Form 4 - Waiver of Pre-Retirement Death Benefit

Available form formats

For best results, download and open this form in Adobe Reader. See General information for details.
You can view this form in:

Form details

Form number: 1166
Form title: Form 4 - Waiver of Pre-Retirement Death Benefit
Sector: Pensions
Category:
Waivers - Death Benefit/Survivor Pension
Purpose of form: This form must be used by spouses of pension plan members and former members to waive entitlement to a pre-retirement death benefit.
Last update: 2014-01-01