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E-FORM 00546 (09/2017)
Beneficiary Designation Form
to make or change a beneficiary designation
Standard Beneficiary Designation with Contingent Options
Note to Annuitants Domiciled in Quebec: Beneficiary designations are not accepted on registered plans.
RBC Direct Investing® Account #:
__
Annuitant name:
Type of plan:
RRSP RRIF LIF PRIF
LIRA LRIF RLSPRLIF
This beneficiary designation forms part of the application and declaration of trust under the identified retirement savings
plan or retirement income fund (the “Plan”), and will apply to all property held under the Plan on my death.
Successor Annuitant / Beneficiary Designation
surname
first name
address
Social Insurance Number
(if available)
city, province, postal code
Relationship to Annuitant
Spouse
Common-law Partner
Other (specify):
Please check box if electing for Successor Annuitant:
Successor Annuitant Election
(Applicable for RRIF, LIF, LRIF, RLIF, and PRIF Plans Only)
If my Plan is a retirement income fund, and if the person identified above is my spouse or common law partner who
survives me, I elect to have my spouse or common law partner continue to receive all Plan payments after my death as my
successor annuitant. If my successor annuitant survives me, I acknowledge that I cannot designate a beneficiary under the
plan.
If I have not elected to have a successor annuitant, in accordance with the declaration of trust under the above identified
retirement income fund, or if I am an annuitant of a retirement savings plan, I hereby revoke all previous beneficiary
designations made in respect of the Plan, including any such designation made in my will, and I designate the person
identified above as the Plan beneficiary entitled to receive all amounts payable under the Plan upon my death.
If the person identified above predeceases me, or dies at the same time as me, or in circumstances rendering it impossible to
determine which of us died first, then I designate the person(s) identified on the second page as the beneficiary(s) of my
Plan to receive their Percentage of Entitlement (as indicated on the second page) of the proceeds of the Plan on my death.
In certain provinces or territories, a beneficiary designation, or any revocation thereof, can only be made by will. In some
cases, the rights of my spouse or partner as may be defined under applicable provincial law may override any such
beneficiary designation. Also, a beneficiary designation will not automatically change as a result of a future relationship or
relationship breakdown; it may be necessary to designate a new beneficiary for this purpose.
I am solely responsible for ensuring that this beneficiary designation is valid under the laws of Canada, its provinces or
territories and that this designation is changed when appropriate. If I am domiciled in Canada when I die, I acknowledge that
this beneficiary designation will be governed by the laws of my province or territory of domicile at the time of my death. If I
am not domiciled in Canada at the time of my death, then the laws of the province or territory where I was domiciled at the
time of execution of this form will apply. Otherwise, the laws of Ontario will apply.
I declare that any property passing to a beneficiary from the Plan, the value of such property, and any and all income or
capital gain or other benefit arising from such property, shall remain the exclusive property of a beneficiary and shall be
excluded from a beneficiary’s net family property or community of property or the value of a beneficiary’s assets for the
purposes of division of property on a beneficiary’s separation, divorce, annulment or death as contemplated by any statute
dealing with matrimonial or family property in any jurisdiction to the extent allowed by law.
