Royal Canadian Mounted Police Superannuation Regulations
SCHEDULE III
Royal Canadian Mounted Police Superannuation Act
Election to Become a Contributor
(Applicable to a member of the Force who is subject to the Royal Canadian Mounted Police Pension Continuation Act and who elects to become a contributor under the R.C.M.P. Superannuation Act within one year of the coming into force of the R.C.M.P. Superannuation Act.)
PART IElection and Manner of Payment
1 I, (Christian Names) (Surname) Reg. No. a (Rank) of the Royal Canadian Mounted Police hereby elect to become a contributor under the Royal Canadian Mounted Police Superannuation Act effective this date. I understand that I am entitled to count as pensionable service any period of service in the Force that I was entitled to count for pension purposes under Part II or III of the former Act and that, upon the making of this election, I shall be deemed to have elected to pay for that service for the purposes of Part I of this Act. I further understand that if I wish to elect to pay for the whole or any part of any other pensionable service, for which I may elect to pay under the R.C.M.P. Superannuation Act, such further election must be made within one year of the date of this election. I further understand that upon the making of this election I cease to be entitled to any benefit under Part II or III of the former Act.
Date of Birth Day/Month/Year Marital Status S M W
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 computed in accordance with Canadian Life Table No. 2 (1941), males four per cent or females four per cent, and the first instalment is due and payable commencing the first day of the month following the month in which this election is made.
Period: Amount:
3 I further understand that this election is void unless I have passed a medical examination within such time before or after the making of this election as the Commissioner prescribes.
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:
The terms and conditions of the R.C.M.P. Superannuation Act with regard to the forwarding of this election within one year after the coming into force of this Act have been met, the contributor has successfully completed a medical examination and it will be in order to commence deductions from his “pay” in accordance with section 5 and subsection 8(5) of this Act.
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, (Christian 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, computed in accordance with Canadian Life Table No. 2 (1941) males four per cent or females four per cent, and the first instalment is due and payable commencing the first day of the month following the month in which this election is made and continuing until the total arrears of contributions are fully paid.
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 Superannuation Account.
- (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, (Christian 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)
- Date modified: