ESDC SDE 0093-B (2018-01) E
ANNEX B - PCG/Parent
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Employment and
Social Development Canada
Emploi et
Développement social Canada
ANNEX B - Primary caregiver or their spouse and/or custodial
parent/legal guardian
APPLICATION: Canada Education Savings Grant (CESG) and Canada Learning Bond (CLB)
Instructions:
1. This annex is to be completed by the primary caregiver or their spouse, and/or the custodial parent/legal guardian of the
beneficiary. The primary caregiver or their spouse and the custodial parent/legal guardian are often the same person. However,
if they are different, the primary caregiver or their spouse should complete one copy of this annex (except for Section B-2) and
the custodial parent/legal guardian should complete a separate copy (except for Section B-1).
2. Read this document carefully. If you have questions, do not hesitate to ask the Registered Education Savings Plan (RESP)
provider.
3. This annex is valid only if completed, signed, dated and given to the RESP provider. Do NOT send directly to Employment and
Social Development Canada (ESDC).
4. Keep a copy for your records.
RESP provider RESP contract No.
Subscriber's family name (last name) Subscriber's given name (first name)
B-1
Information about the primary caregiver or their spouse
Refer to Section B-7 for
the definitions of primary
caregiver, spouse, and
public primary
caregiver.
This information is needed to assess eligibility for the additional amount of CESG (Additional CESG) and the CLB.
Family name (last name)
Given name (first name) Social Insurance Number (SIN)
Or in the case of a child care agency:
Name of agency Name of agency representative Business number
I am also the custodial parent/legal guardian of the beneficiary.
B-2
Information about the custodial parent/legal guardian
You are the custodial
parent/legal guardian if
you are responsible for
taking care of the child
and have the legal right to
make decisions affecting
their interests.
This section is to be completed by the custodial parent/legal guardian of the beneficiary ONLY if he/she is different
than the primary caregiver or their spouse listed above in Section B-1.
Family name (last name)
Given name (first name)
B-3
Information about the beneficiary
The beneficiary is the
child named by the
subscriber who will
receive the education
savings incentives to help
pay for his or her
post-secondary education
if they qualify under the
terms of the RESP.
Beneficiary's family name (last name)
Beneficiary's given name (first name)
Date of birth (yyyy/mm/dd)
Sex
Male Female
Social Insurance Number (SIN)
Additional beneficiaries indicated in ANNEX A
= Total number of beneficiaries
If you are not the custodial parent/legal guardian, you are not required to provide the SIN (it will be provided by the
custodial parent/legal guardian). You should still complete the remaining fields.
The beneficiary's SIN is to be provided by their custodial parent/legal guardian and the beneficiary's name must be
entered exactly as it appears on their SIN documentation.
ESDC SDE 0093-B (2018-01) E
ANNEX B - PCG/Parent
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Employment and
Social Development Canada
Emploi et
Développement social Canada
B-4
Refusal of the Additional CESG and the CLB
This section is optional
and should ONLY be
used if you DO NOT want
to request the Additional
CESG and/or the CLB.
This section gives the option to NOT request the Additional CESG and/or the CLB in respect of the beneficiary.
Reasons for not requesting these education savings incentives may include:
Note that this section applies to all beneficiaries listed on this form, including ANNEX A.
I DO NOT want to request the CLB for this RESP.
I DO NOT want to request the Additional CESG for this RESP.
B-5
Declaration and consent
You must read this
section and sign to
receive the grants and
bond in this RESP.
The use of singular (such
as beneficiary) also
includes the use of plural
as the context requires.
I understand that the subscriber has authorized the RESP provider to request the trustee to request the CESG and/or
the CLB in respect of the beneficiary.
If I indicated in Section B-1 that I am the primary caregiver or the primary caregiver’s spouse:
If I indicated in Section B-2 that I am the custodial parent/legal guardian of the beneficiary, I confirm that I am this
person and I consent to the use and sharing of the beneficiary's personal information.
I understand that the Privacy Act gives me (or my authorized representative) the right to access or request correction
to my personal information and the beneficiary's (if applicable) kept in the government file.
I confirm that I have read and understood this document, including my privacy rights found in Section B-6, and I have
received a copy of this document, and I consent to the use and sharing of my personal information and the
beneficiary's personal information (if applicable).
Signature
Date (yyyy/mm/dd)
Where to get more information about the Canada Education Savings Program:
Phone: 1 888 276-3624 / 1 800 465-7735 for TTY users only
E-mail: cesp-pcee@hrsdc-rhdcc.gc.ca
Internet: www.canada.ca/RESPresources
I confirm that I am this individual or the public primary caregiver's authorized representative and I designate the RESP
indicated in this document to receive in trust, any payments of the Additional CESG and/or CLB as applicable; and
I understand that in order for a payment of the Additional CESG and the CLB to be made, my personal information will
be verified with the Canada Revenue Agency (CRA) unless the beneficiary is maintained by a department, agency or
institution. My personal information will be provided to ESDC by the CRA.
4. The primary caregiver or their spouse does not consent to share their personal information, in which case the
Additional CESG and CLB cannot be paid.
3. The CLB has already been requested for this beneficiary in another RESP. CLB payments can only be made to one
RESP at a given time.
2. The RESP has more than one beneficiary and they are not all siblings, in which case the Additional CESG and CLB
cannot be paid.
