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List of forms by number

Important!

Exceptionally, our processing delays for applications for buy-backs of service under public-sector pension plans are longer than usual.

Please note that the delays do not have a financial impact for pension plan members. Retraite Québec calculates the total cost of a buy-back taking into account the rate in effect on the date on which we receive your application and not the date on which we process it.

Rest assured that we are taking the necessary steps to reply as soon as possible.

Display or printing problems?

Proofs to provide with selected forms

 

 

Form (PDF)

Revised

Size

CRQ‑001A

Consent to Release of Information This link will open in a new window.

2017-03

369 ko

CRQ‑002A

Power of Attorney This link will open in a new window.

This form makes it possible for you to designate a person to act on your behalf with regard to your benefits under the Québec Pension Plan or a public-sector pension plan. 

2016-12

341 ko

RSP-008A

Application for Statement of Participation This link will open in a new window.

2017-02

181 ko

RSP-009A

Application for a Pension Estimate

2020-01

185 ko

RSP-072

Validation de la participation au Régime de retraite du personnel d'encadrement Cet hyperlien s'ouvrira dans une nouvelle fenêtre. (RRPE)
(Organismes gouvernementaux dont le personnel est nommé en vertu de la Loi sur la fonction publique et personnel de cabinet) (this form is available in French only)

2021-02

615 ko

RSP-073

Validation de la participation au Régime de retraite du personnel d'encadrement This link will open in a new window. (RRPE)
(Réseau de la santé et des services sociaux)
(this form is available in French only)

2021-02

640 ko

RSP-074

Validation de la participation au Régime de retraite du personnel d'encadrement This link will open in a new window. (RRPE)
(Réseau de l'éducation)
(this form is available in French only)

2021-02

647 ko

RSP-076

Validation de la participation au Régime de retraite du personnel d'encadrement Cet hyperlien s'ouvrira dans une nouvelle fenêtre. (RRPE)
(Organismes gouvernementaux dont le personnel n’est pas nommé en vertu de la Loi sur la fonction publique, syndicats et associations représentant le personnel d’encadrement de la fonction publique) (this form is available in French only)

2021-02

680 ko

RSP-079A

Application for Retirement Pension Under a Public-Sector Pension Plan

2020-09

1436 ko

RSP-081A

Application for Survivors' Benefits Under a Public-Sector Pension Plan

2021-09

240 ko

RSP-083A

Application for Review of a Decision - Public-Sector Pension Plan This link will open in a new window.

2021-03

219 ko

RSP-084A

Application for Arbitration Concerning a Public-Sector Pension Plan This link will open in a new window.

2019-12

151 ko

RSP-089A

Application for Buy-Back of Service (Pension Plan of Elected Municipal Officers) This link will open in a new window. (PPEMO)

2017-02

1511 ko

RSP-090A

Funds Transfer from an RRSP or an LIRA This link will open in a new window.

2021-01

602 ko

RSP-091

Déclaration relative à la troisième année d'exonération de cotisation à la suite d'un congédiement administratif This link will open in a new window.
(this form is available in French only)

2021-02

166 ko

RSP-100A

Application for Direct Deposit in a Financial Institution Located in Canada This link will open in a new window.
(Form also used to modify information related to direct deposit)

2019-11

642 ko

RSP-107A

Reciprocal Transfer Application Between the Teachers’ Pension Plan Authorities This link will open in a new window.

2017-03

173 ko

RSP-108A

Application for an Estimate in Regard to the Transfer of Retirement Funds Between the Government of Canada and Retraite Québec This link will open in a new window.

2017-03

61 ko

RSP-109A

Application for an Estimate of the Amount Transferable Between a Québec Academic Institution and Retraite Québec This link will open in a new window.

2017-03

133 ko

RSP-112

Déclaration d’assujettissement d’un centre de recherche This link will open in a new window.
(this form is available in French only)

2020-02

375 ko

RSP-118A

Application for Direct Deposit Outside Canada This link will open in a new window.
(Form also used to modify information related to direct deposit)

2019-11

108 ko

RSP-121A-PAR

Application for Gradual Retirement This link will open in a new window.

This form allows you to file an application for gradual retirement and informs you of the eligibility requirements

2020-12

200 ko

RSP-121-EMP

Demande de retraite graduelle This link will open in a new window.
(this form is available in French only)

2020-12

156 ko

 RSP-127

Calendrier de paie - Personnel régulier - Base 260 jours This link will open in a new window.
(this form is available in French only)

2017-03

1464 ko

RSP-128

Calendrier de paie - Personnel enseignant - Base 260 jours This link will open in a new window.
(this form is available in French only)

2017-03

1492 ko

RSP-129

Calendrier de paie - Personnel enseignant- Base 200 jours This link will open in a new window.
(this form is available in French only)

2017-03

1490 ko

RSP-153A

Application for Withdrawal This link will open in a new window. (RPSO)

2020-01

352 ko

RSP-161A

Notice of Waiver or Revocation This link will open in a new window.

2019-11

694 ko

RSP-163A

Pre-authorized Payments This link will open in a new window.

2019-11

603 ko

RSP-201

Demande d'assujettissement d'un employeur This link will open in a new window.
(this form is available in French only)

2021-02

213 ko

RSP-202A

Return to Work of a Retiree as a Member of a Public-Sector Pension Plan This link will open in a new window.

