Application for a Retirement Pension

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Application for a Retirement Pension
Under the Québec Pension Plan
You can file an Application for a Retirement Pension via our My Account online service at www.retraitequebec.gouv.qc.ca.
Depending on your situation, you could find out the amount of your retirement pension immediately.
A retirement pension
To be eligible for a retirement pension, you must be at least
60 years of age and have contributed to the Québec Pension
Plan for at least one year. It is not necessary to have stopped
working to receive your retirement pension.
If you are under age 65 and you are disabled or
stopped working because of your state of health,
it may be advantageous for you to apply for a disability
pension. If this situation applies to you, you should file an
application without delay.
Pension amount and starting date
The amount of your retirement pension depends on the
employment earnings on which you made contributions to
the Québec Pension Plan and the number of years during
which you contributed.
It also depends on your age at the time you begin receiving
the pension. At age 65, you will receive the full amount
(100%) of the pension to which you are entitled based on
your contributions. The amount decreases if your pension
begins before age 65, but increases if your pension begins
after that age.
If you are under age 65
For persons born before 1954, your pension will be
reduced by 0,5% for each month between the starting
date of your pension and your 65th birthday.
The reduction set at the starting date of your pension
applies for as long as the pension is paid.
Your pension will begin in the latest of the following months:
the month following your 60th birthday;
the month following the one in which we received
your application;
the month you chose in your application, if you would
like your pension to start later.
If you are age 65 or over
The pension is increased by 0,7% for each month between
your 65th birthday and the starting date of your pension,
to a maximum of 42% at age 70. The increase set at the
starting date of your pension applies for as long as the
pension is paid.
Your pension will begin in the latest of the following months:
the month following your 65th birthday;
the 11th month preceding the one in which we
received your application (retroactive pension);
the month you chose in your application, if you would
like your pension to start later.
Therefore, you could receive a retroactive pension
covering up to a maximum of 12 months (including the
month in which we receive your application). The pension
cannot start before your 65th birthday. However, if you
choose to receive a retroactive pension, the monthly amount
of your pension will be lower than it would be if you had
chosen a later starting date
For more information concerning the calculation
of your retirement pension according to your age
when payment begins, consult our Web site at
www.retraitequebec.gouv.qc.ca, where you will also
find tools that can help you make an informed decision.
However, for persons born in 1954 or after, your pension
will be reduced by between 0,5% and 0,6% for each month
between the starting date of your pension and your 65th
birthday. The reduction factor will be determined based on
the amount of the retirement pension.
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B-001A (16-01)
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We suggest that you file your application for a retirement
pension under the Québec Pension Plan three months prior
to the one in which you would like to begin receiving your
pension. However, you cannot apply more than 12 months
ahead of time.
Pension payment
Please note that a retirement pension is:
paid at the end of the month, beginning in the one as of
which you are entitled to the pension. For example, if you
are entitled to a pension as of April, you will receive your
first payment at the end of April;
In our Service Statement, we are committed to replying to an
application for a retirement pension within 40 days.
In addition, you can consult our My Account online service
to follow up on your application at any time.
indexed in January of each year according to the cost
of living;
If necessary, we may request proof of birth. It also reserves
the right to verify all the information provided.
taxable. You can request income tax deductions online or
by telephone once your retirement pension application has
been accepted.
For more information
Benefits from other organizations
You cannot receive a retirement pension before age 65
if you are receiving an unreduced income replacement
indemnity from the Commission des normes, de l’équité,
de la santé et de la sécurité du travail (CNESST), or if you
are entitled to an indemnity from the Société de l’assurance
automobile du Québec (SAAQ) and we deem you to be
disabled for the same reason.
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Reponse time
If you receive or expect to receive benefits from other
organizations, public or private, you should find out from them
whether receiving a retirement pension under the Québec
Pension Plan would cause such benefits to be reduced.
