Claim for general compensation for former employees: payment equivalent to additional leave

Who can use this form

This form is for processing claims by former employees for payment that is equivalent to leave awarded for damages caused by the Phoenix pay system. Such claims are provided for in clauses 6 and 16 of the Memorandum of Agreement on Damages Caused by the Phoenix Pay System (Damages Agreement).

Conditions for making a claim

For a claim to be accepted, you must meet the following conditions.

  1. You were a former federal public servant as of June 12, 2019.
  2. You worked as a federal public servant at least one day in the year(s) being claimed in a position that is covered by the Damages Agreement.
  3. You have not previously claimed for a payment that is equivalent to leave for damages and provided for in clauses 6 and 16 of the Damages Agreement for the fiscal year(s) to which this claim pertains.
  4. You have not received vacation leave credits for damages provided for in clauses 6 and 16 of the Damages Agreement for the fiscal year(s) to which this claim pertains.

Inaccurate information provided in this form may delay the processing of your claim.

Privacy notice statement

The personal information requested in this form is collected under the authority of the Financial Administration Act. The information submitted via this form will be combined with pay information in a database of pay information held within Treasury Board of Canada Secretariat (TBS) in order to:

Refusal to provide the requested personal information will result in TBS not being able to process the claim. The information you provide will be validated against a database of pay information held within TBS in order to:

If your claim is accepted and a payment is issued to you, your Social Insurance Number (SIN) will be obtained from the Public Services and Procurement Canada (PSPC) database of pay information to issue you a T4 and/or RL-1 tax slip and will be shared with Canada Revenue Agency and/or Revenu Québec for income tax purposes.

Personal information you provide is being collected by the TBS Claims Office and may be shared with PSPC and the last federal organization of employment in order for that organization to issue payment. Personal information will be protected, used and disclosed in accordance with the Privacy Act and as described in Personal Information Bank TBS PCE 742. Your information may also be used or disclosed for financial reporting and program evaluation.

Under the Privacy Act, individuals have a right to access and correct their personal information. If you wish to avail yourself of these rights or require clarification about this privacy notice statement, please contact the TBS Access to Information and Privacy Coordinator by email at atip.aiprp@tbs-sct.gc.ca. If you are not satisfied with the response to your privacy concern, you may wish to communicate with the Office of the Privacy Commissioner by telephone at 1-800-282-1376 or by email at info@priv.gc.ca.

By clicking "Continue" to submit your claim, you acknowledge that you have read and understood this privacy notice.

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