Pensions Industry Forms


Notice  Effective 28 May 2018, FCNB no longer accepts paper filings for Standard Contract Registrations and Standard Contract Registrations and Standard Contract Amendments. All of these fillings must be done online at https://portal.fcnb.ca

 


Notice  Effective 28 May 2018, FCNB no longer accepts paper filings for LIF to RRIF Transfer Requests. All of these fillings must be done online at https://portal.fcnb.ca

 


Notice Effective 15 October 2017, FCNB no longer accepts paper filings for Pension Plan Registrations, Pension Plan Amendments, Annual Information Returns and Actuarial Valuation Reports.  All of these filings must be done online at https://portal.fcnb.ca

 


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

 

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.



Having trouble viewing a form in your browser?
Right-click the file name and select Save as... to download it to your computer.
 


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

Form 3.5 - Waiver of Spouse or Common-Law Partner
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.

Form 3.6 - Request for Withdrawal from a Locked-in-Retirement Account (LIRA)
This form is completed and filed with the financial institution for the unlocking of a small LIRA.

Form 3.7 - Consent of Spouse or Common-Law Partner to Withdraw from a Locked-in Retirement Account (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 gives consent of Spouse or Common-Law to Unlock Small Pension Balance

Form 4 - Direction to Administrator to Exercise Rights
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.

Form 5 - Joint and Survivor Pension Waiver
This waiver should be completed where rights to a joint and survivor pension are waived.

Form 6 - Revocation of Joint and Survivor Pension Waiver
This form should be completed where the spouse or common-law partner is revoking the previously completed Joint and Survivor Pension Waiver.

This waiver should be completed where rights to a pre-retirement death benefit are waived.

This form should be completed where the spouse or common-law partner is revoking the previously completed Pre-Retirement Death Benefit Waiver


 

Transfer Forms

Form 3.2 - Record of Transfer of Locked-in Retirement funds
This form must be completed for any transfer of pension funds which must remain locked-in.

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.

Form 4.2 - Spousal Consent to Transfer from a Pension Plan to a 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.

Form 8 - Reply Form
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.


 

In this section:

 

FCNB Self-Serve Portal

 

Click to access the FCNB Self-Serve Portal.



2017 © Financial and Consumer Services Commission