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Personal Information
Retirement Date


We represent pensioners with the Public Service Health Care Plan Partners Committee and the Pensioners Dental Services Plan Board. To help Federal Retirees representatives better serve you, please let us know if you belong to the:

Partner Information
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Payment Method
DDS / Cheque Instructions

To complete the join process from monthly pension deduction or by cheque, please download this form, complete it and return it to the address at the bottom of the back of the form.

Please note that due to the National Office being closed to combat the spread of COVID-19, your membership welcome kit may take several months to arrive.  For more information concerning your membership, please call us toll-free at 1-855-304-4700 or email us at  We will be pleased to assist you.

Credit Card Details  
3-Digit security code usually found on the back of your card.