ADVISOR INFORMATIONName*Company*TelephoneEmail* SPONSORING COMPANY INFORMATIONName of Sponsoring Company*Date of Incorporation Submitted as DD/MM/YYYY.Corporate Year EndSubmitted as DD/MM.PLAN MEMBERPlan Member Name*Plan Member Gender*MaleFemalePlan Member Date of Birth* Submitted as DD/MM/YYYYPlan Member Date of Hire* Submitted as DD/MM/YYYYPlan Member Province of Residence*OntarioAlbertaBritish ColumbiaQuebecManitobaSaskatchewanNova ScotiaNew BrunswickNewfoundland and LabradorPrince Edward IslandNorthwest TerritoriesNunavutYukonBEST THREE YEARS T4/T4PS EARNINGS(DO NOT INCLUDE DIVIDENDS OR OTHER INCOME)Year 1Year 1 T4Year 2Year 2 T4Year 3Year 3 T4You have not entered any earningsIs the RCA Established pursuant to a Severance*YESNOExpected Age or Date of Retirement for ParticipantSubmitted as either an age (e.g. 65) or a date (e.g. Dec 31, 2021).Please fill out either your expected age or date of your retirement. Do not respond to both questions.Has the member ever been a participant of any other pension plan or, deferred profit sharing plan?*YESNOIf YES, type of plan:Date of Entry into Plan Submitted as DD/MM/YYYY.Will your spouse participate in the plan?*YesNoPLAN MEMBER SPOUSE(IF EMPLOYED BY THE COMPANY)Plan Member Spouse NamePlan Member Spouse GenderMaleFemalePlan Member Spouse Date of Birth Submitted as DD/MM/YYYY.Plan Member Spouse Date of Hire Submitted as DD/MM/YYYY.Plan Member Province of Residence*OntarioAlbertaBritish ColumbiaQuebecManitobaSaskatchewanNova ScotiaNew BrunswickNewfoundland and LabradorPrince Edward IslandNorthwest TerritoriesNunavutYukonBEST THREE YEARS T4/T4PS EARNINGS (SPOUSE)(DO NOT INCLUDE DIVIDENDS OR OTHER INCOME)Year 1Year 1 T4You have not entered any earningsYear 2Year 2 T4Year 3Year 3 T4 This iframe contains the logic required to handle Ajax powered Gravity Forms.
