CF-FC 2196 - Naming or substitution of a beneficiary
Protected "B" when completed
Provision of the personal information is required pursuant to the Department of Public Works and Government Services Act, para. 7(1)(d) and s.13 and will be used for the purpose of administrating the Canadian Forces Superannuation Act (CFSA). Refusal to provide the personal information, or the provision of incorrect information may result in loss of benefits and/or delays in processing incorrect pension estimates, benefits, or statements. Personal information is protected, and only used and disclosed in accordance with the Privacy Act and as described in Personal Information Bank PWGSC PCU 702 – Federal Pension Administration. Under the Act, individuals have a right of access to their personal information and request correction, if erroneous or incomplete.
Instructions for serving members and pensioners—Completion of the form
Please complete all fields and print. No acknowledgement receipt will be sent, please retain a copy for your records.
- Service Number or Pension Number must be provided.
- Amendments are not acceptable unless initialed by the participant and the witness.
- Both the plan member and the witness must sign this form in dark ink.
Completion of this form negates any previously submitted form on file. If the form is completed incorrectly, any supplementary death benefit will be payable to your estate unless a properly completed form naming a beneficiary is received by the Government of Canada Pension Centre.
Instructions for Serving Members Only
Reserve Force members must be on Class C service on the date of signature. A break in Class C service will cause this form to become invalid. A new form must be completed at the commencement of each period of Class C service.
It is the responsibility of the base, wing or unit to ensure the form is completed correctly. This is indicated by the stamp and/or signature of the Commanding Officer. (By stamping and/or signing, the Personnel Office or Base Orderly Room verifies the form is completed as required.)
Submit a completed copy to your Personnel Office or Base Orderly Room, who will verify it correct and forward a stamped/signed copy to the Government of Canada Pension Centre on your behalf and place a copy on your file.
Forwarding of the Form
It is important that this form be received at the address indicated below as soon as possible.
Public Works and Government Services Canada
Government of Canada Pension Centre - Mail Facility
150 Dion Boulevard
PO Box 9500
Matane QC G4W 0H3
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