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https://www.tpsgc-pwgsc.gc.ca/remuneration-compensation/services-paye-pay-services/form/html/446-5-eng.html
Submission: On February 19 via manual from CA — Scanned from CA
Submission: On February 19 via manual from CA — Scanned from CA
Form analysis 2 forms found in the DOM
Name: cse-search-box — GET https://www.canada.ca/en/public-services-procurement/search.html
<form action="https://www.canada.ca/en/public-services-procurement/search.html" method="get" name="cse-search-box" role="search">
<div class="form-group wb-srch-qry">
<label for="wb-srch-q" class="wb-inv">Search PSPC</label>
<input id="wb-srch-q" class="wb-srch-q form-control" name="q" type="search" value="" size="34" maxlength="170" placeholder="Search PSPC">
</div>
<div class="form-group submit">
<button type="submit" id="wb-srch-sub" class="btn btn-primary btn-small" name="wb-srch-sub"><span class="glyphicon-search glyphicon"></span><span class="wb-inv">Search</span></button>
</div>
</form>POST #wb-cont
<form action="#wb-cont" method="post" novalidate="novalidate">
<div class="col-md-2 col-md-offset-5"> </div>
<p class="pull-right">Protected "B" when completed</p>
<div class="clearfix"></div>
<div class="col-xs-12">
<div class="pull-right form-group">
<label for="date" class="required"> <span class="field-name">Date</span> (<abbr title="Year-Month-Day">yyyy-mm-dd</abbr>) <strong class="required" aria-hidden="true">(required)</strong> </label>
<input type="date" class="form-control" id="date" data-rule-dateiso="true" required="">
</div>
</div>
<section>
<h2 class="page-header">Pay Centre mailing address</h2>
<p>Public Service Pay Centre: Mail facility<br> PO Box 6500<br> Matane QC G4W 0H6<br> Pay Centre Fax: 1-855-393-1559<br> Pay Centre Email: <a href="mailto:centredepaye.paycentre@tpsgc-pwgsc.gc.ca">centredepaye.paycentre@tpsgc-pwgsc.gc.ca</a>
</p>
</section>
<section>
<h2 class="page-header">Instructions</h2>
<p>For pay services that are provided by the Public Service Pay Centre, please complete one (1) Pay Action Request (PAR) Form for each individual employee and attach any required documentation. Note that the Pay Centre will treat these documents
as originals. (* Denotes Mandatory Fields)</p>
<p>If your department offers a Centralized Trusted Source or <abbr title="Pay Action Request">PAR</abbr> Form Review unit, you are encouraged to send all requests to them first, as they will ensure that your request and documentation are fully
complete and will then submit to the Pay Centre on your behalf.</p>
</section>
<section>
<h2 class="page-header">Section 1 - Employee information</h2>
<div class="mrgn-lft-lg">
<div class="form-group">
<label class="required" for="f_name"><span class="field-name">First name</span> <strong class="required" aria-hidden="true">(required)</strong> </label>
<input size="45" maxlength="45" id="f_name" name="f_name" type="text" pattern=".{2,}" data-rule-minlength="2" class="form-control mrgn-bttm-sm" required="">
</div>
<div class="form-group">
<label class="required" for="pri"><span class="field-name">Personal record identifier</span> <strong class="required" aria-hidden="true">(required)</strong> </label>
<input type="text" id="pri" name="pri" class="form-control mrgn-bttm-sm {validate:{digits:true}}" data-rule-minlength="9" maxlength="9" title="PRI must have 9 digits" required="">
</div>
<div class="form-group">
<label class="required" for="l_name"><span class="field-name">Last name</span> <strong class="required" aria-hidden="true">(required)</strong> </label>
<input size="45" maxlength="45" type="text" id="l_name" name="l_name" class="form-control mrgn-bttm-sm" required="">
</div>
<div class="form-group">
<label for="case_no"><span class="field-name">Case number (ex: 01234567)(If applicable)</span> </label>
<input type="text" class="form-control form-label-inline width-70" maxlength="8" id="case_no" name="case_no" size="16" title="Case numbers are 8 digits">
</div>
<div class="form-group">
<label class="required" for="employee_email"><span class="field-name">Email address</span> <strong class="required" aria-hidden="true">(required)</strong> </label>
<input size="45" maxlength="45" type="email" id="employee_email" name="employee_email" class="form-control mrgn-bttm-sm" required="">
</div>
<div class="form-group">
<label for="employee_tel"><span class="field-name">Telephone number</span> (999-999-9999) </label>
<input size="45" maxlength="45" type="tel" id="employee_tel" name="employee_tel" class="form-control mrgn-bttm-sm {validate:{pattern: /^\d{3}-\d{3}-\d{4}$/}}"
