Get Form 169

Filling out the Form 169 online is a straightforward process that allows you to confirm your eligible service in the OMERS Primary Pension Plan. This guide provides detailed, step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to complete the Form 169 online:

1. Click the ‘Get Form’ button to access the Form 169 and open it in your preferred editing tool.
2. In Section 1, enter your member information, including your OMERS membership number, first and last name, date of birth, address, phone number, email, and current employer's name.
3. Proceed to Section 2, where you will provide your previous employment information. Include the employer's name, start and end dates, and indicate whether you were a full-time employee. If needed, attach a separate sheet for additional employment periods.
4. In Section 3, answer the questions regarding any breaks in service or absences during your previous employment. If you answer 'Yes,' provide the relevant dates and types of absences.
5. Section 4 requires information on any previous pension plan memberships. Answer whether you were a member of a registered pension plan and provide the necessary details if applicable.
6. Complete Section 5 by reading the declaration carefully. You must sign the form in the presence of a Commissioner of Oaths, who will also fill out the required details in this section.
7. Once you have filled out all relevant sections, review your completed form for accuracy. Save your changes, and you can then download, print, or share the completed Form 169 as needed.

Start completing your Form 169 online today!