Public Service Superannuation Regulations (C.R.C., c. 1358)
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Regulations are current to 2024-06-11 and last amended on 2021-06-10. Previous Versions
SCHEDULE V
FORM A
Superannuation Number | ||
SUPERANNUATION BRANCH
Department of Finance
Public Service Superannuation Act
NOTICE OF COURT ORDER
Applicable to Subsection 20(2) of the
Public Service Superannuation Act
Court | Province | Date of Order |
---|---|---|
Name of Recipient | Amount and Method of Payment | |
Lump Sum | ||
☐ $![]() ![]() ![]() | ||
Name of Dependent | Relationship of Dependent to Recipient | |
Statute or other Authority under which Order was made |
THE PRESIDENT OF THE TREASURY BOARD
OTTAWA, CANADA.
In compliance with the above-mentioned order, (a certified copy of which is attached hereto), and pursuant to subsection 20(2) of the Public Service Superannuation Act, I hereby request that you pay the amount specified herein to the above-named dependent by deductions from any amount that is or becomes payable to the recipient under the Public Service Superannuation Act.
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(Registrar, Prothonotary, Clerk or other officer of the Court authorized to issue this notice on behalf of the Court)
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Date
Form No.
- SOR/93-450, s. 11(F)
- Date modified: