Provision of the information requested on this form is required to effect direct deposit payments. This personal information will be stored in Personal Information Bank Number PWGSC PPU 085 and is protected under the Privacy Act. Under the Act you have the right to request access to and request correction if erroneous or incomplete. The information is retained for six years after the last administrative action and then destroyed.
Please print clearly.
Please keep the appropriate federal government department informed of any change to your mailing address.
Select the payment(s) you wish to receive by direct deposit.
Enter the number associated to each type of payment you wish to receive.
Must be completed by the financial institution or post office where you want your money deposited.
MANDATORY
Stamp may be used
I, as the person entitled to receive the aforementioned payment(s) and in lieu of my receiving a Receiver General cheque for it, hereby authorize the Receiver General for Canada to convert Canadian Dollars to Swedish Kronas and to deposit the payment(s), until further notice, into my account noted herein by means of Direct Deposit. I hereby agree to accept the exchange rate applied to the payment(s). I also agree that neither the Canadian government nor its agents shall be liable to myself or any third party for any special, consequential or incidental damages arising from delay.
Enrollment for Direct Deposit is easy. Complete the form and mail it to the address below.
CHEQUE REDEMPTIONThe first direct deposit will be made approximately three months after receipt of your completed enrollment form. Your payment will be deposited into your account in Swedish Kronas. Please note that the amount of your payment may vary from month to month depending on the exchange rate applied. You should verify that your deposit has been made each month.
For additional information, call 00-800-3671-8290 between the hours of 8 a.m. and 8 p.m., Eastern time.