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Form Categories
Registration | Reporting | Member | Pension Unlocking | Financial Hardship Unlocking | Wind Up | Family Law | PRPPs | Variable Benefits | Other
Registration Form
Form 1 - Application for Registration of a Pension Plan: Use this form to apply to the Superintendent for registration of a new pension plan.
NewCheques made payable to FSRA. See updated payment information in the User Guide.
Form 1.1 - Application for Registration of a Pension Plan Amendment: Use this form to register a pension plan amendment with the Superintendent.
Form (PDF)
Form 1.2 - Individual Pension Plan Certification: Use this form to certify that the pension plan is an Individual Pension Plan under the Income Tax Act (Canada) for purposes of the Pension Benefits Act.
Form (PDF)
Reporting Forms
Effective January 1, 2013, certain prescribed filings required to be filed with the Superintendent must be filed electronically through the Pension Services Portal (PSP).
Effective December 11, 2019, section 76 of Regulation 909 was amended to increase the threshold for audited financial statements from $3 million to $10 million. For plans with a market value of assets as at the plan’s fiscal year end below $10 million, financial statements are still required to be filed, but are not required to be audited.
Form 2 - Annual Information Return (AIR)
Specimen Form (PDF)
Instructions: PDF | Accessible document
Form 2.1 - Pension Benefits Guarantee Fund Assessment Certificate (PBGF)
To be used by plans filing with respect to a PBGF assessment date prior to January 1, 2019.
NewCheques made payable to Pensions Benefit Guarantee Fund. See updated payment information in the User Guide.
Specimen Form (PDF)
Instructions: PDF | Accessible document
(Revisions to box 301 - letter of credit amount to be excluded when calculating solvency assets)
Form 2.2 - Pension Benefits Guarantee Fund (PBGF) Assessment Certificate
To be used by plans filing with respect to a PBGF assessment date on or after January 1, 2019.
Specimen Form (PDF)
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User Guide
Form 7 - Summary of Contributions/Revised Summary of Contributions: To be used by pension plan administrators and submitted to the pension fund trustee(s).
Form (Accessible PDF)
Having trouble downloading this form? See Downloading and viewing dynamic forms.
User Guide: PDF | Accessible version
Non Remittance Reporting: To be used by pension fund trustee(s) and submitted to FSRA
Non-receipt of FSRA Form 7: Accessible PDF
Non-Remittance Reporting/Variance Reporting: Accessible PDF
Form 8 - Investment Information Summary: To be used by plan administrators of defined benefit pension plans other than designated plans, and filed with the Superintendent
Instructions: PDF | Accessible document
Specimen Form: PDF | Accessible document
Form 9 - Actuarial Information Summary: FSCO developed this form in collaboration with the Canada Revenue Agency and Retraite Québec. The AIS has now been updated to include, amongst other things, the new Ontario funding rules that came into effect in May 2018. The AIS must be filed in conjunction with a corresponding funding valuation report (Report), if the associated Report is required under sections 3, 4, 13 or 14 of Regulation 909, R.R.O. 1990. The Pension Services Portal has also been updated with the revised AIS and it will remain in effect after the launch of the Financial Services Regulatory Authority.
Form 10 - Request for Superintendent's Approval of Commuted Value Transfers: Should be used by the pension plan administrator to obtain the Superintendent’s approval before transferring any funds under sections 42 or 43 of the Pension Benefits Act. It applies to situations where the administrator knows, or ought to know, that the transfer ratio in the most recently filed valuation report has declined by 10% or more.
Form (PDF)
Form 11 - Letter of Credit Certificate: Should be submitted with the letter of credit/notice of renewal.
Form (Accessible PDF)
User Guide: PDF | Accessible version
Form 14 - Statement of Investment Policies and Procedures (SIPP) Information Summary: The administrator must file Form 14 and a SIPP for each registered pension plan that it administers. A SIPP must be filed 60 days after a new plan is registered. It does not need to be filed annually, but an amendment to the SIPP must be filed within 60 days of the amendment.
