T4A Statement of Pension, Retirement, Annuity, and Other Income

Notice to the reader

All information returns should be filed electronically to avoid the delays that may occur in processing paper returns.

The filing of paper returns may result in penalties.

An alternative option to ordering slips and summaries is to use the CRA’s Web Forms application. The Web Forms saves time and money by allowing you to save and file your information return electronically. It also allows you to print copies of your summary and slips for both yourself and your recipients - for free.

For more information about Web Forms, go to Filing Information Returns Electronically (T4/T5 and other types of returns) - Overview.

For best results, download and open this form in Adobe Reader. See General information for details.

You can view this form in:

PDF t4a-15e.pdf (78 KB)
PDF fillable/saveable t4a-fill-15e.pdf (180 KB)

For people with visual impairments, the following alternate formats are also available:

E-text t4a-flat-15e.txt (6 KB)
Large print t4a-lp-15e.pdf (110 KB)

Last update: 2015-10-20
Available in print: 2015-10-30

For more information, see our help file. You can also order printed copies and multiple formats of this form, such as large print, Braille, audio, and E-text (accessible electronic text).

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