CPT30 - fill out and auto calculate/complete form online

Canada Revenue
Agency

Agence du revenu
du Canada

Protected B when completed

Election to Stop Contributing to the Canada Pension Plan,
or Revocation of a Prior Election

Use this form if you are an employee who is at least 65 years of age but under 70, you are receiving a Canada Pension Plan (CPP) or Quebec Pension
Plan (QPP) retirement pension, and one of the following applies:

•

you are making or will be required to make CPP contributions and you do not want to contribute

•

you stopped making CPP contributions in a previous year and you want to restart

Do not use this form if one of the following applies:

•

your income is only from self-employment earnings, in which case you should fill out Schedule 8, Canada Pension Plan contributions and overpayment,
or Form RC381, Inter-Provincial Calculation for CPP and QPP Contributions and Overpayments, instead, and file it with your income tax and benefit
return

•

you only contribute to the Quebec Pension Plan. For more information, visit revenuquebec.ca/en

Send the original completed form to the Winnipeg Tax Centre. Go to page 2 for instructions on how to fill out this form and other helpful information.

Part A – Identification

First name and initials

Last name

Social insurance number (SIN)

Mailing address: apartment number – street number and name

City

Province or territory

Postal code

Date of

Year

Month

Day

birth

Part B – Eligibility

Are you an employee who is at least 65 years of age but under 70?

Yes

Are you receiving a CPP or QPP retirement pension?

Yes

If you answered yes to questions 1 and 2, go to question 3 below. If you answered no to either question,
you cannot fill out this form at this time.

Earlier in this calendar year, did you elect to stop making CPP contributions OR revoke an election so you

Yes

can restart making CPP contributions?

If you answered yes to question 3, you cannot fill out this form until next year.

If you answered no to question 3, fill in Part C to stop making CPP contributions, or Part D to restart making
CPP contributions, whichever applies.

Part C – Election and certification

If you fill out this part, do not fill out Part D.

I want to stop making CPP contributions. I certify that the information given on this election is correct and complete.

Date

Signature of employee

Year Month Day

Part D – Revocation and certification

If you fill out this part, do not fill out Part C.

I want to restart making CPP contributions. I certify that the information given on this revocation is correct and complete.

Date

Signature of employee

Year Month Day

Personal information (including the SIN) is collected for the purposes of the administration or enforcement of the Income Tax Act and related programs and activities including
administering tax, benefits, audit, compliance, and collection. The information collected may be used or disclosed for purposes of other federal acts that provide for the imposition and
collection of a tax or duty. It may also be disclosed to other federal, provincial, territorial, or foreign government institutions to the extent authorized by law. Failure to provide this
information may result in interest payable, penalties, or other actions. Under the Privacy Act, individuals have a right of protection, access to and correction of their personal information,
or to file a complaint with the Privacy Commissioner of Canada regarding the handling of their personal information. Refer to Personal Information Bank CRA PPU 070 on Info Source at
canada.ca/cra-info-source.

CPT30 E (23)

(Ce formulaire est disponible en français.)

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