PSS 4-4

Section:Public Works and Government Services Canada (PWGSC)- Travaux publics et Services gouvernementaux Canada (TPSGC) 2386 (CERTIFICATION NOTICE - PENSION SUPPORT SYSTEM)

Subsection:REFERENCE DESCRIPTION AND COMPLETION INSTRUCTIONS

| FIELDS: INITIAL FORM FOR THE PUBLIC SERVICE PENSION CENTRE (PSPC), ACCOUNT FINALIZED FORM FOR THE PAY OFFICE (PO), AMENDMENT TO ORIGINAL FOR THE PSPC AND PO AND DATE

Insert a check mark in the appropriate box to indicate if the form is an initial form, an account finalized form or an amendment.

Note: The date of the initial form must be entered in the case of an amendment, in year-month-day format, e.g., 1998-10-30 for October 30, 1998.

PART 1: TO BE COMPLETED BY THE DEPARTMENT, CROWN CORPORATION OR AGENCY

FIELD: SURNAME

Insert the employee's family name to a maximum of 25 alphanumeric characters.

FIELD: INITIALS

Insert the employee's initials to a maximum of three-alpha characters.

FIELD: DEPT.

Insert the three-alpha character official name of the applicable department, Crown corporation or agency.

FIELD: PO

Insert the two-digit numeric code of the Public Works and Government Services Canada (PWGSC) pay office (PO), Crown corporation or agency.

FIELD: PAYLIST

Insert the four-digit numeric code to identify the employee's paylist (PL). If less than four digits, use leading zero(s).

Example:

Department: Department of Agriculture and Agri-Food (AGR)

Pay Office number: 66

Paylist number: 123

The entry would be: AGR660123

FIELD: SUPERANNUATION No.

| Insert the employee's superannuation number as assigned by the PSPC.

FIELD: Personal Record Identifier (PRI)

Insert the employee's Personal Record Identifier (PRI).

FIELD: REASON FOR INITIATING FORM

Insert a check mark in the appropriate box.

Note: This field is used to identify the purpose of the form and to indicate the employee's benefit option.

FIELD: HAS THE ABOVE-MENTIONED EMPLOYEE BEEN RE-EMPLOYED IN THE PUBLIC SERVICE?

Insert a check mark in the appropriate box.

FIELD: DOES THE EMPLOYEE WORK ON WEEKENDS?

Insert a check mark to indicate whether or not the employee is required to work on weekends.

Note: This field must be completed in all cases. An employee can not be struck off strength (SOS) on a Sunday or a Monday unless he is required to work on weekends.

FIELD: DATE OF SOS

Insert the date on which the employee will be SOS, in year-month-day format, e.g., 1998-10-30 for October 30, 1998.

Note: Do not fill in this field if the reason for initiation is the "division of pension benefits".

FIELDS: FINAL SALARY, FINAL CLASSIFICATION AND LEVEL, AUTHORITY FOR FINAL SALARY, DATE OF AUTHORITY

• Final Salary - Insert the last rate of salary authorized (hourly, monthly, daily, etc.), in an annualized value.
  
  Note: This is the actual salary authorized on the last day employed even if employment terminated while employee was on leave without pay (LWOP).
• Final Classification and Level - Insert the classification and level of the employee at date of SOS.
• Authority for Final Salary - Insert the authority for paying the employee's final salary, e.g., collective bargaining agreement, arbitral awards, Treasury Board minutes, promotion certificates, etc.
• Date of Authority - Insert the effective date of the signing authority in the year-month-day format, e.g., 1999-03-31 for March 31, 1999.
• Superannuable Allowance Code - Insert the last rate of superannuable allowance, if applicable, with the allowance code and rate base.

Note 1: Allowances may be superannuable on the final date of employment even if terminated while the employee was on LWOP. Refer to the Superannuation Administration Manual (SAM) Section 2-8-5 for a detailed listing of allowances.

Note 2: Payment of the bilingual bonus and the penological factor allowance is subject to the employee having worked at least ten compensatory days in the month.

Note 3: Lump sum superannuable allowances paid for a period prior to SOS is not to be reported in final salary box. Payment of performance pay is not included unless the period of entitlement includes the final date of employment. If performance pay is paid after SOS, then form PWGSC- TPSGC 2386 must be amended.

PERSONNEL OFFICER CERTIFICATION

FIELDS: NAME, TELEPHONE No., FACSIMILE No., LOCATION, SIGNATURE, DATE

Insert the following:

• Your name (in block letters);
• Your telephone and facsimile numbers, including the area code;
• Your work location;
• Your email address;
• Your signature;
• The date on which the form was completed.

