Form 4 - Waiver of Pre-Retirement Death Benefit

Key Information

Please review the following instructions to download the forms

To be able to fill in and save a PDF form (Fillable/saveable version), download and then open the form using the free Adobe Reader.

  1. Hover over the form name with your mouse
  2. Right-click and select “Save link as” to save the form. This will allow you to save the form in a location of your choosing (file folder, etc.). Note: Do not use the browser’s “Open” feature.
  3. Once saved, go to the location where you saved the form.
  4. Hover over the form name with your mouse
  5. Right-click and select “open with…” and in the menu select “Adobe Acrobat Reader

Form details

Form number: 1166
Form title: Form 4 - Waiver of Pre-Retirement Death Benefit
Sector: Pensions
Category:
Waivers - Death Benefit/Survivor Pension
Purpose of form: This form must be used by spouses of pension plan members and former members to waive entitlement to a pre-retirement death benefit.
Last update: 2014-01-01