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Year of birth 190019011902190319041905190619071908190919101911191219131914191519161917191819191920192119221923192419251926192719281929193019311932193319341935193619371938193919401941194219431944194519461947194819491950195119521953195419551956195719581959196019611962196319641965196619671968196919701971197219731974197519761977197819791980198119821983198419851986198719881989

Month JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember

Year 19751976197719781979198019811982198319841985198619871988198919901991199219931994199519961997199819992000200120022003200420052006200720082009201020112012201320142015201620172018201920202021202220232024

 

To confirm your eligibility for membership with the Association, please indicate which of the following groups you belong to: Public ServiceCanadian Armed ForcesRoyal Canadian Mounted PoliceNon-pensioned veteranFederally appointed judge

 

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:

Do you belong to the PSHCP? YesNo

PSHCP Coverage Single coverageFamily coverage

Do you belong to the PDSP? YesNo

PDSP Coverage MemberMember +1 dependentMember +2 or more dependents

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Year of birth 190019011902190319041905190619071908190919101911191219131914191519161917191819191920192119221923192419251926192719281929193019311932193319341935193619371938193919401941194219431944194519461947194819491950195119521953195419551956195719581959196019611962196319641965196619671968196919701971197219731974197519761977197819791980198119821983198419851986198719881989

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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.

 

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Expiration Year - Select -2020202120222023202420252026202720282029

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