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FOREIGN DIRECT DEPOSIT ENROLMENT FORM …

SurnameNomPublic Works andGovernment ServicesCanadaTravaux publics etServices gouvernementauxCanadaAddressAdresseGiven NamePr nomCountryPaysCity, TownVilleZip/Postal CodeCode ZIP/postalInitial(s)Initiale(s)State/Pro vince tatTelephone de t l phonePART B - Payment InformationIndicate the payment(s) you currently receive bychequeVeteran Affairs Canada - Anciens Combattants CanadaIndiquez le(s) paiement(s) que vous recevezactuellement par ch queVeterans Affairs Pension or AwardPension ou indemnit d'invalidit des anciens combattantsPWGSC-TPSGC 8002-501 (2019-12)Veterans Affairs Financial BenefitsAvantages financiers aux anciens combattants crivez lisiblement et en lettres moul es.

nouvelle demande d'inscription au dépôt direct. To update your banking information, please complete a new direct deposit enrolment form. Adresse postale Visit our website at: Call the toll free number assigned to your country listed in the table below. If you experience difficulty with a toll free number, please call 1-613-941-6402 collect.

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