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PDF Fillable/saveable: FL-VB2 (size 1.2 Mb)
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Last Update: January 2021

Form details

Form No.: PF-113E
Title: Joint Declaration of Period of Spousal Relationship – Variable Benefit Account (FSRA Family Law Form FL–VB2)
Sector: Pensions
Purpose of Form:
This Form is to be jointly completed by the retired member and their spouse to provide proof of the starting date and/or the separation date of their spousal relationship period.
Instructions on How to Use the Form: Instructions are included in the form.