declaration of Attendance at an Educational Institute PDF, 831KB)
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 Royal Canadian Mounted Police Superannuation Act (RCMPSA) and the Royal Canadian Mounted Police Pension Continuation Act (RCMPPCA). 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.
This form must be completed electronically. If not possible, please complete it in dark ink using capital letters.
You must be presently enrolled as a full-time student at an educational institute before completing Section A of this declaration and Section B can only be completed, signed and dated after the commencement of the academic year.
If you are applying for an allowance for the first time, complete a declaration for each educational institute attended since attaining age 18 or since the plan member's death, whichever is later.
Please enclose your birth certificate, if you have not already submitted it to Government of Canada Pension Centre.
Send completed declarations to:
If you have not attended any educational institute since attaining age 18 or since the plan member's date of death, whichever occurred later, please attach a statement giving the duration and reasons for any absence.
To the best of our knowledge and belief, the answers in Section A are correct except as noted hereunder.
Note to institute: This section must only be completed, signed and dated after the student completes all appropriate areas in Section A and after the actual attendance commenced.
Authorized for payment under the provisions of the
Royal Canadian Mounted Police Superannuation Act (RCMPSA). Requisitioned pursuant to section 33 and 34 of the
Financial Administration Act for continuing payment until advised otherwise and certified in accordance with Treasury Board comptrollership policies on account verification.
Royal Canadian Mounted Police Superannuation Act provides that dependant children of certain deceased plan members can receive an allowance beyond age 18 if the following conditions are met.
The dependant child of a plan member must be:
A substantial interruption is one which necessitates a withdrawal from school or delays enrollment. Short periods of illness and regular scholastic vacations do not constitute substantial interruptions in attendance. The circumstances of a substantial interruption must be outlined in the declaration on the reverse side of this form and will be examined by the director in order to determine if they justify initiating or reinstating payment of an allowance.
Under no circumstances will entitlement to an allowance be established or reinstated:
Where the director is satisfied that a student meets the conditions of entitlement, payment will be made directly to the student. The amount of the allowance will depend on the salary and length of pensionable service of the deceased plan member and possibly the number of dependant children entitled to an allowance.
Where a dependant student is deemed to be entitled to an allowance, payment will commence with effect from the later of:
The payment will continue until the end of the month in which the current academic year ends. Payment will recommence for the following academic year upon receipt of a properly completed declaration of attendance. This form will be issued each year to those individuals currently receiving an allowance. Additional forms will be supplied on request.
Payment will be made on a retroactive basis for regular vacation periods, periods of illness, or other approved absences only if the dependant child commences or resumes full-time attendance at school immediately.
Entitlement to an allowance will terminate when the dependant child ceases attendance or attains age 25 during the academic year. Payments will cease at the end of the month in which such an event occurs.
when any of the following events occur:
Note: The school official must sign the declaration on the reverse side only after the dependant student completes all appropriate areas in Section A. The form should also bear the official stamp or seal of the educational institute.
GRC 2002E (2014-07-001)