RCMP-GRC 2480E: Election not to count leave without pay as pensionable service

Election not to count leave without pay as pensionable service PDF, 707KB)

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For your period of leave without pay (LWOP) that commenced or will commence on the date indicated below, you have the option of NOT counting the period of LWOP in excess of the first three months as pensionable service.

If you elect NOT to count this period of LWOP, you will not be credited with the service and accordingly, you will not be required to pay deficiencies in pension contributions for your period of LWOP other than for the first three months.

To make an election NOT to count the period of LWOP in excess of the first three months as pensionable service, you must sign and forward this form to the Government of Canada Pension Centre no later than three months following your return to work.

This election is irrevocable

If you do not exercise this option within three months of returning to work, deficiencies in pension contributions will be recovered for your entire period of leave without pay.

Retain a copy for your records and return the original form to the Government of Canada Pension Centre at the address below:

Organization:
Government of Canada Pension Centre—Mail facility
Address:
150 Dion Boulevard
PO Box 8500 
Matane QC  G4W 0E2

I hereby elect not to count as pensionable service the portion of my period of LWOP that is in excess of the first three months. The date on which my period of LWOP began or will begin is indicated above.

I understand that by signing this form, only the first three months of my period of LWOP will be pensionable and that I am required to pay the deficiencies for that first three month period. The balance of my LWOP will be non-pensionable.

This decision is irrevocable.

RCMP- GRC 2480E (2014-07-001)

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