Pay Centre forms

A collection of forms sent to the Pay Centre for pay, insurance and leave service requests.

Complete a Pay Action Request form

A Pay Action Request form must be completed and sent with the forms submitted to the Public Service Pay Centre. Read more about trusted sources and pay action requests before submitting forms to the Pay Centre.

Pay forms

Taxes

Upon hiring, or when you want to make a change to your tax credits, complete both the federal and the provincial or territorial TD1 Personal Tax Credits Return forms. Complete the provincial or territorial form based on where you report to work, not where you live.

Emergency salary advance or priority payment 

Complete this form to start or amend an emergency salary advance or priority payment request.

Direct deposit 

Complete this form to start or amend the direct deposit of your pay cheque.

Lost or stolen cheque

Complete this form if you lose your Receiver General cheque.

For payments greater than $5,000, complete both the Undertaking and Indemnity form and this form:

Isolated post allowances

If you occupy an isolated post, you may be entitled to certain allowances. Complete this form with your manager or departmental human resources representative to start allowances or amend amounts.

Death in service

Managers or departmental human resources personnel complete this form  to notify the Pay Centre about the death of an employee.

Insurance forms

Public Service Health Care Plan

Complete form Employee Application Form (TBS-006491) to apply for or to amend coverage with the Public Service Health Care Plan.

Disability Insurance

Complete this form to apply for disability benefits under the Disability Insurance Plan. Your immediate supervisor or manager completes the Employer's Statement form to notify the Pay Centre and initiate the Compensation Advisor's Statement form.

Note: There are 4 forms in the initial claim package that must be completed. We recommend you read the Employee Claim Guide for instructions on how to complete and submit the other forms.

Public Service Management Insurance Plan

Complete this form to apply for or to amend coverage with the Public Service Management Insurance Plan.

If you are a full-time employee, complete this form to apply for the Public Service Management Insurance Plan.

If you are a part-time employee, complete this form to apply for the Public Service Management Insurance Plan.

Change of name or of beneficiary

Complete this form to change your name or beneficiary under the Public Service Management Insurance Plan.

Long-term disability insurance

Complete this form to apply for long-term disability benefits under the Public Service Management Insurance Plan. Your immediate supervisor or manager completes the Employer’s Statement form to notify the Pay Centre and initiate the Compensation Advisor’s Statement form. 

Note: There are 4 forms in the initial claim package that must be completed. We recommend you read the checklist and refer to the individual forms for instructions on how to complete and submit the other forms.

Leave forms

Maternity and parental leave

Complete this form to apply for maternity or parental leave.

Leave with income averaging

Complete this form to apply for leave with income averaging.

Pre-retirement transition leave

Complete this form to apply for pre-retirement transition leave.

Self-funded leave

Complete this form to apply for self-funded leave.

Other leave reporting

Complete this form when you cannot access the leave reporting system to apply for leave with or without pay. The form is also available from your department or agency.

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2025-10-06