New Zealand 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

To enrol in Direct Deposit, attach a voided cheque (a blank personal cheque with "void" written on it). Then go to step 6 where your signature is required.

If you do not enclose a void cheque, fill in the step 1 and 2. Your Financial Institution should confirm this information by completion information required at step 3, 4 and 5.

Step 1: there is a box in which you must fill in your Bank/Branch code, your account number and the suffix;
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.