Pay action request form 446-5E

Pay action request form 446-5E
PDF: 778KB

Government of Canada employees served by the Public Service Pay Centre may use this form to make pay-related requests.

Please use the PDF version if possible for more efficient processing.

Protected "B" when completed

Public Service Pay Centre: Mail facility
PO Box 6500
Matane QC G4W 0H6
Pay Centre Fax: 1-855-393-1559
Pay Centre Email:

For pay services that are provided by the Public Service Pay Centre to be actioned, please complete one pay action request form for each individual employee and attach your departmental form to the completed pay action request.

Section 5: Trusted source

The Department remains responsible for authenticating all Section 34 signatures

Privacy Notice

Provision of the personal information requested in this form is collected under the authority of the Department of Public Works and Government Services Act, s. 12.and will be used for assessing your pay action request. Refusal to provide the requested information may delay or prevent the processing of your pay action request. The collection, use and disclosure is described in the Personal Information Bank PCE 705 (Public Service Compensation systems). Personal Information is protected, and only used and disclosed in accordance with the Privacy Act. Under the Act, individuals have the right of access to and request correction of their personal information, if erroneous or incomplete. Any questions, comments, concerns or complaints regarding the administration of the Privacy Act and privacy policies may be directed to the departmental Privacy Director by email to; or by calling 819-956-1820. If you are not satisfied with our response to your privacy concern, you may wish to contact the Office of the Privacy Commissioner by e-mail at or by telephone at 1-800-282-1376.

If you are enclosing information at a Protected B level with your pay action request, it is your responsibility to ensure that it is encrypted when communicating by email. In the event that issues arise when communicating Protected B information via email you may alternatively send your documentation to the Pay Centre by fax at 1-855-393-1559.

PSPC-SPAC 446-5E-v05 (05/2017)

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