Statutory Declaration for Legal Separation in Canada
This file is a statutory declaration form required for the separation of legal spouses or common-law partners in Canada. It assists individuals in legally documenting their separation details for associated benefits under the Canada Pension Plan and Old Age Security Act. Ensure all information provided is accurate and complete to avoid penalties.
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How do I fill this out?
To fill out this form, start by clearly printing your information. Be sure to follow the instructions labeled for each section carefully. After completing all sections, ensure you sign the form before submission.

How to fill out the Statutory Declaration for Legal Separation in Canada?
1
Gather all necessary personal information.
2
Complete Section A with details about the separation.
3
Fill in your spouse or common-law partner's information.
4
Sign and date the form as required.
5
Submit the completed form to Service Canada.
Who needs the Statutory Declaration for Legal Separation in Canada?
1
Individuals seeking to declare their separation from a spouse or common-law partner.
2
Those applying for benefits under the Canada Pension Plan.
3
Anyone needing proof of separation for legal purposes.
4
Couples seeking to formalize their separation agreement.
5
Residency applicants who must demonstrate separate living conditions.
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Download the edited file to your device.

What are the instructions for submitting this form?
To submit this form, mail it to your nearest Service Canada office as listed on the form. If submitting via email or fax, check the specific instructions provided for those methods. Ensure you keep a copy of the form for your records and follow up if you do not receive a confirmation of receipt within a reasonable period.
What are the important dates for this form in 2024 and 2025?
For 2024, there are no specific dates relevant to this form submission. It is crucial to check regularly for any updates regarding submission deadlines or changes in regulations. For 2025, stay informed through Service Canada for any new information regarding this form.

What is the purpose of this form?
The purpose of this form is to document the legal separation of spouses and common-law partners under Canadian law. It serves as an official record necessary for various processes, including benefit applications under the Canada Pension Plan and Old Age Security Act. Properly completing this form ensures that both parties have a clear understanding of their separation status and responsibilities.

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

- 1. Applicant Information: This section collects personal details of the individual filling out the form.
- 2. Spouse/Partner Information: Details about the legal spouse or common-law partner involved in the separation.
- 3. Separation Details: Specific reasons and dates related to the separation process.
- 4. Commissioner for Oaths: A section for the authorized official to validate the declaration.
- 5. Signature Section: Required signatures of the applicant and authorized commissioner.
What happens if I fail to submit this form?
Failure to submit this form accurately may result in delays in processing your application for benefits. Incorrect information can also lead to administrative penalties or the requirement to repay any benefits received. It is crucial to ensure the form is completed and submitted on time.
- Delays in Benefit Processing: Incomplete submissions may cause significant delays in the approval of financial assistance.
- Potential Fines: Filing false information can result in fines according to Canadian law.
- Repayment of Benefits: Receiving benefits based on inaccurate declarations may require repayment.
How do I know when to use this form?

- 1. Separation declaration: When you need to formally declare your separation status.
- 2. Benefit application: To apply for benefits under the Canada Pension Plan.
- 3. Legal documentation: If required to provide proof of separation in legal proceedings.
Frequently Asked Questions
How do I fill out the statutory declaration form?
To fill out the form, print clearly and complete each section with the required information.
Where do I submit the completed form?
Submit your completed form to the nearest Service Canada office or follow the mailing instructions provided.
Can I edit the PDF online?
Yes, you can edit the PDF using our platform's editing tools before saving.
Is there a phone number for assistance?
Yes, you can call Service Canada at 1-800-277-9914 for help.
What should I do if I make a mistake on the form?
If you make a mistake, you can edit the PDF before submitting it to ensure all information is correct.
How can I securely sign the document?
You can sign the document electronically using our signature feature before downloading.
What if I need to share the document with someone?
You can easily share the PDF via email or social media directly through the PrintFriendly platform.
Are there any fees for using PrintFriendly?
You can use the editing and sharing features without any charge.
Can I access the form in French?
Yes, the form is available in French; just select the French option during access.
What happens if I incorrectly complete the form?
Incomplete or incorrect forms may lead to delays in processing your application or associated benefits.
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