PWGSC-TPSGC 591 - Employer Representative User ID Request

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Protected "B" when completed

Employer Representative User ID Request

Provision of the information requested on this form is required, in accordance with the provisions of the Financial Administration Act. The personal information will be used for the purpose of creating your User ID for the Crown Corporation Portal. The personal information collected on this form is described in Personal Information Banks PWGSC PSU 001 and PSU 912 , and will be protected, used and disclosed in accordance with the provisions of the Privacy Act. Under the Act, you have the right to access your personal information and request correction, if erroneous or incomplete. The personal information will be retained for 2 years following the last administrative action and then destroyed.

To be completed by the user

6. User ID Requested

6. User ID Requested

7. User Type

7. User Type

8. Type of Access Required (Can be one or both)

8. Type of Access Required (Can be one or both)

9. Access Period

Please mail this form to:

Public Service Pension Centre
Public Works and Government Services Canada
150 Dion Blvd.
P.O. Box 9000
Matane QC G4W 4T6

PWGSC-TPSGC 591 (01/2010)