Offline Forms

Employers

Title File
Form #10 - Separation Notice (2018/05) download
Form #20 - Enrolment Form - Pension & Disability Income Plans (2021) Fillable download
Form #22 - Waiver of Right to Participate in all Plans (2011/03) download
Form #25 - Pension Plan - Beneficiary Designation and Change (2020) Fillable download
Form #30 - Data Change Notice (2010/03) download
Form #31 - Application for Buyback of Prior Non-Pensionable Employment (2020) Fillable download
Form #43 - Pension Plan - Leave of Absence (2022) Fillable download
Form #44 - Group Insurance Plan & Disability Income Plan Leave of Absence & Layoff (2020) Fillable download
Form #50 - Remittance Report (2018) download
Form #73 - Notice of Insurance Coverage at Date of Death (2021) Fillable download
Form #78 - Application /Change-Voluntary Accidental Death & Dismemberment Insurance (Voluntary AD&D) (2020) Fillable download

Blue Cross / MEBP Insurance

Title File
Individual Application for Group Insurance Plan (2018) download
Change Form (2018) download
Group Life Insurance Beneficiary Designation Form download

Active Members

Title File
Form #26 - Waiver of Pre-Retirement Death Benefit download
Form #27 - Revocation of Waiver Form download
Form #30.1 - Address Change / Spouse Name download
Form #34 - Relationship Breakdown Data Sheet Fillable download
Direct Deposit -Pension Plan (2021) Fillable download

Retired Members

Title File
Information Change Form – Pension Retired Member or Survivor download
Form #96 - Pension Plan – Change of Beneficiary after Retirement for Life Only and Guaranteed Pensions download

CRA - For Retired Members and Disability Applications

Title File
Personal Tax Credit Return TD1 Forms link

Disability Forms

Title File
Form #62 - Application for Disability Benefits - Statement of Employee (2020) Fillable download
Form #63 - Notice of Medical Absence - Statement of Employer (2021) Fillable download
Form #64 - Physician's Report (2017) Fillable download
Blue Cross Collection, Use & Disclosure of Personal Information download
Direct Deposit Form - Disability (2020) Fillable download