Form (Accessible PDF)
User Guide: PDF | Accessible version
DFC-1 Election Form to Defer Certain Contributions
DFC-2 Schedule to Defer Certain Contributions
DFC-3 Statutory Declaration For Contribution Deferral
Member Forms
Form 3 - Waiver of Joint and Survivor Pension: This form must be used by pension plan members and former members and their spouses to waive entitlement to a joint and survivor pension. Note: the definition of "spouse" has been amended effective January 1, 2017.
Form: PDF | Accessible document
Form 4 - Waiver of Pre-Retirement Death Benefit: This form must be used by spouses of pension plan members and former members to waive entitlement to a pre-retirement death benefit. Note: the definition of "spouse" has been amended effective January 1, 2017.
Form: PDF | Accessible document
Form 4.1 - Waiver of Survivor’s Benefit from an Ontario Locked-in Account -LIRA, Old LIF, New LIF OR LRIF: This form must be used by the spouse of the owner of an Ontario locked-in account to waive his/her right to receive any survivor’s benefit. Note: the definition of "spouse" has been amended effective January 1, 2017.
Form (PDF)
Form 4.2 – Waiver of Survivor Benefit from a Registered Pension Plan by Spouse of Non-resident Former Member: This form must be used by spouses of non-resident former members to waive entitlement to a survivor benefit if the pension plan allows unlocking by non-resident former members. Note: the definition of "spouse" has been amended effective January 1, 2017.
Form (Accessible PDF)
Pension Unlocking Forms
Form 5 - Application to Withdraw or Transfer Money from an Ontario Locked-in Account
Financial Hardship Unlocking Forms
The owner of an Ontario locked-in account must complete and submit the form to the financial institution which holds and administers the locked-in account. There are four Forms; one for each category of financial hardship. All applications must be made based on one of these four categories. Applications can be made under different categories but the form that applies to that category must be used. Note: the definition of "spouse" has been amended effective January 1, 2017.
Financial Hardship Unlocking – FORM FHU 4 Application for Low Expected Income
Financial Hardship Unlocking - User Guide for Financial Institutions
Wind Up Forms
For Defined Benefit Plans:
Superintendent's Checklist for Compliance on Plan Wind up for Defined Benefit Plans (PDF)
For Defined Contribution Plans:
The PSP is now able to accept applications for Defined Contribution wind up reports. If you require a fillable application form, please contact [email protected].
Wind up Report for Defined Contribution Pension Plan
Family Law Forms
The Family Law Forms page provides detailed information on these Forms.
Note: the definition of "spouse" has been amended effective January 1, 2017
FSCO Family Law Form 1 - Application for Family Law Value
- Form (PDF)
- User Guide (PDF)
- Qs & As (PDF)
- Tutorial
FSCO Family Law Form 1A - Plan Administrator Request for Information/Payment of Fee
- Form (PDF)
FSCO Family Law Form 2 - Joint Declaration of Period of Spousal Relationship
- Form (PDF)
- User Guide (PDF)
- Qs & As (PDF Document)
FSCO Family Law Form 3 - Contact Person Authorization
- Form (PDF)
- User Guide (PDF)
- Qs & As (PDF)
FSCO Family Law Form 4A - Statement of Family Law Value (Defined Contribution Benefit)
- Form (PDF)
- User Guide (PDF)
FSCO Family Law Form 4B - Statement of Family Law Value (Active Plan Member with a Defined Benefit)
- Form (PDF)
- User Guide (PDF)
FSCO Family Law Form 4C - Statement of Family Law Value (Active Plan Member with a Combination Benefit)
- Form (PDF)
- User Guide (PDF)
FSCO Family Law Form 4D - Statement of Family Law Value (Former Plan Member with a Defined Benefit or a Combination Benefit)
- Form (PDF)
- User Guide (PDF)
FSCO Family Law Form 4E - Statement of Family Law Value (Retired Member with a Defined Benefit Pension)
- Form (PDF)
- User Guide (PDF)
FSCO Family Law Form 5 - Application to Transfer the Family Law Value
- Form (PDF Document)
- User Guide (PDF)
- Qs & As (PDF)
FSCO Family Law Form 6 - Application to Divide a Retired Member's Pension
- Form (PDF)
- User Guide (PDF)
- Qs & As (PDF)
FSCO Family Law Form 7 - No Division of Family Law Value/Pension Assets
- Form (PDF)
- User Guide (PDF)
- Qs & As (PDF)
FSCO Family Law Form 8 - Post-retirement Waiver of Joint and Survivor Pension by the Former Spouse of a Retired Member on Spousal Relationship Breakdown
- Form (Accessible version)
- User Guide: PDF | Accessible version
- Qs & As: PDF | Accessible version
Pooled Registered Pension Plans
The Office of the Superintendent of Financial Institutions (OSFI) is the regulatory authority responsible for supervising Ontario members of Pooled Registered Pension Plans (PRPP). However, the PRPP legislation requires the use of Financial Services Commission of Ontario (FSCO) forms.
