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How do I fill this out?
To fill out this application, ensure you have your Social Insurance Number and personal details. Use a pen to write clearly in the provided fields. Follow the instructions carefully to complete your application accurately.

How to fill out the Application For Statement of Contributions Canada?
1
Obtain the application form and read the instructions carefully.
2
Fill in your personal information, including your Social Insurance Number.
3
Provide your language preference for communication.
4
Sign the application and include the date.
5
Send the completed form to the designated address.
Who needs the Application For Statement of Contributions Canada?
1
Individuals applying for their Canada Pension Plan statements.
2
Legal representatives submitting on behalf of contributors.
3
Anyone checking their pensionable earnings history.
4
Contributors seeking verification of their contribution amounts.
5
Individuals preparing for retirement planning and assessments.
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What are the instructions for submitting this form?
To submit this form, please return your completed application to Contributor Client Services, Canada Pension Plan, Service Canada, PO Box 818 Station Main, Winnipeg, MB R3C 2N4. Alternatively, you may submit via fax or a secure online service if available. Ensure you keep a copy for your records.
What are the important dates for this form in 2024 and 2025?
For the year 2024, the application submission deadlines are set for March 31 and September 30. In 2025, keep in mind the same deadlines apply to ensure timely processing.

What is the purpose of this form?
The purpose of this form is to allow individuals to request information regarding their contributions to the Canada Pension Plan. It ensures transparency and accessibility for contributors to manage their pension records effectively. By submitting this application, users can plan their retirement based on verified earnings.

Tell me about this form and its components and fields line-by-line.

- 1. Social Insurance Number: A unique number assigned to individuals for tracking earnings and contributions.
- 2. Personal Information: Includes name, date of birth, and contact details.
- 3. Language Preference: Indicates the preferred language for correspondence.
- 4. Applicant's Signature: A mandatory field for the applicant's signature.
- 5. Mailing Address: Physical address where the completed form is sent.
What happens if I fail to submit this form?
If the form is not submitted, the applicant may not receive their contribution details. This can lead to delays in retirement planning and potential issues with pension benefits. It’s crucial to complete and submit the form promptly.
- Delayed Information: Not submitting the form may delay access to important contribution data.
- Retirement Planning Issues: Failure to obtain contribution details can hinder effective retirement planning.
- Missed Deadlines: Not submitting may result in missing important deadlines related to pension applications.
How do I know when to use this form?

- 1. Verifying Contributions: Use this form to check your contribution history.
- 2. Retirement Planning: Important for individuals nearing retirement age.
- 3. Legal Representation: Used by authorized individuals on behalf of contributors.
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