2020-12

782 ko

203

Déclaration annuelle anticipée This link will open in a new window.
(this form is available in French only)

2017-03

1 663ko

RSP-204

Déclaration annuelle anticipée du régime de retraite des élus municipaux This link will open in a new window.
(RREM, organisme supramunicipal, régie intermunicipale et organisme mandataire)
(this form is available in French only)

2018-10

1 739 ko

RSP-205

Attestation de l’employeur pour le partage des droits accumulés dans un régime de retraite du secteur public - Conjoints mariés, unis civilement ou conjoints de fait
(In the event of the breakdown of your union) (this form is available in French only)

2021-02

1 850 ko

RSP-206

Déclaration annuelle anticipée dans le cadre d’une entente de transfert This link will open in a new window.
(this form is available in French only)

2017-03

776 ko

217
RREM

Déclaration annuelle de l'employeur (Régime de retraite des élus municipaux) This link will open in a new window.
(this form is available in French only)

2017-03

848 ko

218

Déclaration annuelle de l'employeur This link will open in a new window.
(all plans, except the PPEMO)
(this form is available in French only)
(see also forms 127, 128 and 129)

2017-03

1506 ko

RSP-248A

School Attendance This link will open in a new window.

2019-01

143 ko

RSP-267

Demande de confirmation d’admissibilité au départ progressif This link will open in a new window.
(this form is available in French only)

2021-02

194 ko

RSP-269

Validation de la participation au Régime de retraite de l’administration supérieure This link will open in a new window. (RRAS)
(this form is available in French only)

2021-02

149 ko

RSP-290

 

Demande de modification d’un renseignement personnel This link will open in a new window.
(this form is available in French only)

2017-04

666 ko

RSP-291

 

Demande de modification des données de participation à un régime de retraite This link will open in a new window. (all plans, except the PPEMO)
(this form is available in French only)

2021-02

1814 ko

291-
RREM

Demande de modification des données de participation au RREM This link will open in a new window.
(this form is available in French only)

2021-02

729 ko

RSP-340A

Application for Membership in a Public-Sector Pension Plan This link will open in a new window.
(Member of the Lieutenant-Governor's, a Minister's or a member of the National Assembly's staff)

2019-06

175 ko

RSP-341

Attestation de l'employeur d'une demande de participation à un régime de retraite du secteur public This link will open in a new window.
(Membre du personnel de cabinet d'une ou d'un ministre, d'une députée ou d'un d'un député ou du lieutenant-gouverneur) (French only)

2021-02

169 ko

RSP-364A

Application for Interplan Transfer (Superannuation Plan for the Members of the Sûreté du Québec) This link will open in a new window.

2017-04

107 ko

RSP-365A

Application for a New Transfer Under Agreement This link will open in a new window.

2019-11

119 ko

RSP-387A

Guide to the Application for a Statement of Benefits — De Facto Spouses

2019-11

217 ko

RSP-388A

Guide to the Application for a Statement of Benefits — Married or Civilly United Spouses
(see also forms RSP-205, RSP-390A and the brochure In the Event of the Breakdown of Your Union)

2019-11

263 ko

RSP-389A

Application for Payment of the Value of Accrued Benefits Under a Public-Sector Pension Plan

2019-11

212 ko

RSP-390A

Guide to the Application to Request Participation Data from an Employer
(see also form RSP-205)

2019-01

1702 ko

RSP-401A

Solemn Declaration of School Attendance This link will open in a new window.

2019-01

101 ko

RSP-402

Calcul des cotisations à verser à la suite d’une absence sans salaire autorisée This link will open in a new window.
(Régime de retraite des employés fédéraux intégrés dans une fonction auprès du gouvernement du Québec)
(this form is available in French only)

2021-02

218 ko

RSP-423A

Declaration of the de facto (common law) Spouse or Spouse in a Civil Union

2019-11

397 ko

RSP-446

Calcul des cotisations à verser à la suite d’une absence sans salaire autorisée This link will open in a new window.
(Régime de retraite des employés en fonction au Centre hospitalier Côte-des-Neiges)
(this form is available in French only)

2017-04

1219 ko

RSP-448A

Medical Report for Disability Benefits in the Case of Terminal Illness Under a Public-Sector Pension Plan This link will open in a new window.

2019-11

351 ko

RSP-449A

Application for Disability Beneftis in the Case of Terminal Illness This link will open in a new window. (RREGOP, RPSO, PPMP and PPPOCS only)

(see also form 448A)

2019-11

622 ko

RSP-475

Demande d'adhésion ou de désistement- Régime de retraite des membres de l'Assemblée nationale This link will open in a new window. (RRMAN)
(this form is available in French only)

2019-03

208 ko

RSP-476

Demande de rachat - Régime de retraite des membres de l'Assemblée nationale This link will open in a new window. (RRMAN)
(this form is available in French only)

2017-04

1101 ko

RSP-501A

Application for Disability Benefits Under a Public-Sector Pension Plan This link will open in a new window.

(see also form RSP-502A)

2019-11

759 ko

RSP-502A

Medical Report for Disability Benefits Under a Public-Sector Pension Plan

2019-11

754 ko

RSP-559A

Declaration Concerning Dependent Children This link will open in a new window.

2019-11

195 ko

RSP-604

Retour au travail d’une personne retraitée - Validation de la date d’atteinte du seuil Cet hyperlien s'ouvrira dans une nouvelle fenêtre.
(this form is available in French only)

2021-03

113 ko

RSP-605

Retour au travail d'une personne retraitée - Validation annuelle Cet hyperlien s'ouvrira dans une nouvelle fenêtre.
(this form is available in French only)

2021-01

140 ko

RSP-727A-ABS

RSP-727A-WRK

Member’s forms

(see also the brochure entitled Buy-Backs)

 

2020-06

 

186 ko

269 ko

RSP-728

Employer’s form

(RSP-728; French only)

(see also the brochure entitled Buy-Backs)

 

2021-02

 

379 ko
 

Notice to disabled persons
These PDF documents may contain barriers to accessibility. You can obtain assistance by calling us.