Royal Canadian Mounted Police Superannuation Regulations (C.R.C., c. 1393)
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Regulations are current to 2024-10-14 and last amended on 2016-01-01. Previous Versions
SCHEDULE III
Royal Canadian Mounted Police Superannuation Act
Election to Pay for Prior Pensionable Service
(This election must be completed and forwarded to the Commissioner, R.C.M. Police, Ottawa, Ontario, within the prescribed time limit.)
PART IElection and Manner of Payment
1 I, (Given Names) (Surname) Reg. No. a (Rank) of the Royal Canadian Mounted Police hereby elect to pay for elective pensionable service performed prior to the date on which I became a contributor under the Royal Canadian Mounted Police Superannuation Act, as follows:
- ☐ (a)All my prior pensionable service;
- ☐ (b)Part only of my prior pensionable service, namely:
(Specify type and period of service selected)
Date of Birth Marital Status S M W
GIVE DETAILS OF ALL PENSIONABLE SERVICE Approximate Period Type of Service Type of Benefit Received From To Civil Service, War Service, Regular Force, Etc. Return of Contributions, Immediate Annuity, Deferred Annuity, Etc. 2 I will make payment in the following manner: (Place “x” in appropriate block.)
- ☐ (a)In a lump sum at the time of making this election or, if the cost is not known, within one month from date of demand;
- ☐ (b)in monthly instalments, to be paid beginning the first day of the month after the day on which the election was made, until full payment has been made.
Period: Amount:
Signed at (Place) this day of (Month) 19
Witnessed as to signature
(Signature of Witness)(Signature of Elector)
- NOTE:This form is to be completed in four copies; one copy to be retained by the elector; the original and remaining two copies to be returned to: The Commissioner, R.C.M. Police, Ottawa, Ontario, without delay.
TO BE COMPLETED BY THE FORCE
PART IICertification
Direction to the Chief Treasury Officer:
- (a) (i)Lump Sum Payment in the amount of $ is forwarded with this election to be credited to the Royal Canadian Mounted Police Pension Fund.
- (ii)Instalments at the monthly rate of $ are to commence with effect from the first day of the month following the month in which election was made.
- NOTE:If the service elected for is under section 6(b)(ii)(I) of the Act, the Force should ensure that the elector has successfully completed a medical examination.
Royal Canadian Mounted Police Superannuation Act
Election to Surrender Annuity or Annual Allowance Which Is Payable or Becomes Payable to a Former Contributor Under the Public Service Superannuation Act or the Canadian Forces Superannuation Act
PART IElection and Manner of Payment
1 I, (Given Names) (Surname) Reg. No. a (Rank or Class) of the Royal Canadian Mounted Police hereby elect, pursuant to subsection 24(5) of the Royal Canadian Mounted Police Superannuation Act, to surrender my right to an annuity or annual allowance under:
- ☐ (a)
2 I will pay any amount remaining unpaid for the above service in the following manner:
- ☐ (a)In a lump sum at the time of making this election or, if the cost is not known, within one month from date of demand;
- ☐ (b)By lump sum payment in partial settlement of arrears the balance to be paid on monthly instalments commencing the first day of the month following the month in which this election is made;
Period: Amount:
- ☐ (c)In monthly instalments commencing the first day of the month following the month in which this election is made.
Witnessed as to signature
(Signature of Witness)(Signature of Elector)
- NOTE:This form is to be completed in four copies: one copy to be retained by the elector; the original and remaining two copies to be returned to: The Commissioner, R.C.M. Police, Ottawa, Ontario.
- SOR/93-219, ss. 2, 3(F)
- SOR/2012-124, s. 33
- SOR/2013-125, ss. 48, 55(E)
- Date modified: