of CANADA  



LETTER OF AUTHORIZATION

 



DATE:   

 

 

 

ATTENTION:

 

 

NAME OF EMPLOYER

 

 

 

                                                        

 

 

NAME OF PENSION PLAN

 

 

 

 

 

 

 

 

 

NAME OF PLAN MEMBER:

 

 

 

PLAN MEMBER’S S.I.N.:

 

 

 

PLAN MEMBER’S

EMPLOYEE NUMBER:

 

 

 

VALUATION DATE:

 

 

 

I hereby authorize you to provide PENSION VALUATORS OF CANADA with any and all information requested by them regarding my income, employment, and pension plan particulars.  This authorization shall remain in force until cancelled in writing by me.

 

 

 

 

 

 

 

 

 

MEMBER’S SIGNATURE

WITNESS




785 The Kingsway, Peterborough, ON K9J 6W7,
Ph: (705) 749-0947, Fax: (705) 749-6762, www.pension.ca