Carefully read instructions before completing
This form is used by the plan member for the purpose of remitting payments in respect of a period of leave without
pay and/or a service buyback. This form provides information necessary for accounting purposes.
Send the completed form to the following address together with your payment:
Government of Canada Pension Centre - Mail Facility
150 Dion Boulevard
PO Box 9500
Cash payments such as personal cheques and money orders must be made payable to the Receiver General for Canada.
If sending a payment in respect of more than one service buyback, indicate the total of the monthly deduction amount for all service buybacks.
If your payment is made through a direct transfer of funds from a Registered Retirement Savings Plan (RRSP), complete and attach the Canada Revenue Agency form T2033 to this form (in lieu of a cheque or money order).
Part 1 Members: In Part C of the form T2033 indicate "0355495" for the CRA registration number and "Canadian Forces Pension Fund" for the Registered Pension Plan (RPP) name.
Part I.1 Members: In Part C of the form T2033 indicate "1172220" for the CRA registration number and "Canadian Force Reserve Pension Fund" for the RPP name.