Pension Forms

 

Registration Form

Form 1 - Application for Registration of a Pension Plan: Use this form to apply to the Superintendent for registration of a new pension plan.

Form [PDF Document] Size: ## kb

User Guide [HTML Document] Size: ## kb

 

 

Form 1.1 - Application for Registration of a Pension Plan Amendment: Use this form to register a pension plan amendment with the Superintendent.

Form [PDF Document] Size: ## kb

 

 

Form 1.2 - Individual Pension Plan Certification: Use this form to certify that the pension plan is an Individual Pension Plan under the Income Tax Act (Canada) for purposes of the Pension Benefits Act.

Form [PDF Document] Size: ## kb

 

 

 

Reporting Forms

 

Effective January 1, 2013, certain prescribed filings required to be filed with the Superintendent must be filed electronically through the Pension Services Portal (PSP).

 

Form 2 - Annual Information Return (AIR)

Specimen Form: [PDF Document] Size: ## kb PDF 

Instructions: [PDF Document] PDF | [HTML Document] Size: ## kb Accessible document

 

 

Form 2.1 - Pension Benefits Guarantee Fund Assessment Certificate (PBGF)

Specimen Form: [PDF Document] PDF​  

Instructions: [PDF Document]PDF   [HTML Document] Size: ## kb Accessible document

(Revisions to box 301 - letter of credit amount to be excluded when calculating solvency assets) 

 

 

Form 7 - Summary of Contributions/Revised Summary of Contributions: To be used by pension plan administrators and submitted to the pension fund trustee(s).

Form: [PDF Document] Size: ## kbAccessible PDF 

Having trouble downloading this form? See Downloading and viewing dynamic forms.

User Guide: [PDF Document] Size: ## kb PDF | Accessible version

 

 

Non Remittance Reporting: To be used by pension fund trustee(s) and submitted to FSCO Size: ## kb

Non-receipt of FSCO Form 7 [PDF Document] Size: ## kb Accessible PDF

Non-Remittance Reporting/Variance Reporting [PDF Document] Size: ## kb Accessible PDF

 

 

Form 8 - Investment Information Summary: To be used by plan administrators of defined benefit pension plans other than designated plans, and filed with the Superintendent

Instructions: [PDF Document] Size: ## kb PDF | [HTML Document] Size: ## kb Accessible document
Specimen Form: [PDF Document] Size: ## kb PDF | [HTML Document] Size: ## kb Accessible document

 

 

Form 9 - Actuarial Information Summary: FSCO developed this form in collaboration with the Canada Revenue Agency and Retraite Québec. The AIS must be filed in conjunction with a corresponding funding valuation report (Report), if the associated Report is required under sections 3, 4, 13 or 14 of Regulation 909, R.R.O. 1990. 

Form: [PDF Document] Size: ## kb PDF

 

 

Form 10 - Request for Superintendent's Approval of Commuted Value Transfers: Should be used by the pension plan administrator to obtain the Superintendent’s approval before transferring any funds under sections 42 or 43 of the Pension Benefits Act. It applies to situations where the administrator knows, or ought to know, that the transfer ratio in the most recently filed valuation report has declined by 10% or more.

Form: [PDF Document] PDF

 

 

Form 11 - Letter of Credit Certificate: Should be submitted with the letter of credit/notice of renewal.

Form: [PDF Document] Size: ## kb Accessible PDF

User Guide:  [PDF Document] Size: ## kbPDF Size: ## kb Accessible version

 

 

Form 14 - Statement of Investment Policies and Procedures (SIPP) Information Summary:  The administrator must file Form 14 and a SIPP for each registered pension plan that it administers. A SIPP must be filed 60 days after a new plan is registered.  It does not need to be filed annually, but an amendment to the SIPP must be filed  within 60 days of the amendment.  
Form: [PDF Document] Size: ## kbAccessible PDF
User Guide: [PDF Document] Size: ## kbPDF | Accessible version

 

  

 

Member Forms

 

Form 3 - Waiver of Joint and Survivor Pension: This form must be used by pension plan members and former members and their spouses to waive entitlement to a joint and survivor pension.  Note: the definition of "spouse" has been amended effective January 1, 2017.

