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Home > Municipal > Retired Members > Forms



Add/Cancel Dependant Coverage for Extended Health Benefits (EHB), Dental and/or MSP  
   Document Size: 178974 bytes
   Posted: June 21, 2010


Change of Address  
   Document Size: 81399 bytes
   Posted: July 06, 2006


Change of Beneficiary  
   Document Size: 179812 bytes
   Posted: December 29, 2006


Direct Deposit Authorization  
   Document Size: 49300 bytes
   Posted: January 27, 2009


Extended Health/Dental/MSP Application/Waiver  
   Document Size: 129740 bytes
   Posted: June 30, 2009


Form 1 - Claim of Spouse to Interest in Member's Pension  
   Document Size: 40704 bytes
   Posted: July 31, 2003


Form 2 - Request for Designation as Limited Member of Pension Plan  
   Document Size: 41093 bytes
   Posted: July 31, 2003


Form 5 - Request in relation to a Matured Pension Divided under an Agreement or Court Order  
   Document Size: 37975 bytes
   Posted: July 31, 2003


Re-employment of a Retired Member Declaration  
   Document Size: 57031 bytes
   Posted: December 21, 2006


External Forms
These forms are administered by external agencies. Links will open in a new window.

Extended Health Care Claim  This form is administered by Pacific Blue Cross. Click the link and follow the instructions to download the form, or call toll-free in Canada 1 888 275-4672.
   Document Size: n/a
   Posted: September 01, 2005


TD1 BC British Columbia Personal Tax Credits Return  Return this completed form to Pension Services, NOT Canada Revenue Agency.
   Document Size: n/a
   Posted: April 18, 2007


TD1 Personal Tax Credits Return  Return this completed form to Pension Services, NOT Canada Revenue Agency.
   Document Size: n/a
   Posted: May 25, 2009


For Retired Municipal Pension Plan Members Living Outside British Columbia (within Canada):

Effective January 1, 2004, retired Municipal Pension Plan members living in Canada, but outside of BC, became eligible for extended health benefits and dental benefits. The form below is for retired members living outside BC only. For more information, please see the health benefits booklet.


Extended Health/Dental/MSP Application/Waiver  
   Document Size: 129740 bytes
   Posted: June 30, 2009


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