Online
By telephone
Québec region: 418 643-5185
Montréal region: 514 873-2433
Toll-free: 1 800 463-5185
Please note that you cannot receive a retirement pension
under the Québec Pension Plan if you are already receiving
a retirement pension or disability benefits under the Canada
Pension Plan. This restriction does not apply to the Old Age
Security pension.
Work outside Canada
If you participated in a social security plan in another
country, you could be entitled to a pension from that country.
Receiving a pension from another country does not reduce
the retirement pension paid under the Québec Pension Plan.
Access to documents held by public bodies
and the Protection of personal information
The personal information collected on this form is needed to
study your application. Failure to provide this information may
result in a delay or a refusal to process your application. Only
authorized employees have access to the information and it is
only disclosed to other persons or agencies in cases provided
for by law. It can also be used for research, assessment,
analysis or survey purposes. The Act respecting Access
to documents held by public bodies and the Protection of
personal information allows you to consult your personal
information and have it corrected.
B-001A (16-01)
0100001
LE
Application for a Retirement Pension Under the Québec Pension Plan
Important: You must provide your social insurance number where requested to avoid delays in processing your application.
Indicate your social insurance number
Please print
1.Identification
Sex Family name
F
M
Given name
Family name at birth, if different
Date of birth
year
month
day
Given name at birth, if different
Place of birth (city, province, country)
Mother’s family name at birth
Mother’s given name
Father’s family name
Father’s given name
Language of correspondance
French
English
Your address (number, street, apt.)
City
Province
Telephone
area code
Country
Postal code
area code
Home OtherExtension
If you live outside Canada, what was your last province of residence in Canada?
2. Participation in other plans
Have you ever participated in the social security plan of another country?
Yes
No
If so, indicate in which country or countries:
3. Benefits from other agencies
Fill out this section if you are under age 65. Otherwise, go to section 4.
3.1 Are you currently receiving an income replacement indemnity from the Commission des normes, de l’équité, de la
santé et de la sécurité du travail (CNESST) because of a work-related accident or occupational disease?
a)No
b)Yes
year
month
day
c)I am waiting for a reply to a claim. I filed the claim on:
3.2 Are you currently receiving an indemnity from the Société de l’assurance automobile du Québec (SAAQ)?
a)No
b)Yes. Indicate the file number:
c)I am waiting for a decision on an application for an indemnity. Date the accident occurred:
year
year
month
day
month
If you checked box b) or c), indicate the month in which you stopped working, if applicable.
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Retraite Québec
B-001A (16-01)
Indicate your social insurance number
4. Information about children
Certain situations could increase the amount of your retirement pension: 
if you received family benefits for any children (Québec child assistance, Québec family allowance or the Canada Child Tax Benefit);
if you were entitled to family benefits, but did not receive any because your family income was too high.
4.1 Have you had, adopted, or become responsible for any children (regardless of their current age)?
Yes
No. Go to section 5.
4.2 Did you receive family benefits paid in your name for any children or, if you did not, was it because your family income was
too high? (Benefits are usually paid to the mother.)
Yes. Complete the following.
No. Go to section 5.
Information about children
1st child
Family name at birth
Given name
Date of birth
year
month
day
Place of birth (province, country)
Date of adoption or date child becomeDate of death (if child died before age 7)
year
month
year
month
your dependent
(if applicable)
Date of arrival in Canada
Province of residence at time of arrival in Canada
Child born
outside
Canada
year
month
2nd child
Family name at birth
Given name
Date of birth
year
month
day
Place of birth (province, country)
Date of adoption or date child becomeDate of death (if child died before age 7)
year
month
year
month
your dependent
(if applicable)
Date of arrival in Canada
Province of residence at time of arrival in Canada
Child born
outside
Canada
year
month
3rd child
Family name at birth
Given name
Date of birth
year
month
day
Place of birth (province, country)
Date of adoption or date child becomeDate of death (if child died before age 7)
year
month
year
month
your dependent
(if applicable)
Date of arrival in Canada
Province of residence at time of arrival in Canada
Child born
outside
Canada
year
month
4th child
Family name at birth
Given name
Date of birth
year
month
day
Place of birth (province, country)
Date of adoption or date child becomeDate of death (if child died before age 7)
year
month
year
month
your dependent
(if applicable)
Date of arrival in Canada
Province of residence at time of arrival in Canada
Child born
outside
Canada
year
month
If there are more than four children, please provide the additional information in section 8.
