Pension Quotation Request

Please allow three weeks for processing.

The personal information requested on this form is collected in accordance with Sections 38(2) and 41(1) of the Freedom of Information and Protection of Privacy Act (FIPPA), R.S.O. 1990, c.F.31 as amended.
The information provided will not be used for any purposes other than those stated upon this form unless the applicant provides express written consent.
Should you have any questions concerning your personal information, please contact the Assistant Director, Employee Services, FIPPA Representative for Human Resources, Room 507 Robertson Hall, (613)520-2600 x8635.
Carleton University is fully compliant with FIPPA and endeavours at all times to treat your personal information in accordance with this law.

Name
FirstLast
Employee Number*
Email*
Phone (Home)*
Phone (Work)*
Address*
Street AddressAddress Line 2CityState / Province / RegionZIP / Postal CodeCountry
Retirement Date*
Spouse's Date of Birth (Enter N/A if not applicable)*
Special Instructions

Human Resources