Family Law: When PRPP assets are to be valued and/or divided on marriage breakdown, PRPP Administrators and members/spouses must use the following FSCO family law forms.
Member/Spouse forms:
- Application for Family Law Value (Ontario PRPP Form ON-A) (Accessible PDF)
- Joint Declaration of Period of Spousal Relationship (Ontario PRPP Form ON-B) (Accessible PDF)
- Application to Transfer the Family Law Value (Ontario PRPP Form ON-D) (Accessible PDF)
- User Guide for Member/Spouse to Complete Ontario PRPP Forms ON-A, ON-B and ON-D: PDF | Accessible Version
PRPP Administrator form:
- Statement of Family Law Value (Ontario PRPP Form ON-C) (Accessible PDF)
- User Guide for PRPP Administrator to complete Ontario PRPP Form ON-C: PDF | Accessible Version
Pension Unlocking: Use this form if you have transferred money from a PRPP into a locked-in account with an Ontario financial institution and wish to withdraw or transfer this money.
- Certification(s) Regarding Spouse – Withdrawal/Transfer from a Locked-in Account (Ontario PRPP Form ON-2) (Accessible PDF)
For important information on the specific situations in which to use this form and details of other supporting documentation that may be required, refer to page 1 of this form.
OSFI PRPP Form 1 and OSFI PRPP Form 3 are available under the Schedule [New Window] to the federal Pooled Registered Pension Plans Regulations.
- OSFI PRPP Form 1: Certification Regarding Withdrawal Based on Financial Hardship
- OSFI PRPP Form 3: Certification of Total Amount Held in Locked-In Plans
Nortel
Form 5.3 - Nortel Ontario Beneficiary Direction, Consent and Waiver Form - To be used to exercise the entitlement to transfer the commuted value of the pension benefit into a Nortel Life-Income Fund, if the individual is receiving pension benefits from the:
- Nortel Networks Limited Managerial and Non-Negotiated Pension Plan, Registration No. 0342048; or
- Nortel Networks Negotiated Pension Plan, Registration No. 0587766;
Form (PDF)
Instructions (PDF)
Qs & As (PDF)
Variable Benefits
Please visit FSRA’s Variable Benefits page for more information. Note: the definition of "spouse" has been amended effective January 1, 2017.
Form VB 1 - Waiver of Joint and Survivor Pension – Variable Benefit Account
Form VB 3 - Direction of Retired Member to Transfer an Amount out of a Variable Benefit Account
Form VB 4 - Spousal Waiver of Death Benefit from a Variable Benefit Account
Application for Family Law Value – Variable Benefit Account (FSRA Family Law Form FL–VB1)
Contact Person Authorization – Variable Benefit Account (FSRA Family Law Form FL–VB3)
Statement of Family Law Value - Variable Benefit Account (FSRA Family Law Form FL–VB4)
PBA Exemption Election Form and Consent Forms for IPPs or DPs
Form 15 – PBA Exemption Election Form
Form 15.1 – Consent Form: Member
Form 15.2 – Consent Form: Spouse
Form 15.3 – Consent Form: Other Person
Defined Benefit Asset Transfer Forms
Asset Transfer Application Summary (Transfers under PBA s. 80.4)
Actuary’s Certification, DB SEPP to JSPP transfers under 80.4
Asset Transfer Application Summary (Transfers under PBA s. 80 and 81)
Actuary’s Certification, DB SEPP to JSPP transfers under s. 80 or 81