title="The value entered does not matched the format of the field = "999-999-9999"">
</div>
<div class="form-group">
<label class="required" for="dept_agency"><span class="field-name">Department or Agency</span> <strong class="required" aria-hidden="true">(required)</strong><br> Please choose a Department or Agency </label>
<select id="dept_agency" name="dept_agency" class="form-control mrgn-bttm-sm" required="">
<option value=""></option>
<option>Agriculture and Agri-Food Canada (includes National Farm Products Council of Canada)</option>
<option>Canada School of Public Service</option>
<option>Canadian Dairy Commission</option>
<option>Canadian Food Inspection Agency</option>
<option>Canadian Grain Commission</option>
<option>Canadian Heritage</option>
<option>Canadian Northern Economic Development Agency</option>
<option>Canadian Radio-Television and Telecommunications Commission</option>
<option>Civilian Review and Complaints Commission for the RCMP</option>
<option>Copyright Board Canada</option>
<option>Correctional Services Canada</option>
<option>Crown-Indigenous Relations and Northern Affairs Canada</option>
<option>Employment and Social Development Canada</option>
<option>Environment and Climate Change Canada</option>
<option>Federal Economic Development Agency for Southern Ontario</option>
<option>Finance Canada</option>
<option>Fisheries and Oceans Canada</option>
<option>Global Affairs Canada</option>
<option>Health Canada</option>
<option>Immigration and Refugee Board of Canada</option>
<option>Immigration, Refugees and Citizenship Canada</option>
<option>Impact Assessment Agency of Canada</option>
<option>Indigenous Services Canada</option>
<option>Innovation, Science and Economic Development Canada</option>
<option>Justice Canada</option>
<option>Law Commission of Canada</option>
<option>Leaders’ Debates Commission</option>
<option>National Defence</option>
<option>National Film Board</option>
<option>Natural Resources Canada</option>
<option>Office of the Correctional Investigator</option>
<option>Parks Canada</option>
<option>Parole Board of Canada</option>
<option>Patented Medicine Prices Review Board</option>
<option>Privy Council Office</option>
<option>Public Health Agency of Canada</option>
<option>Public Prosecution Service of Canada</option>
<option>Public Safety Canada</option>
<option>Public Service Commission of Canada</option>
<option>Public Services and Procurement Canada</option>
<option>RCMP External Review Committee</option>
<option>Royal Canadian Mounted Police</option>
<option>Secretariat of the National Security and Intelligence Committee of Parliamentarians</option>
<option>Shared Services Canada</option>
<option>Treasury Board of Canada Secretariat</option>
<option>Veterans Affairs Canada (except 1200 employees that remain under the St-Anne’s Hospital)</option>
<option>Veterans Review and Appeal Board</option>
</select>
</div>
</div>
</section>
<section>
<h2 class="page-header">Section 2 - Work type (select one)</h2>
<div class="mrgn-lft-lg">
<div class="form-group">
<label class="required" for="work_type"><span class="field-name">Please select the work type for this request:</span> <strong class="required" aria-hidden="true">(required)</strong> </label>
<select id="work_type" name="work_type" class="form-control mrgn-bttm-sm" required="">
<option value="" selected=""></option>
<option value="Benefits">Benefits</option>
<option value="Change in Employment">Change in Employment</option>
<option value="Cheque">Cheque</option>
<option value="Communication with 3rd parties">Communication with 3rd parties</option>
<option value="Copy of Pay File">Copy of Pay File</option>
<option value="Debt to the Crown">Debt to the Crown</option>
<option value="Deductions">Deductions</option>
<option value="Direct Deposit - exception">Direct Deposit - exception</option>
<option value="Emergency Salary Advance (ESA) / Priority Payment (PP)">Emergency Salary Advance (ESA) / Priority Payment (PP)</option>
<option value="Entitlements (Non Automated Allowances)">Entitlements (Non Automated Allowances)</option>
<option value="Extra Duty Pay">Extra Duty Pay</option>
<option value="Grievance Support">Grievance Support</option>
<option value="Leave">Leave</option>
<option value="New Hire">New Hire</option>
<option value="Performance">Performance</option>
<option value="Recovery of Overpayments">Recovery of Overpayments</option>
<option value="Rehire">Rehire</option>
<option value="Student">Student</option>