1. The RESP provider does not offer these education savings incentives. The beneficiary will not receive the Additional
CESG or the CLB if they are not offered by the RESP provider. Be sure that you know which ones are offered.
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ESDC SDE 0093-B (2018-01) E
ANNEX B - PCG/Parent
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Employment and
Social Development Canada
Emploi et
Développement social Canada
Your privacy rights
B-6
This section explains why
your information is
collected and how it is
used, shared and
protected. It also explains
how you can access your
personal information.
The personal information you provide is collected under the authority of the Department of Employment and Social
Development Act, the Canada Education Savings Act and the Income Tax Act for the administration of education
savings incentives. The SIN is collected under the authority of the Canada Education Savings Act and in accordance
with the Treasury Board Secretariat's Directive on Social Insurance Number. The beneficiary's SIN is used as the
primary identifier, and the primary caregiver's SIN, or the SIN of their spouse, is used to assess eligibility for the
Additional CESG and the CLB.
You are not obligated to provide any personal information. However, refusal to provide personal information will result in
ESDC being unable to pay the CESG and the CLB to the trustee in respect of the RESP beneficiary.
The personal information you provide may be used by and shared between the following parties for the administration of
the Canada Education Savings Act and the Income Tax Act: ESDC, the CRA, provincial governments where provincial
savings incentives are delivered through ESDC, the RESP provider and its agents, the trustee, and between RESP
providers when transferring RESP assets.
Information may be shared with a third party contracted by ESDC for direct mailings. Information may also be used for
policy analysis, research, statistical and/or evaluation purposes. Information may also be disclosed to Statistics Canada
for research and statistical purposes. However, these additional uses will never result in an administrative decision
being made about you.
Once under the control of ESDC, the information is administered in accordance with the Department of Employment
and Social Development Act, the Canada Education Savings Act, the Privacy Act and all other applicable laws.
You have the right to the protection of, and access to, your personal information. The personal information banks ESDC
PPU 506 and ESDC PPU 390 describe the types of information held by ESDC for the administration of education
savings incentives by the CESP. Instructions for obtaining this information are outlined in the government publication
entitled Info Source, which is available at Canada.ca/infosource-ESDC
. Info Source may also be accessed online at any
Service Canada Centre.
You have the right to file a complaint with the Privacy Commissioner of Canada regarding the institution's handling of
your personal information. Additional information is available at www.priv.gc.ca/en.
B-7
Definitions
These definitions are
provided for your
information only and do
not constitute the legal
definitions. In the event of
a discrepancy, the legal
definitions found in the
Income Tax Act and the
Canada Education
Savings Act shall prevail.
Adjusted income: The adjusted income of a beneficiary's individual primary caregiver is determined by adding together
the net income (line 236 of the income tax and benefit return) for the primary caregiver and his or her cohabiting spouse
or common-law partner (if applicable) and adjusting this family net income by deducting any universal child care benefit
(UCCB) and registered disability savings plan (RDSP) payments received and adding any UCCB and RDSP amounts
repaid.
Canada Education Savings Grant (CESG):
Canada Learning Bond (CLB): $500 paid into an RESP for an eligible beneficiary born after December 31, 2003. An
eligible beneficiary could also receive $100 every year until he or she turns 15 years old for a maximum of $2,000.
Effective July 1, 2017, eligibility for the CLB is based, in part, on the number of qualified children and the adjusted
income of the individual primary caregiver, as outlined in the Canada Education Savings Act. For years prior to July 1,
2016, a beneficiary was eligible for the CLB if the individual primary caregiver was in receipt of the National Child
Benefit Supplement (NCBS) for the beneficiary. From July 1, 2016, to June 30, 2017, a beneficiary was eligible for the
CLB if the individual primary caregiver would have otherwise been in receipt of the NCBS for the beneficiary, had it
continued to be paid for that period.
Custodial parent/legal guardian: Individual, department, agency or institution that has the responsibility of taking care
of the child and the legal right to make decisions affecting the child's interests.
Primary caregiver: Individual who is primarily responsible for the care of the child and is eligible for the CCB, and
whose name appears on the CCB payments and notice. For more information, contact the CCB call centre at:
1 800 387-1193.
Public primary caregiver: Department, agency or institution that receives the allowance payable under the
Children's Special Allowances Act.
RESP provider (also called promoter): Individual or organization offering an RESP to the public and who will open an
RESP for the subscriber.
Spouse: Cohabiting spouse or common-law partner of the primary caregiver, consistent with the meaning assigned in
section 122.6 of the Income Tax Act, who has not been separated from the primary caregiver for more than 90 days
because of a breakdown in the relationship.
Subscriber: Individual or child care agency, who opens an RESP, names one or more beneficiaries and may deposit
money (contributions) into the RESP.
Trustee: Financial organization that invests, administers, and distributes the money in the RESP for the beneficiary.
Additional CESG is an additional amount of either 10% or 20% on the first $500 of annual RESP contributions made
on or after January 1, 2005, on behalf of an eligible beneficiary, up until the end of the calendar year in which the
beneficiary turns 17 years old. The amount of Additional CESG that a beneficiary can receive depends on the adjusted
income of the beneficiary's primary caregiver.
A payment of 20% on the first $2,500 of annual RESP contributions made on behalf of an eligible beneficiary, up until
the end of the calendar year in which he or she turns 17.