Form 4 - Waiver of Pre-retirement Death Benefit

Key Information

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1166E

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.
Instructions on how to use the form:

Transition period:
To allow time for transition, the current Form 4 and the updated Form 4 will both be available for use until November 30, 2026. Effective December 1, 2026, the updated Form 3 must be used.
Last update: 2026-06-10