Form: [PDF Document] PDF  | [HTML Document] Accessible document  

 

 

Form 4 - Waiver of Pre-Retirement Death Benefit: This form must be used by spouses of pension plan members and former members to waive entitlement to a pre-retirement death benefit.  Note: the definition of "spouse" has been amended effective January 1, 2017. 

Form: [PDF Document] PDF  | [HTML Document] Accessible document

 

 

Form 4.1-Waiver of Survivor’s Benefit from an Ontario Locked-in Account -LIRA, Old LIF, New LIF OR LRIF: This form must be used by the spouse of the owner of an Ontario locked-in account to waive his/her right to receive any survivor’s benefit.  Note: the definition of "spouse" has been amended effective January 1, 2017.

Form: [PDF Document] PDF

 

 

Pension Unlocking Forms

 

Form 5 -  Application to Withdraw or Transfer Money from an Ontario Locked-in Account:  The owner of an Ontario locked-in account (LIRA, LIF, LRIF) should use this form to apply to a financial institution to withdraw or transfer money from the account. Note: the definition of "spouse" has been amended effective January 1, 2017

Form :[PDF Document] PDF | [HTML Document] Accessible document

Instructions:[PDF Document] Size: ## kb​ PDF | [HTML Document] Size: ## kb Accessible document

 

Form 5.2 - Application to Withdraw or Transfer up to 50% of the Money Transferred into a Schedule 1.1 LIF: To be used by the owner of a Schedule 1.1 LIF who transferred money to a Schedule 1.1 LIF after December 31, 2010 to apply to a financial institution, within 60 days of the transfer, for a one-time withdrawal or transfer of up to 50% of the money transferred into a Schedule 1.1 LIF.

Form: [PDF Document] PDF 

 

 

Financial Hardship Unlocking Forms

The owner of an Ontario locked-in account must complete and submit the form to the financial institution which holds and administers the locked-in account. There are four Forms; one for each category of financial hardship. All applications must be made based on one of these four categories. Applications can be made under different categories but the form that applies to that category must be used.  Note: the definition of "spouse" has been amended effective January 1, 2017.

 

Financial Hardship Unlocking – FORM FHU 4

Application for Low Expected Income

Form: [PDF Document] PDF | [HTML Document] Accessible document

User Guide for Owners (Applicants): [PDF Document]PDF[HTML Document] Accessible document

 

Financial Hardship Unlocking – FORM FHU 3

Application for First and Last Months’ Rent for a Principal Residence

Form: [PDF Document] PDF | [HTML Document] Accessible document

User Guide for Owners (Applicants): [PDF Document] PDF | [HTML Document] Accessible document

                

Financial Hardship Unlocking – FORM FHU 2

Application for Arrears of Rent or Secured Debt (Mortgage) on a Principal Residence

Form: [PDF Document] PDF | [HTML Document] Accessible document

User Guide for Owners (Applicants): [PDF Document] PDF | [HTML Document] Accessible document

 

Financial Hardship Unlocking – FORM FHU 1

Application for Medical Expenses, including Renovations to a Principal Residence for Medical Reasons

Form: [PDF Document] PDF | [HTML Document] Accessible document

User Guide for Owners (Applicants): [PDF Document] PDF | [HTML Document] Accessible document

 

Financial Hardship Unlocking

User Guide for Financial Institutions: [PDF Document] PDF | [HTML Document] Accessible document

 

 

Wind Up Forms

 

For Defined Benefit Plans:

 

For Defined Contribution Plans: 

 

 

Family Law Forms

 

The Family Law Forms Page provides detailed information on these Forms. 

