Hong Kong Form Completion Instructions - Long Descriptions

• Image Description for Part B - Pension Program Identification
• Image Description for Part C - Identification of the Financial Institution and Authorization

Image Description for part B - Pension Program Identification

The image shows steps 1 and 2 of part B. In this portion of the form there are check boxes where you can check off the payment (s) you now receive by cheque.

The selection boxes for Service Canada are: Old Age Security and CPP; International Agreements – OAS; Canada Pension Plan; International Agreements. Below the check box there is space in which to write your social insurance number.

Under part B Continued

The selection boxes for Canadian Government Annuities. Beside the check box there is 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 box there is space in which to write your file number.

The selection boxes for Compensation are: Canadian Forces Pension; Public Service Pension; RCMP Pension and Judges’ Pension. Beside each check box there is space in which to write either your pension number

The selection boxes for Members of Parliament Retiring Allowances. Beside the check box there is space in which to write your personal record identifier.

Image Description for part C - Identification of the Financial Institution and Authorization

At the top of this section, instructions inform you to have your financial institution fill out this part of the form. The image shows steps 1 through 6 of part C.

Step 1: There are 3 boxes in which you must fill the bank code, the branch code and the account number respectively.
Step 2: Box is asking for the name(s) of the account holder(s);
Step 3: The Financial Institution’s Name, Address and Postal code;
Step 4: The signature and date of an official at the Financial Institution;
Step 5: The Financial Institution telephone number.

Then follow the text to authorize the Receiver General for Canada to deposit the payment (s) directly into your account until further notice.

Step 6: The boxes to fill out are for your signature and date.