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Bank Endorsement for Outside Canada Residents

Instructions for completing the Bank endorsement for Outside Canada Residents form:

You can copy and paste the required form information below into a word processor, provide the appropriate information, print, sign and send by mail.
You can also print this page and fill in the fields by hand and send by mail.

Required information:

Write down pensioner's name and pension number at the top of the page.
Provide pensioner's bank account number, as well as name and address of bank where the cheque will be deposited.
Have form signed by Bank's manager.
Affix Official bank seal on form.
Pensioner's signature is required at the bottom of the form.

SUBJECT: OUTSIDE CANADA RESIDENTS - MAILING CHEQUE TO FINANCIAL INSTITUTION

NAME:___________________________________

PENSION NUMBER:___________________________________

TO BE COMPLETED BY FINANCIAL INSTITUTION:

The annuity/pension payable under the Canadian Forces Superannuation Act or the Defence Services Pension Continuation Act to the above-mentionned is to be forwarded to this bank and placed to the credit of the said recipient. We undertake that any cheque for such payment issued after the death of the said recipient and,

received by us after we received notice of such death, will be returned forthwith to the Specialized Services Division: 1451 Coldrey Ave., Ottawa, Ontario, K1A 0S5 CANADA
deposited by us to his/her credit after his/her death, any free and unencumbered balance of such payment remaining in the account after we received notice of the death of the pensioner will be returned direct to the said office by an instrument payable to the Receiver General for Canada unless prior disadvantage.

We further undertake that any correspondence received by us for the said recipient will be redirected to his residence for his attention.

Account Number:_______________________________________
(Name, Branch and Address of Bank - Use Official Bank Seal)

__________________________________________
Manager

AUTHORIZATION BY RECIPIENT

I consent to the Bank carrying out the provisions of this undertaking until revoked by myself.

__________________________________________
Signature

IMPORTANT

To assist personnel receiving your queries by telephone, we ask that you be prepared to provide
your pension number.

Telephone number
613-952-9933

Business Hours (Ottawa Time)
08:00 to 16:00