Note: the definition of "spouse" has been amended effective January 1, 2017 

 

FSCO Family Law Form 1 - Application for Family Law Value

 FSCO Family Law Form 1A - Plan Administrator Request for Information/Payment of Fee

FSCO Family Law Form 2 - Joint Declaration of Period of Spousal Relationship

FSCO Family Law Form 3 - Contact Person Authorization

FSCO Family Law Form 4A - Statement of Family Law Value (Defined Contribution Benefit)

FSCO Family Law Form 4B - Statement of Family Law Value (Active Plan Member with a Defined Benefit)

Form [PDF Document]

User Guide [PDF Document]

 

 

FSCO Family Law Form 4C - Statement of Family Law Value (Active Plan Member with a Combination Benefit)

FSCO Family Law Form 4D - Statement of Family Law Value (Former Plan Member with a Defined Benefit or a Combination Benefit)

FSCO Family Law Form 4E - Statement of Family Law Value (Retired Member with a Defined Benefit Pension)

FSCO Family Law Form 5 - Application to Transfer the Family Law Value

FSCO Family Law Form 6 - Application to Divide a Retired Member's Pension

FSCO Family Law Form 7 - No Division of Family Law Value/Pension Assets

FSCO Family Law Form 8 - Post-retirement Waiver of Joint and Survivor Pension by the Former Spouse of a Retired Member on Spousal Relationship Breakdown

  

Pooled Registered Pension Plans

​The Office of the Superintendent of Financial Institutions (OSFI) is the regulatory authority responsible for supervising Ontario members of Pooled Registered Pension Plans (PRPP). However, the PRPP legislation requires the use of Financial Services Commission of Ontario (FSCO) forms.

 

Family Law: When PRPP assets are to be valued and/or divided on marriage breakdown, PRPP Administrators and members/spouses must use the following FSCO family law forms.

 

Member/Spouse forms:

 

  • Application for Family Law Value (Ontario PRPP Form ON-A) [PDF Document] Size: ## kb Accessible PDF
  • Joint Declaration of Period of Spousal Relationship (Ontario PRPP Form ON-B) [PDF Document] Size: ## kb Accessible PDF
  • Application to Transfer the Family Law Value (Ontario PRPP Form ON-D) Accessible PDF
  • User Guide for Member/Spouse to Complete Ontario PRPP Forms ON-A, ON-B and ON-D
    [PDF Document] Size: ## kb PDF | Accessible Version
PRPP Administrator form:
 
  • Statement of Family Law Value (Ontario PRPP Form ON-C) [PDF Document] Size: ## kb Accessible PDF
  • User Guide for PRPP Administrator to complete Ontario PRPP Form ON-C
    [PDF Document] Size: ## kb​ PDF  | Accessible Version
Pension Unlocking: Use this form if you have transferred money from a PRPP into a locked-in account with an Ontario financial institution and wish to withdraw or transfer this money. 
 
  • Certification(s) Regarding Spouse – Withdrawal/Transfer from a Locked-in Account (Ontario PRPP Form ON-2) [PDF Document] Size: ## kb Accessible PDF
For important information on the specific situations in which to use this form and details of other supporting documentation that may be required, refer to page 1 of the form.
 
Please contact the Office of the Superintendent of Financial Institutions [New Window] for all inquiries related to PRPPs, including questions about FSCO’s PRPP forms.
 

 

 

Nortel

Form 5.3 - Nortel Ontario Beneficiary Direction, Consent and Waiver Form - To be used to exercise the entitlement to transfer the commuted value of the pension benefit into a Nortel Life-Income Fund, if the individual is receiving pension benefits from the:

 

  • Nortel Networks Limited Managerial and Non-Negotiated Pension Plan, Registration No. 0342048; or
  • Nortel Networks Negotiated Pension Plan, Registration No. 0587766; 

Form [PDF Document] Size: ## kb

Instructions [PDF Document] Size: ## kb

Qs & As [PDF Document] Size: ## kb

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