Document Library

Electronic DocuSign Forms

The following forms are available to complete through DocuSign. For authentication and security purposes, a verification code will be sent to your email before accessing the form. Once you enter the code, you will be able to complete the secure form and it will be submitted directly to The United Church of Canada Benefits Centre. Please contact Benefits@united-church.ca if you have any questions.

• Direct Deposit of Pension Payment Form
• Spousal Declaration Form
• Pension and Benefits Beneficiary Designation Form: Beneficiary form for retired members

Printable PDF Forms

• PR443: Application to Receive Pension Benefit Payments Form: Pensioners’ Health and Dental Plan Benefits Election Form. It is conditional based on meeting eligibility.
• Direct Deposit of Pension Payment Form
• Spousal Declaration Form
• Pension and Benefits Beneficiary Designation Form: Beneficiary form for retired members to be filled out and returned to the Benefits Centre.
• Waiver of Joint & Survivor Pension form (if applicable)
  • ON - Waiver of Joint & Survivor Pension Form
  • ON - Waiver of Pre-Retirement Death Benefit
  • AB - Waiver of Entitlement to a Death Benefit Form 4
  • AB - Waiver of Entitlement to 60% Joint and Survivor Pension Form 5
  • BC - Spousal Waiver Form 2
  • BC - Spousal Waiver Form 4
  • MB - Waiver of Joint and Survivor Pension Form
  • NB - Waiver of Joint and Survivor Pension Form 5
  • NB - Waiver of Pre-Retirement Death Benefit Form 9
  • NL - Waiver of Joint and Survivor Pension Form 3
  • NS - Waiver of Joint and Survivor Pension Form 6
  • PEI - Waiver of Joint and Survivor Pension Form
  • PEI - Waiver of Pre-Retirement Death Benefit Form
  • QC - Waiver of Joint and Survivor Pension Form
  • SK - Waiver of Joint and Survivor Pension Form 3
• Federal and Provincial Tax Credit Return forms: TD1 forms can be found on the Government of Canada website.