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                |  | Claim of Spouse to Interest in Member's Pension (Form 1) |  |   
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                |  | Use After a marriage breakdown (divorce) in British Columbia, the Member's spouse may submit the 
				  Claim of Spouse to Interest in Member's Pension (Form 1) - BC 
				  to notify the Plan Administrator of the spouse's legal interest in the Member's pension. 
				  A formal agreement with the Member, or a court order must state that the spouse is 
				  legally entitled to a part of the Member's pension.
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                |  | Information Needed to Complete the FormTo complete the form, the spouse must include:
 
 
 
				    Plan information,spouse's personal information,Member personal information, andinformation related to the spouse's claim. |  |   
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                |  | Notes Once the Administrator receives this form from the former spouse, 
				  it must provide the spouse with information regarding the Member's pension and notify 
				  the spouse before it acts on any directions given by the Member.
				  If the spouse wishes to request a transfer of the lump sum value of his/her proportionate share, 
				  the spouse must complete a 
				  Request for Transfer from Unmatured Defined Contribution Plan (Form 3) - BC.
 
 Questions on completing the form should be directed to the Plan 
                  Administrator.
 
 Completed forms should be forwarded to the Plan 
                  Administrator.
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                |  | Questions? Questions and Answers about Pension Division on Marriage Breakdown in British Columbia
 http://www.bcli.org/pages/projects/pension2/menu.html
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                |  | Plan Administrator Millworkers Pension Plan (Unifor) Administrator
 c/o D.A. Townley.
 160 – 4400 Dominion Street
 Burnaby, BC V5G 4G3
 
 Phone: 604-299-7482 or 1-800-663-1356
 Fax: 604-299-8136
 
 Email: Pension
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