RCMP-GRC 1888E: Service in the force declaration

Service in the force declaration PDF, 716KB)

Protected "B" when completed

Privacy notice

Privacy notice

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.

Plan member's personal information
Preferred language

For the purpose of service in the force, a police officer is defined as any Canadian citizen who has graduated from a recognized Canadian police training institution, has acquired Canadian police experience and who has preserved and maintained public safety.

You stated on the RCMP- GRC 571 that your prior service was service as a police officer. To receive credit for service in the force for your prior service, please confirm the following:

Police officer service dates
(a) Police officer service dates
(f) Were you empowered by provincial or federal legislation to enforce the criminal code?
(g) Did you conduct investigations?
(h) Did you testify in court?
(i) Did you obtain judicial authorizations?

Retain a copy of this form for your records.
This form must be mailed to:

Organization:
Public Services and Procurement Canada
Government of Canada Pension Centre – Mail facility
Address:
150 Dion Boulevard
PO Box 8500
Matane QC  G4W 0E2

RCMP- GRC 1888E (2014-07-001)

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