PLEASE READ THIS SECTION BEFORE YOU START COMPLETING THIS FORM.
The Trust Deed has been amended to increase the minimum balance required for a Members Compulsory Account from $15,000 to $45,000 when determining whether a Member meets the threshold for receipt of a monthly pension. The amended Trust Deed will provide the existing Pensioner with an option to withdraw the balance of their Pension Account if their Compulsory Account balance was $45,000 or less at the date they became a Pensioner.

CINSF will verify your eligibility before processing this withdrawal.

Pensioners will continue to receive their pension payments if they do not provide a direction to withdraw their Pension Account.

IMPORTANT:If your full withdrawal is approved and processed, your Pension Account will be closed, and your monthly pension payments will cease permanently. This decision cannot be reversed once the withdrawal has been processed.

a. My Pension Account balance was less than $45,000 at the time of becoming a Pensioner.

b. I am aware that I have the option to withdraw the balance of my Pension Account or continue receiving a monthly pension.

c. I am aware that once I submit this form to withdraw the balance of my Pension Account that my Pension Account will be closed permanently and that I will no longer receive the monthly pension payment for life.

CINSF cannot process your withdrawal until all required information and supporting documents have been provided.

a. Completed claim form

☐ Completed and signed Pensioner Full Withdrawal Form

b. Identification

Provide one valid form of photo identification:

☐ Passport

☐ Birth certificate with a current photo

☐ Driver licence

c. Bank account confirmation

Provide one document confirming the bank account stated in Section 2:

☐ Bank confirmation letter

☐ Recent bank statement — local accounts only