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Supplementary Death Benefit Regulations (C.R.C., c. 1360)

Regulations are current to 2024-08-18 and last amended on 2024-06-01. Previous Versions

SCHEDULE II(Paragraphs 25(2)(a) and (b))

FORM 1

Date: blank line

Pension number: blank line

Personal record identifier: blank line

Supplementary Death Benefit

Public Service Pension Plan

Public Service Superannuation Act, Part II

Notice of automatic enrolment post-employment

This document is issued to

blank line

(INSERT PARTICIPANT NAME)

as evidence of your continued participation in the supplementary death benefit under the Public Service Pension Plan following your last day of employment in the public service on the blank line (INSERT DATE).

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Government of Canada Pension Centre

FORM 2

Date: blank line

Pension number: blank line

Personal record identifier: blank line

Supplementary Death Benefit

Public Service Pension Plan

Public Service Superannuation Act, Part II

Notice of optional enrolment post-employment

This document is issued to

blank line

(INSERT PARTICIPANT NAME)

as evidence of your continued participation in the supplementary death benefit under the Public Service Pension Plan following your last day of employment in the public service on the blank line (INSERT DATE) and as a consequence of your election to continue coverage on the blank line (INSERT DATE).

blank line
Government of Canada Pension Centre
 

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