RCMP-GRC 570E: Payment transmittal form

Payment transmittal form PDF, 710KB)

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This form must be completed electronically. If not possible, please complete it in dark ink using capital letters.

Plan member's personal information
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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 8500
Matane  QC  G4W 0E2

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).


In Part C of the form T2033 indicate "0355446" for the CRA registration number and "Royal Canadian Mounted Police Superannuation Account" for the RPP name.

Payment information

The payment is for:
This payment covers the following period

RCMP- GRC 570E (2014-07-001)

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