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Pensions Industry Forms

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Fees associated with the submission of the forms below should be made payable to the Financial and Consumer Services Commission.

All forms must be mailed to the following address:
Financial and Consumer Services Commission,
225 King Street, Suite 200, Fredericton, NB, E3B 1E1

With the exception of Form 3.3 and Form 3.4, you may fax these forms to the Pensions Division at (506) 457-7266.
 

These are the prescribed forms under the Pension Benefits Act.

Some of the forms listed below require that the signature be notarized prior to submitting the form. Please note that the signature may be taken before a Commissioner of Oaths or Notary Public if declared in New Brunswick. However, it must be taken before a Notary Public if declared outside the province of New Brunswick.


Registration Forms

This form is used by the pension plan administrator to register a pension plan with the Superintendent.

This form is used by the pension plan administrator to register a pension plan amendment with the Superintendent.

This form is used by the trustee of a retirement savings arrangement to register a retirement savings arrangement and be placed on the Superintendent’s list of LIRA, LIF and Annuities.



Reporting Form

This form must be filed with the Superintendent of Pensions by, or on behalf of, the administrator of the pension plan, no later than six months after the end of the pension plan year for which it applies.





Member Forms

This waiver should be completed where funds are to be unlocked for a member of the pension plan or an owner of a LIRA, LIF or annuity due to reduced life expectancy.

This waiver should be completed where funds are to be unlocked for a member of the pension plan or an owner of a LIRA, LIF or annuity

This waiver must be completed where funds are to be unlocked for a member of the pension plan or an owner of a LIRA, LIF or Annuity who is neither a resident of Canada nor a Canadian Citizen.

This form is completed and filed with the financial institution for the unlocking of a small LIRA.

If the owner requesting the unlocking of funds from a small pension or LIRA has a spouse or common-law partner, this form must be completed.

This form should be completed and submitted to the administrator of a pension plan where the member requests that funds from the pension plan are to be transferred to a LIRA, LIF or be used to purchase an annuity or differed annuity.

This waiver should be completed where rights to a joint and survivor pension are waived.

This form should be completed where the spouse or common-law partner is revoking the previously completed Joint and Survivor Pension Waiver.



Transfer Forms

This form must be completed for any transfer of pension funds which must remain locked-in.

This form should be filed by the financial institution and approved by the Superintendent of Pensions when the owner of a LIF requests a once-in-a lifetime transfer from a LIF to a RRIF. Consult the following documents for additional information.

Guidelines for completing Form 3.3 – Request for Approval of Transfer from LIF to RRIF

LIF Withdrawal Table 2016
Maximum Asset Limits for Small Pensions and LIRA's 2016
Example of Calculation - Transfer from LIF to RRIF 2016


If the owner of a LIF requesting approval of transfer from LIF to RRIF has a spouse or common-law partner, this form must be completed.

This form should be completed and kept by the administrator of the pension plan if a member requests the transfer of funds from a pension plan to an RRIF.

If the member of a pension plan requesting a transfer from a pension plan to an RRIF has a spouse or common-law partner, this form must be completed.



Forms required for Application for Exemptions – Solvency Special Payments

The notice must be sent by the administrator of a pension plan, to each member, former member and any other person entitled to payments under a pension plan, when an application for exemptions – solvency special payment is made.

The reply must be sent by the administrator of a pension plan, to each member, former member and any other person entitled to payments under a pension plan, when an application for exemptions – solvency special payment is made.