<option value="Tax Slips (T4) & Records of Employment">Tax Slips (T4) & Records of Employment</option>
<option value="Termination">Termination</option>
<option value="Timesheets">Timesheets</option>
<option value="Transfer">Transfer</option>
</select>
</div>
</div>
</section>
<section>
<h2 class="page-header">Section 3 - Sub-type (select one)</h2>
<div class="mrgn-lft-lg">
<div class="form-group">
<label class="required" for="sub_type"><span class="field-name">Please select the sub-type for this request</span> <strong class="required" aria-hidden="true">(required)</strong> </label>
<select id="sub_type" name="sub_type" class="form-control mrgn-bttm-sm" required="">
<option value="" selected=""></option>
</select>
</div>
<div class="form-group">
<label class="required" for="effectivedate"><span class="field-name">Effective date (<abbr title="Year-Month-Day">YYYY-MM-DD</abbr>)</span> <strong class="required" aria-hidden="true">(required)</strong> </label>
<input type="date" id="effectivedate" name="effectivedate" class="form-control mrgn-bttm-sm" data-rule-dateiso="true" required="">
</div>
</div>
</section>
<section>
<h2 class="page-header">Section 4 - Requestor (Staffing/Labour Relations/Liaison/Manager)</h2>
<div class="mrgn-lft-lg">
<div class="form-group">
<label class="required" for="r_name"><span class="field-name">Name of requestor</span> <strong class="required" aria-hidden="true">(required)</strong> </label>
<input size="45" maxlength="45" id="r_name" name="r_name" type="text" pattern=".{2,}" data-rule-minlength="2" class="form-control mrgn-bttm-sm" required="">
</div>
<div class="form-group">
<label class="required" for="r_email"><span class="field-name">Email address</span><span class="wb-invisible"> of requestor</span> <strong class="required" aria-hidden="true">(required)</strong> </label>
<input size="45" maxlength="45" type="email" id="r_email" name="r_email" class="form-control mrgn-bttm-sm" required="">
</div>
<div class="form-group">
<label for="r_telephone"><span class="field-name">Telephone number</span><span class="wb-invisible"> of requestor</span> (999-999-9999) </label>
<input size="45" maxlength="45" type="tel" id="r_telephone" name="r_telephone" class="form-control mrgn-bttm-sm {validate:{pattern: /^\d{3}-\d{3}-\d{4}$/}}"
title="The value entered does not matched the format of the field = "999-999-9999"">
</div>
</div>
</section>
<section>
<h2 class="page-header">Comments</h2>
<div class="mrgn-lft-lg">
<div class="form-group">
<label for="comments">Comments: </label>
<textarea name="comments" cols="65" rows="3" id="comments" class="form-control mrgn-bttm-sm"></textarea>
</div>
</div>
</section>
<section>
<h2 class="page-header">Authentication by Departmental Trusted Source</h2>
<section>
<h3> Section 5: Trusted source</h3>
<p>For pay actions requiring authorization, Departmental Trusted Source is responsible for authenticating appropriate approvals before submitting to the Pay Centre.</p>
<div class="mrgn-lft-lg">
<div class="form-group">
<label for="ts_name">Trusted source name </label>
<input size="45" maxlength="45" class="form-control mrgn-bttm-sm" type="text" id="ts_name" name="ts_name">
</div>
<div class="form-group">
<label for="ts_email">Email address<span class="wb-invisible"> of trusted source</span> </label>
<input size="45" maxlength="45" type="email" id="ts_email" name="ts_email" class="form-control mrgn-bttm-sm">
</div>
<div class="form-group">
<label for="ts_phone">Telephone number<span class="wb-invisible"> of trusted source </span> (999-999-9999) </label>
<input size="45" maxlength="45" type="tel" id="ts_phone" name="ts_phone" class="form-control mrgn-bttm-sm {validate:{pattern: /^\d{3}-\d{3}-\d{4}$/}}"
title="The value entered does not matched the format of the field = "999-999-9999"">
</div>
</div>
</section>
</section>
<div class="mrgn-tp-md mrgn-bttm-lg form-inline hidden-print">
<input type="submit" class="btn btn-primary" value="Print" id="print-button">
<input type="reset" class="btn btn-default" value="Clear data">
</div>
<p><abbr title="Public Services and Procurement Canada">PSPC</abbr>-<abbr title="Services publics et Approvisionnement Canada" lang="fr">SPAC</abbr> 446-5E-v08 (10/2023)</p>
</form>Text Content
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YOU ARE HERE:
1. Home
2. Public service and military
3. Pay, pension and benefits
4. Pay for the public service
PAY ACTION REQUEST FORM 446-5E
IMPORTANT NOTICE
The Pay Action Request (PAR) form have changed effective October 23, 2023.
