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24 www.optrust.com Spousal Waiver of Survivor Benefit Entitlement This form must be completed and delivered to the OPSEU Pension Trust (the Trust ) pursuant to Article 10.8(5) of the Ontario Public Service Employees Union Pension Plan. Before completing this form, each party should consider obtaining independent legal advice concerning their individual rights and benefit entitlements. Former Member s Social Insurance Number I, , the Former Member and I, , the Spouse her.

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