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 (2023) FILLABLE | download |
| Change Form (2023) FILLABLE | download |
| Group Life Insurance Beneficiary Designation Form (2023) FILLABLE | 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 |