Please be advised that the Pay Action Request (PAR) forms, 446-5E/446-6E, have
been revised and implemented effective October 23, 2023. There will be a 10 week
grace period to accommodate the previous versions of these forms until 23:59 PST
(Pacific Standard Time), Friday, December 29, 2023. Once the grace period has
elapsed, the outdated versions will be rejected and returned to you for
resubmission. Thank you for your cooperation and assistance as we transition to
the updated versions.
Government of Canada employees served by the Public Service Pay Centre may use
this form to make pay-related requests.
* Departments and agencies served by the Public Service Pay Centre
Please do not disclose confidential information about yourself or your accounts
with Public Services and Procurement Canada. Please read our privacy notice
statement.
PRIVACY NOTICE STATEMENT
The personal information obtained in this form is collected on a voluntary basis
pursuant to the Department of Public Works and Government Services Act, sections
5, 12 and 13, in accordance with TBS Guideline on Financial Management of Pay
Administration and the Financial Administration Act. The personal information
will be used by the Pay Administration Branch (PAB) of Public Services and
Procurement Canada (PSPC) to process compensation services and benefits
requests. Refusal to provide the requested information may delay or prevent the
processing of your pay action request. The personal information is described in
the PSPC Personal Information Bank PCE 705 (Public Service Pay Program) and TBS
standard Personal Information Bank PSE 904 (Pay and Benefits). Your personal
information is protected, used, disclosed, retained and/or disposed of in
accordance with the Privacy Act. Under the Privacy Act, individuals have the
right to access and to request correction of their personal information, if
erroneous or incomplete. In some cases, information may be disclosed as
authorized by PSPC ATIP pursuant to subsection 8(2) of the Privacy Act. The
personal information provided in this process will be retained for a period of 2
years following the last administrative action, and then destroyed.
If you require clarification about this Privacy Notice, you may contact the
Public Services and Procurement Canada’s Access to Information and Privacy
Directorate by email at TPSGC.ViePrivee-Privacy.PWGSC@tpsgc-pwgsc.gc.ca. If you
are not satisfied with the response to your privacy concern, or if you wish to
file a complaint about the handling of your personal information, you may
contact the Office of the Privacy Commissioner of Canada at 1-800-282-1376.
If you are enclosing information at a Protected B level with your PAR, it is
your responsibility to ensure that the email itself is encrypted when
communicating via electronic mail. In the event that issues arise when
communicating Protected B information via email, you may alternatively send your
documentation to the Pay Centre via secure facsimile at 1-855-393-1559.
By completing and submitting this form, you acknowledge that you have read and
understood this notice and that the information submitted is true and accurate.
ISSUE WITH FILLABLE PDF FORMS
Please note there are known conversion issues when fillable forms are updated or
completed through Internet browsers. This also impacts the subtype not being
displayed on the Pay Action Request form when accessing through this method.
This affects clients both in work (government networks) and home environments
(personal computers).
Workaround:
1. Download the PDF version of the requested form on your desktop
2. Right click to select 'Open With' in either Adobe Acrobat, Foxit PDF Editor,
or Kofax Power PDF.
