Contents
- His Excellency the Governor General in Council, on the rec…
- 1 [Repealed, SOR/2020-265, s. 12]
- Definitions
- Prescription of Information To Be Contained in an Application
- Prescription of Additional Documentation To Be Contained in an Application
- Mailing Address for Applications
- Applications Received for Which There is no Recipient
- Prescription of Information To Be Contained in and Manner of Sending a Notification to Recipient
- Amount To Be Diverted
- Applications for Variation or Termination
- Prescription of Deductions from Pension Benefits
- Prescription of the Time for Filing and the Information To Be Contained in an Annual Statement
- Application for Information Under Section 35.3 of the Act
- Schedule I Group Life Insurance Plans Listed for the Purposes of Section 12 (Section 12)
- Schedule II (Section 14)
His Excellency the Governor General in Council, on the recommendation of the Minister of Justice, pursuant to sections 22, 24, 25, 27 and 36 of the Garnishment, Attachment and Pension Diversion Act, is pleased hereby to make the annexed Regulations respecting diversion of pension benefits to satisfy financial support orders.note
Definitions
2#
Prescription of Information To Be Contained in an Application
3#
Prescription of Additional Documentation To Be Contained in an Application
4#
4.1#
Mailing Address for Applications
5#
Applications Received for Which There is no Recipient
Prescription of Information To Be Contained in and Manner of Sending a Notification to Recipient
7#
Amount To Be Diverted
8#
9#
9.1#
Applications for Variation or Termination
11#
Prescription of Deductions from Pension Benefits
12#
Prescription of the Time for Filing and the Information To Be Contained in an Annual Statement
13#
Application for Information Under Section 35.3 of the Act
14#
15#
16#
17#
18#
Schedule I · Group Life Insurance Plans Listed for the Purposes of Section 12 (Section 12)
1#
Schedule II · (Section 14)
Canada flag | Public Works and Governments Services Canada | | Travaux publics et Services gouvernementaux Canada | Protected “B” when completedProtégé « B » une fois rempliApplication Under Section 35.3 of the Garnishment, Attachment and Pension Diversion Act and Section 14 of the Pension Diversion RegulationsPlan MemberPlease provide the following information concerning the plan member.1 | Name (given names, surname) – Nom (prénoms, nom de famille) | 2 | Date of birth – Date de naissance | Y– A | M | D–J | | | | | 3 | Most recent known address | | Postal code – Code postal | 4 | Social Insurance No. (optional)Dernière adresse connue | N° d’assurance sociale (facultatif) | | | | | | | | | | – | | | | – | | | 5 | Last public service employer – Dernier employeur dans la fonction publiqueDepartment — Agency / Crown corporation | Branch | LocationMinistère — Organisme/Société d’État | Direction générale | Lieu6 | Please provide any other information that might aid in identifying the plan member. | 7 | Date of retirement (if known) | Veuillez fournir tout autre renseignement susceptible d’aider à identifier le participant au régime. | Date de la retraite (si elle est connue) | | Y –A | M | D –J | | | | | 8 | Superannuation No. (if known)N° de pension de retraite (s’il est connu) | | | | | | Applicant9 | Applicant’s name (given names, surname) – Nom du réquérant (prénoms, nom de famille) | | 10 | Is the applicant the person named in the financial support order as being entitled to support? | | ☐ | Yes | | | | If yes, go to item 13 | Le réquérant est-il la personne nommée dans l’ordonnance de soutien financier comme ayant droit aux aliments? | | Oui | | | | Si oui, passez à l’article 13 | | | | | | | | | | | | ☐ | No | | | | | If no, complete items 11 and 12 | | | | | Non | | | | | Si non, répondez aux articles 11 et 12 | 11 | Relationship to the person named in the financial support order as being entitled to support | Lien avec la personne nommée dans l’ordonnance de soutien financier comme ayant droit aux aliments | | | | | | | | | | | | | | | | | | | | | | | | | | | | | 12 | Person named in the financial support order as being entitled to support (given names, surname), if different from the applicant | 13 | Date of birth – Date de naissance | Personne nommée dans l’ordonnance de soutien financier comme ayant droit aux aliments (prénoms, nom de famille) si différente du réquérant | Y –A | M | D – J | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | 14 | Address to which the information is to be sent | Postal code –Code postal | 15 | Preferred language – Langue préférée | Adresse à laquelle les renseignements doivent être envoyés | | | | | | | ☐ | English/Anglais | ☐ | French/Français | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | DocumentationA copy of the financial support order under which the application is made must be attached.AuthorizationI request pension benefits information in respect of the plan member named in Part 1 of this application in accordance with the Garnishment, Attachment and Pension Diversion Act and Pension Diversion Regulations. I understand that a notation reflecting that such a request has been made will be placed on the plan member’s personal record once the information is sent to me. | | | | | Signature | | Date (YYYY/MM/DD) | | Date (AAAA-MM-JJ)Minister of Public Works and Government Services / Ministre des Travaux publics et Services gouvernementauxGovernment of Canada Pension Centre – Mail Facility / Centre des pensions du gouvernement du Canada — Service du courrier | | | | | 150 Dion Boulevard / 150, boulevard Dion | Send the duly completed application to | P.O. Box 8000 / C.P. 8000Transmettez la demande dûment remplie à l’addresse | Matane, Quebec G4W 4T6 / Matane (Québec) G4W 4T6PWGSC-TPSGC 2491 (2/97)
Federal laws of Canada reproduced under the Reproduction of Federal Law Order (SI/97-5); not the official version. Source: Justice Laws Website.