service buyback form PDF, 828KB)
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.
Carefully read the instructions before completing the following part of this form.
1. I choose to pay for the following service for pension purposes.
A. Service with another Canadian pension plan registered under the
Income Tax Act (other than federal public section pension plans):
B. Service for which I received a transfer value or a commuted value under the
Royal Canadian Mounted Police Superannuation Act (RCMPSA), the
Canadian Forces Superannuation Act (CFSA) or the
Public Service Superannuation Act (PSSA):
RCMP service previously transferred out under a pension transfer agreement that is no longer to my credit under the plan to which it was transferred:
Payment may be made in a lump sum or by monthly instalments, or both
Cheques, bank drafts and money orders shall be made payable to the Receiver General for Canada
I have read and fully understand the above and the attached instructions. I understand that in most circumstances an election for prior service is a binding and irrevocable agreement. I understand that the original form must be sent to the address provided in the instructions within one month of the date of signing.
Retain a copy of the form for your records.
This form must be mailed to:
Care should be taken when completing this form since, under most circumstances, a service buyback is a binding, irrevocable agreement. Please ensure that the dates of the service which you enter are complete and accurate and only apply to periods of service that you wish to count.
Option 1: If you are choosing to pay by a lump sum, enter in the dollar amount if known. Select Cheque, Bank draft, Money order,
RPP. Payments are to be made payable to the Receiver General for Canada. The Government of Canada Pension Centre will advise when the lump sum payment is due. If payment is not received by the deadline date, the buyback will be considered void.
Note 1: If you buy back pensionable employment outside of the Federal Government, any pre-1992 service must be purchased by means of a direct transfer from your previous pension plan. If your funds have already been moved out of the plan, then the pre-1992 service cannot be purchased.
Note 2: If you buy back previous
RCMP, Public Service or Canadian Forces service in respect of which you received a Transfer Value or Commuted Value, the pre-1992 service must be purchased by a transfer from registered funds.
Option 2: If you are choosing to pay by monthly instalments, select "Minimum monthly deduction" or enter the duration and estimated coinciding monthly instalment amount you wish to pay. Note that payments will be deducted semi-monthly from your pay cheque. For example, if you indicate $200.00 next to "estimated monthly instalment of $", $100.00 will be deducted from your semi-monthly pay cheque.
If you choose to pay for your service buyback by means of monthly deductions, please note that interest and mortality charges will be applicable and will be included in the cost. The first payment is due at the end of the month in which the service buyback is received by Public Works and Government Services Canada. Full or partial default of the monthly deduction(s) may result if there is a delay in commencing the correct monthly payment, and it may be necessary to increase your monthly payment to cover the default.
After completing the form, retain a copy for your records and forward the original immediately to:
Use of registered mail is recommended but not required. If sent by registered mail, the receipt of registration should be kept for your records.
The completed service buyback form must be forwarded within one month of signing the form. Failure to send the form within the prescribed time will result in the service buyback being declared invalid.
Medical examination - If you purchase your service within the "normal" time frame, no medical is required. The "normal" time frame is the later of one year from September 1, 2012 or one year from the day you became a contributor to the
RCMP Pension Plan.
If you choose to pay for these types of service buybacks (including part-time Public Service after September 1, 2012) in a lump sum, no medical is required, regardless of when you make the buyback. If you choose to pay by instalments after the "normal" time frame, a medical examination will be required.
You must undergo your medical up to six months before or six months after you sign your
Service buyback form.
Service verification - Official verification of service is required to validate any service buyback. This process may necessitate a significant amount of time. If you are asked to help verify this service, your cooperation will be essential. The starting of deductions does not mean that the service is valid.
Past service pension adjustment (PSPA) - A
PSPA must be declared for all service buybacks in respect of post 1989 service. This calculation and declaration will be processed for you by the Government of Canada Pension Centre. Where the Canada Revenue Agency does not approve the
PSPA, the service buyback will be invalid and, if applicable, you will be advised what options are available.
Please note that there may be additional information that pertains to your specific situation.
The www.rcmp.pension.gc.ca website is an excellent source of information on service buybacks. We recommend you consult it before signing this agreement.
GRC 3006-1E (2014-07-001)