Do not open or edit the form within Microsoft Edge, Google Chrome, Apple Safari,
Mozilla Firefox or other browsers.
Pay action request form 446-5E
PDF: 891KB
Protected "B" when completed
Date (yyyy-mm-dd) (required)
PAY CENTRE MAILING ADDRESS
Public Service Pay Centre: Mail facility
PO Box 6500
Matane QC G4W 0H6
Pay Centre Fax: 1-855-393-1559
Pay Centre Email: centredepaye.paycentre@tpsgc-pwgsc.gc.ca
INSTRUCTIONS
For pay services that are provided by the Public Service Pay Centre, please
complete one (1) Pay Action Request (PAR) Form for each individual employee and
attach any required documentation. Note that the Pay Centre will treat these
documents as originals. (* Denotes Mandatory Fields)
If your department offers a Centralized Trusted Source or PAR Form Review unit,
you are encouraged to send all requests to them first, as they will ensure that
your request and documentation are fully complete and will then submit to the
Pay Centre on your behalf.
SECTION 1 - EMPLOYEE INFORMATION
First name (required)
Personal record identifier (required)
Last name (required)
Case number (ex: 01234567)(If applicable)
Email address (required)
Telephone number (999-999-9999)
Department or Agency (required)
Please choose a Department or Agency Agriculture and Agri-Food Canada
(includes National Farm Products Council of Canada) Canada School of Public
Service Canadian Dairy Commission Canadian Food Inspection Agency Canadian Grain
Commission Canadian Heritage Canadian Northern Economic Development Agency
Canadian Radio-Television and Telecommunications Commission Civilian Review and
Complaints Commission for the RCMP Copyright Board Canada Correctional Services
Canada Crown-Indigenous Relations and Northern Affairs Canada Employment and
Social Development Canada Environment and Climate Change Canada Federal Economic
Development Agency for Southern Ontario Finance Canada Fisheries and Oceans
Canada Global Affairs Canada Health Canada Immigration and Refugee Board of
Canada Immigration, Refugees and Citizenship Canada Impact Assessment Agency of
Canada Indigenous Services Canada Innovation, Science and Economic Development
Canada Justice Canada Law Commission of Canada Leaders’ Debates Commission
National Defence National Film Board Natural Resources Canada Office of the
Correctional Investigator Parks Canada Parole Board of Canada Patented Medicine
Prices Review Board Privy Council Office Public Health Agency of Canada Public
Prosecution Service of Canada Public Safety Canada Public Service Commission of
Canada Public Services and Procurement Canada RCMP External Review Committee
Royal Canadian Mounted Police Secretariat of the National Security and
Intelligence Committee of Parliamentarians Shared Services Canada Treasury Board
of Canada Secretariat Veterans Affairs Canada (except 1200 employees that remain
under the St-Anne’s Hospital) Veterans Review and Appeal Board
SECTION 2 - WORK TYPE (SELECT ONE)
Please select the work type for this request: (required) BenefitsChange in
EmploymentChequeCommunication with 3rd partiesCopy of Pay FileDebt to the
CrownDeductionsDirect Deposit - exceptionEmergency Salary Advance (ESA) /
Priority Payment (PP)Entitlements (Non Automated Allowances)Extra Duty
PayGrievance SupportLeaveNew HirePerformanceRecovery of
OverpaymentsRehireStudentTax Slips (T4) & Records of
EmploymentTerminationTimesheetsTransfer
SECTION 3 - SUB-TYPE (SELECT ONE)
Please select the sub-type for this request (required)
Effective date (YYYY-MM-DD) (required)
SECTION 4 - REQUESTOR (STAFFING/LABOUR RELATIONS/LIAISON/MANAGER)
Name of requestor (required)
Email address of requestor (required)
Telephone number of requestor (999-999-9999)
COMMENTS
Comments:
AUTHENTICATION BY DEPARTMENTAL TRUSTED SOURCE
SECTION 5: TRUSTED SOURCE
For pay actions requiring authorization, Departmental Trusted Source is
responsible for authenticating appropriate approvals before submitting to the
Pay Centre.
Trusted source name
Email address of trusted source
Telephone number of trusted source (999-999-9999)
PSPC-SPAC 446-5E-v08 (10/2023)
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Date modified: 2023-10-23
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