Domestic Form Completion Instructions - Long Description

Image Description for part B - Program Identification

The image shows steps 5 and 6.

Part B

Step 5: Check off the payment (s) you now receive by cheque.

The selection boxes for the Canada Revenue Agency are: Income Tax Refund, GST/HST credit, WITB advance payments, and any other deemed overpayment of tax; Child Tax Benefit and Universal Child Care Benefit. Beside the check boxes there is a space in which to write your social number.

The selection boxes for Service Canada are: Old Age Security; Canada Pension Plan. Beside the check boxes there is a space in which to write your social number.

The selection boxes for Government Annuities. Beside the check boxes there is a space in which to write your contract number.

The selection boxes for Veterans Affairs Canada are: Veterans Affairs Pension or Award; War Veterans Allowance or Veterans Affairs Financial Benefits. Beside the check boxes there is a space in which to write your file number.

The selection box for National Defence and the Canadian Forces is: Canadian Forces Pension. Beside the check boxes there is a space in which to write your pension number.

The selection box for Public Service Pension Centre is: Public Service Pension. Beside the check boxes there is a space in which to write your file number.

The selection box for RCMP is: RCMP Pension. Beside the check boxes there is a space in which to write your file number.

In Step 6, it is stated: I, as the person entitled to receive the payment (s) indicated above, authorize the Receiver General for Canada to deposit the payment (s) directly into my account until further notice. The boxes to fill out are: Date Year/Month/Day, signature and language preference - either English or French.