PART 2: TO BE COMPLETED BY THE PAY OFFICE

PENSION ADJUSTMENT (PA) AMOUNT

Insert the amount in dollars and cents of the PA as well as the year to which it applies.

Note: Complete this section for a transfer value, a reciprocal transfer agreement, a pension transfer agreement, and a cash termination allowance.

ELECTIONS

| Note 1: The PSPC requires an accurate report of all arrears deductions (Public Service Superannuation Account [PSSA-Fund 1], prior to, and including September 2003 only) associated with the purchase of prior elective service.

| Note 2: If the employee transfers between a PWGSC PO and a non-PWGSC PO, or between non-PWGSC POs, the PWGSC- TPSGC 2386 form must be certified at the time of transfer and all arrears installments/payments (PSSA-Fund 1, prior to, and including September 2003 only) must be identified. Forward the PWGSC- TPSGC 2386 form directly to the PSPC. The new PO will use the month and year in which the installments commenced in the former PO as the installments "From" date.

MONTHLY INSTALLMENTS (FINAL NOTICE)

| Note: Care must be taken to ensure that all cash payments and monthly installments on arrears (PSSA-Fund 1, prior to, and including September only) are entered exactly as deducted. Since the form provides for only 12 periods of installments, any additional periods and amounts must be entered on a second or third page as applicable.

FIELD: FROM - TO

Insert the "From and To" month and year dates for each monthly installment amount as they were actually deducted from pay in month-year format, e.g., 08-92 to 09-97.

FIELD: No. OF MONTHS

Insert the duration of the installment period in the number of months that the "From - To" period represents.

Insert the monthly installments in dollars and cents for each "From - To" period.

FIELD: MONTHLY AMOUNT

Insert the monthly installments in dollars and cents for each "From and To" period.

FIELD: ELECTION DATE

Insert the date of the election in a year-month-day format, e.g., 1998-06-01 for June 1, 1998.

FIELD: Correctional Service (CS)

Indicate Correctional Service (CS) election, if applicable.

FIELD: ELECTIVE SERVICE ARREARS RECOVERED FROM TERMINATION PAYMENT

Insert a check mark in the appropriate box; insert the arrears amount recovered (in dollars and cents) and date of recovery (in year-month-day format), if required. Refund any known overdeduction of elective service installments.

Note: This field is completed whenever outstanding elective service arrears are recovered from a termination payment.

PERIODS OF LEAVE WITHOUT PAY (LWOP) AND OUTSTANDING PENSION CONTRIBUTION DEFICIENCIES

FIELD: PERIOD OF LWOP

Insert the "From and To" dates of the period of LWOP, in year-month-day format, e.g., 1988-03-02 to 1998-03-26 for a period from March 2, 1998 to March 26, 1998.

FIELD: DEFICIENCIES RECOVERED

Indicate the amount of deficiencies recovered in dollars and cents. Insert a check mark in the appropriate box to indicate full or partial payment. Include recoveries from termination payments or cash payment upon termination.

Insert any outstanding deficiency amounts in dollars and cents in the PSSA-Fund 1 (prior to April 1, 2000), in the Public Service Pension Fund (PSPF-Fund 2) (since April 1, 2000) and/or PSPF-Fund 2 for CS. Indicate also if contributions are at single rate or double rate, and if they refer to a retirement compensation arrangement (RCA) at single rate or at double rate.

Note 1: For amendments due to retroactive revisions of salary or allowances, indicate only new amounts of deficiencies and not a revised new total.

Note 2: Indicate deductions taken for the recovery of a previous pension overpayment for employees re-employed and subsequently terminated.

FIELD: OUTSTANDING SUPPLEMENTARY DEATH BENEFIT DEFICIENCIES

Insert the amount of the outstanding deficiency in dollars and cents.

35 YEARS OF PENSIONABLE SERVICE

| If applicable, insert the date that the public service pension plan contributions were reduced due to 35 years of pensionable service being paid up, in the year-month-day format, e.g., 1998-06-01 for June 1, 1998. Include the date only if confirmed by the PSPC.

PAY OFFICE CERTIFICATION

FIELDS: NAME, TELEPHONE No., FACSIMILE No., E-MAIL ADDRESS, LOCATION, SIGNATURE, DATE

Insert the following:

• Your name (in block letters);
• Your telephone and facsimile numbers, including the area code;
• Your email address;
• Your work location;
• Your signature;
• The date on which the form was completed.

Last Update: July 2010

Document PSS 4-4 - REFERENCE DESCRIPTION AND COMPLETION INSTRUCTIONS Navigation

• Previous: PSS 4-3