Vacation Pay Pick-Up Request

MEMBER INFO

Member LAST NAME *

Member FIRST NAME *

ID # (SIN,Union number, ot BP number) *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Email *

Phone

PICK-UP LOCATION

Please confirm the location where you would like to pick-up your cheque: *

• Ottawa Office – 6 Corvus Court, Ottawa (Friday June 12, 2026 from 9am to 5pm)
• Gatineau Office – 430 Boul. de l’Hôpital, Bureau 200B, Gatineau (Friday, June 12, 2026 from 3pm to 5pm)
• Cornwall Office – 1916 Pitt Street, Suite 4, Unit 6, Cornwall (Friday, June 19, 2026 from 1pm to 5pm)

Please note that your cheque will ONLY be available to be picked up at the location, date and time you choose above.

ACKNOWLEDGEMENTS

I understand and confirm that: *

• I must show a valid picture ID to pickup my vacation pay cheque.

I understand and confirm that: *

• The Vacation Pay Pickup date is as per the above selected location, and my cheque will not be mailed unless I call the office to revoke this request.

I understand and acknowledge that: *

• A member’s signed consent must be on file for anyone other than the member to pickup a cheque and this person must also provide a valid picture ID.

Submit

Vacation Pay Pick-up requests can only be made in the month of May for the June Payout and November for the December Payout. Please contact the office at 613-521-6314 if you need further assistance.

If you have any questions, or require further assistance, please contact the Benefit Office at 613-521-6314.