4.3 Between the birth and the 7th birthday of each of these children, were there any periods during which family benefits were
not paid in your name?
Yes
No
4.4 Between each child’s birth or arrival in Canada and that child’s 7th birthday, did each of these children always live with you
in Canada?
Yes
No
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Retraite Québec
B-001A (16-01)
Indicate your social insurance number
5. Your work situation
5.1 Did you work in Québec?
Yes
No
5.2 Did you work in Canada, but outside Québec?
Yes
No
6. Starting date of your retirement pension
Important: The starting date you choose will have a permanent effect on the amount that you will receive.
See the information at the beginning of the form for more details.
If you are under age 65
Your pension could begin in the latest of the following months:
the month following your 60th birthday;
the month following the one in which we received your application.
6.1 If you would like payment of your pension to begin later than the date suggested above, please indicate when.
year
month
If you are age 65 or over
Your pension could begin in the latest of the following months:
the month following your 65th birthday;
the 11th month preceding the one in which we received your application.
Therefore, you could receive a retroactive pension covering up to a maximum of 12 months (including the month in which
we receive your application). The pension cannot start before your 65th birthday.
After age 65, your retirement pension is increased by 0,7% a month for each month between your 65th birthday and the starting
date of your pension (up to a maximum of 42% at age 70).
Important:If you choose to receive a retroactive pension, it will affect the monthly amount of your pension for as long as it
is paid. Therefore, your pension will be lower, but you will be receiving it for a few additional months.
6.2 When would you like your pension to start? (Check only one box.)
I would like my retroactive pension to begin as early as possible (to cover the entire period for which it can be paid).
I would like to receive a portion of my pension retroactively. I would like my retroactive pension to start as from
year
month
.
I would like my pension to start in the month following the one in which my application is received.
I would like my pension to start later. Please indicate when.
year
month
Note :After age 70, waiting longer to apply for your pension does not give you any financial benefits. At that age, the maximum
increase of 42% is reached.
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Retraite Québec
B-001A (16-01)
Indicate your social insurance number
7. Payment by direct deposit
Please provide your banking information to sign up for direct deposit. Your pension will be paid directly into your bank account
at a financial institution in Canada.
The account provided must be in your name or that of the beneficiary if you are applying on his or her behalf.
If you already receive a pension under the Québec Pension Plan by direct deposit, your benefits will be deposited in the same
bank account. If so, you do not need to fill out this section.
Name of your financial institution
Branch number
(transit)
Bank or caisse
number
Account number
(folio)
Address of your financial institution
8. Other information
Use this space if needed. Be sure to indicate the section number before each answer.
Before signing, please ensure that you have completed each section and provided your social insurance number where
requested in order to avoid delays in processing your application.
9. Declaration and signature
I declare that the information provided is true and complete.
year
Signature
month
day
Date
If you are signing this form for another person, please provide the following information.
In what capacity are you signing (guardian, mandatary, etc.)?
Sex
F
M
Family name
Given name
Address (number, street, apt.)
City
Telephone
ProvinceCountry Postal code
area code
area code
Home
OtherExtension
If you are an individual, you must also provide the following information.
Your social insurance number Your date of birth
Your mother’s family name at birth (last name only)
year
Print
Retraite Québec
month
day
Please return the completed form to:
Retraite Québec, case postale 5200, Québec (Québec) G1K 7S9
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B-001A (16-01)
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