillable | PWGSC - TPSGC 2467 - Statutory Declaration |
| 2467-1 Fillable | PWGSC - TPSGC 2467-1 - Statutory Declaration |
| 2469 | PWGSC - TPSGC 2469 - Election to Continue to Pay Extra Contributions for all Additional Years of Non-Operational Service (accessible only on the Government of Canada network) |
| 2719 Fillable | PWGSC - TPSGC 2719 - Compensation Client Address |
| 3006 Fillable | PWGSC - TPSGC 3006 - Service Buy back Form (accessible only on the Government of Canada network) |
| 4242 Fillable | PWGSC - TPSGC 4242- Termination/Retirement Information Form update in progress - refer to the User Productivity Kit (accessible only on the Government of Canada network): expand the "Compensation Advisor" module and then the "Termination" module for instructions on how to complete. |
| 8638 Fillable | PWGSC - TPSGC 8638 - Cash Receipts Register |
| 8756 Fillable | PWGSC - TPSGC 8756 - Requisition for Interdepartmental Settlement |
Obsolete forms
| Form no. | Form name |
|---|---|
| 51 | Certification and Reconciliation of Superannuation Contributions ( January 2005 ) (declared obsolete) |
| 61-03 | Pension Adjustment Reversal (PAR) ( January 2004 ) (declared obsolete) |
| 2004 | Personal Documentation Certification Form ( May 2008 ) (declared obsolete) |
| 2007 | Requisition for Payment - Supplementary Death Benefits ( December 2009 ) (declared obsolete) |
| 2008 | Determination of Payee for Return of Contributions - Deceased Contributor with Less than Two Years Pensionable Service ( December 2009 ) (declared obsolete) |
| 2008-1 | Determination of Eligible Survivors - Deceased Contributor with Two or More Years Pensionable Service ( December 2009 ) (declared obsolete) |
| 2011 | Notice of Termination and Option for Benefit - Employees with Two or More Years of Pensionable Service ( December 2009 ) (declared obsolete) |
| 2011-1 | Reason for Termination and Option for Benefit Air Traffic Controllers (ATC) Operational Service ( May 2004 ) (declared obsolete) |
| 2011-2 | Option for Benefit - Operational Service, Correctional Service Canada ( August 2010 ) (declared obsolete) |
| 2011-3 | Notice of Termination and Option for Benefit - Employees with Less than Two Years of Pensionable Service ( December 2009 ) (declared obsolete) |
| 2013 | Screening Form for Public Service Corporations - Public Service Superannuation Act ( December 2009 ) (declared obsolete) |
| 2015 | Form Letter - Acknowledgement of Receipt of Your Request ( August 2005 ) (declared obsolete) |
| 2018 | Notification of Plan Membership ( December 2009 ) (declared obsolete) |
| 2019 | Notice of 35 Years of Pensionable Service ( May 2010 ) (declared obsolete) |
| 2030 | Request for Estimate of Service Buyback Paid to Date for Transfer Value ( December 2009 ) (declared obsolete) |
| 2031 | Request for Estimate - Transfer Value ( December 2009 ) (declared obsolete) |
| 2037 | Form Letter - Locating of Pension Cheques ( August 2004 ) (declared obsolete) |
| 2053-1 | Tax Credit Input Form ( February 2005 ) (declared obsolete) |
| 2055 | PBDA Information Request Worksheet ( June 2004 ) (declared obsolete) |
| 2055-1 | PBDA Information Request Worksheet - Public Service Corporations/Operational Service ( July 2000 ) (declared obsolete) |
| 2068 | Arrears of Payment Calculation ( December 2009 ) (declared obsolete) |
| 2075 | Request for documents ( August 2010 ) (declared obsolete) |
| 2075-1 | Request for documents ( December 2009 ) (declared obsolete) |
| 2077 | Details of Transfer under a Reciprocal Agreement ( December 2009 ) (declared obsolete) |
| 2090-1 | Disposal of Dormant Files Under the Public Service Superannuation Act Administration ( April 2002 ) (declared obsolete) |
| 2093 | Form Letter - Requesting Additional Information to Positively Identify a Person (contributor) ( May 2004 ) (declared obsolete) |
| 2093-1 | Form Letter - Requesting Additional Information to Positively Identify a Person ( July 2004 ) (declared obsolete) |
| 2096 | Supplementary Death Benefit Control ( December 2009 ) (declared obsolete) |
| 2097 | Service Buyback Notice ( December 2009 ) (declared obsolete) |
| 2120 | Employment or Termination Advice ( June 2004 ) (declared obsolete) |
| 2170 | Supplementary Death Benefit - Notice Of Payment Due ( December 2009 ) (declared obsolete) |
| 2171 | Statement of Earnings - Deceased Pensioner ( May 2010 ) (declared obsolete) |
| 2219 | Superannuation Directorate - Production Control File Relocation System ( August 2002 ) (declared obsolete) |
| 2219-2 | Production Control File Location System ( May 2005 ) (declared obsolete) |
| 2241 | Superannuation Documentation Transmittal Slip ( September 2009 ) (declared obsolete) |
| 2268-1 | Form Letter - Pensionable Employment With ( December 2009 ) (declared obsolete) |
| 2276 | Contributor System - TOS - Screening ( September 2003 ) (declared obsolete) |
| 2287 | Control Notice ( April 2004 ) (declared obsolete) |
| 2321 | Termination and Contributions Advice ( December 2009 ) (declared obsolete) |
| 2343 | Contributor System - Public Service Corporations Annual Pro Forma ( October 1997 ) (declared obsolete) |
| 2347 | Form Letter - Request for Screening Documents ( February 2004 ) (declared obsolete) |
| 2348 | Form Letter - Acknowledgment of Retirement ( May 2006 ) (declared obsolete) |
| 2355 | Form Letter - Beneficiary Card Invalid ( March 2006 ) (declared obsolete) |
| 2355-1 | Form Letter - Designation of Beneficiary Card ( June 2004 ) (declared obsolete) |
| 2355-3 | Form Letter - Naming or Substitution of a Beneficiary ( August 2004 ) (declared obsolete) |
| 2355-4 | Form Letter - Invalid Naming or Substitution of Beneficiary ( November 2004 ) (declared obsolete) |
| 2364 | Daily Cheque Listing ( April 1999 ) (declared obsolete) |
| 2388 | Form Letter - Outstanding Cheque ( June 2005 ) (declared obsolete) |
| 2429-1 | Pension Reduction Waiver Request |
| 2432 | Call Back Control Form ( March 2005 ) (declared obsolete) |
| 2437 | Client Inquiry - Survivors Case Checklist ( December 2009 ) (declared obsolete) |
| 2439-4 | Contributor Identification Card ( October 2003 ) (declared obsolete) |
| 2459 | Proof of Contributor Effective Date ( November 2004 ) (declared obsolete) |
| 2468 | Application for Certification of a Provisional Past Service Pension Adjustment ( November 2009 ) (declared obsolete) |
| 2478 | Election to Become a Contributor to the Public Service Pension Plan ( October 2004 ) (declared obsolete) |
| 2482 | Transfer Service Record ( December 2009 ) (declared obsolete) |
| 2577 | Request for Return of Superannuation Contributions December 2009 ) (declared obsolete) |