Supplementary Death Benefit Regulations
SCHEDULE II(Paragraphs 25(2)(a) and (b))
FORM 1
Date: 
Pension number:
Personal record identifier:
Supplementary Death Benefit
Public Service Pension Plan
Public Service Superannuation Act, Part II
Notice of automatic enrolment post-employment
This document is issued to
(INSERT PARTICIPANT NAME)
as evidence of your continued participation in the supplementary death benefit under the Public Service Pension Plan following your last day of employment in the public service on the (INSERT DATE).
FORM 2
Date:
Pension number:
Personal record identifier:
Supplementary Death Benefit
Public Service Pension Plan
Public Service Superannuation Act, Part II
Notice of optional enrolment post-employment
This document is issued to
(INSERT PARTICIPANT NAME)
as evidence of your continued participation in the supplementary death benefit under the Public Service Pension Plan following your last day of employment in the public service on the (INSERT DATE) and as a consequence of your election to continue coverage on the (INSERT DATE).
- SOR/86-633, s. 1
- SOR/86-634, s. 1
- SOR/92-716, s. 8(F)
- SOR/2024-85, s. 26
- Date modified: