Heading
|
Description
|
Type, Size
|
Comments & Examples
|
LASTNAME
|
Recipient last name
|
Text, 30
|
Required
|
FIRSTNAME
|
Recipient first name
|
Text, 30
|
|
INITIAL
|
Recipient initial
|
Text, 1
|
|
ADDRESS1
|
Address line 1
|
Text, 50
|
|
ADDRESS2
|
Address line 2
|
Text, 50
|
|
CITY
|
City
|
Text, 28
|
|
PROV
|
Province code
|
Text, 2
|
|
POSTAL
|
Postal code (including space)
|
Text, 10
|
|
COUNTRY
|
Country, in address
|
Text, 3
|
|
SIN
|
Social insurance number
|
Text, 9
|
|
FHSACONTRACTNUMBER
|
FHSA contract number
|
Text, 30
|
|
DATEOFBIRTH
|
Recipient date of birth
|
Date
|
Mmm, dd, yyyy
|
DATEOFDEATH
|
Recipient date of death
|
Date
|
Mmm, dd, yyyy
|
HOLDERDEATHFAIRMARKETVALUE
|
Fair market value at time of death
|
Currency
|
|
UNIQUESLIPNUMBER
|
Unique slip number (USN)
|
Text, 20
|
|
SLIPSTATUS
|
Slip report type code
|
Text, 1
|
O - Original,
A - Amended or
C - Cancelled
|
FHSANEWACCOUNTINDICATOR
|
New FHSA account indicator
|
Yes/No
|
|
FHSAACCOUNTCLOSEDINDICATOR
|
FHSA account closed indicator
|
Yes/No
|
|
FHASACCOUNTCLOSEDDATE
|
FHSA account closed date
|
Date
|
Mmm, dd, yyyy
|
FHSASUCCESSORACCOUNTINDICATOR
|
Successor holder account indicator
|
Yes/No
|
|
FHSABENEFICIARYINDICATOR
|
FHSA beneficiary indicator
|
Yes/No
|
|
TOTALHFSADISTRIBUTIONBENEFICIARYCOUNT
|
Total number of beneficiaries
|
Numeric, 6
|
|
DECEASEDACCOUNTHOLDERFHSACONTRACTNUMBER
|
Deceased account holder FHSA contract number
|
Text, 30
|
|
DECEASEDACCOUNTHOLDERSIN
|
Deceased account holder SIN
|
Text, 9
|
|
DECEASEDACCOUNTHOLDERDEATHDATE
|
Deceased account holder date of death
|
Date
|
Mmm, dd, yyyy
|
CALENDARYEARENDFAIRMARKETVALUE
|
Calendar year-end fair market value
|
Currency
|
|
TRANSACTIONDATE
|
Transaction date
|
Date
|
Mmm, dd, yyyy
|
TRANSACTIONSEQUENCE
|
Transaction sequence on this day for this USN
|
Numeric, 10
|
|
CONTRIBUTION
|
Contribution
|
Currency
|
|
FHSADEEMEDTRANSFER
|
FHSA deemed transfer
|
Currency
|
|
QUALIFYINGWITHDRAWAL
|
Qualifying withdrawal
|
Currency
|
|
TAXABLEWITHDRWAL
|
Taxable withdrawal
|
Currency
|
|
INCOMETAXDEDUCTED
|
Income tax deducted
|
Currency
|
|
FHSATRANSFERIN
|
FHSA transfer in
|
Currency
|
|
FHSATRANSFEROUT
|
FHSA transfer out
|
Currency
|
|
RRSPTRANSFERIN
|
RRSP transfer in
|
Currency
|
|
SPOUSALRRSPTRANSFERIN
|
Spousal RRSP transfer in
|
Currency
|
|
FAIRMARKETVALUEIMMEDIATLYPRIORTRANSFEROUT
|
Fair market value immediately prior to transfer out
|
Currency
|
|
RRSPRRIFTRANSFEROUT
|
RRSP/RRIF transfer out
|
Currency
|
|
DESIGNATEDRRSPRRIFTRANSFEROUT
|
Designated - RRSP/RRIF transfer out
|
Currency
|
|
DESIGNATEDWITHDRAWAL
|
Designated - withdrawal
|
Currency
|
|
FHSABENEFICIARYDISTRIBUTIONOUT
|
FHSA beneficiary distribution out
|
Currency
|
|
FHSABENEFICIARYDISTRIBUTIONRECEIVED
|
FHSA beneficiary distribution received
|
Currency
|
|
FHSATRANSFEROUTTOSURVIVOR
|
FHSA transfer out to survivor
|
Currency
|
|
RRSPRRIFTRANSFEROUTTOSURVIVOR
|
RRSP/RRIF transfer out to survivor
|
Currency
|
|
SURVIVORFHSATRANSFERIN
|
Survivor FHSA transfer in
|
Currency
|
|
FHSACESSATIONHOLDERDEEMEDRECEIVED
|
Amount deemed received on FHSA cessation
|
Currency
|
|
SECURITYFORLOAN
|
Security for a loan
|
Currency
|
|
NONQUALIFIEDINVESTMENTACQUISITION
|
Acquisition of non-qualified investment
|
Currency
|
|
NONQUALIFIEDINVESTMENTDISPOSITION
|
Disposition of non-qualified investment
|
Currency
|
|
MARRIAGEBREAKDOWNFHSATRANSFERIN
|
Marriage breakdown - FHSA transfer in
|
Currency
|
|
MARRIAGEBREAKDOWNFHSATRANSFEROUT
|
Marriage breakdown - FHSA transfer out
|
Currency
|
|
MARRIAGEBREAKDOWNRRSPRRIFTRANSFEROUT
|
Marriage breakdown - RRSP.RRIF transfer out
|
Currency
|
|
ACCOUNTHOLDERFORMERSPOUSEFAMILYNAME
|
Family name of former spouse or common-law partner
|
Text, 30
|
|
ACCOUNTHOLDERFORMERSPOUSEGIVENNAME
|
Given name of former spouse or common-law partner
|
Text, 30
|
|
ACCOUNTHOLDERFORMERSPOUSESIN
|
SIN of former spouse or common-law partner
|
Text, 9
|
|
TEXTATTOP
|
Optional text to print at top of slip
|
Text, 15
|
|
EMAILADDRESS
|
Recipient email address
|
Text, 255
|
eForms Enterprise only
One email address, or two separated by a semi-colon
|
OKTOEMAILSLIP
|
Permission granted to email slip
|
Yes/No
|
eForms Enterprise only
|
COMPANY.NAME1
|
Company associated with slip
|
Text, 35
|
eForms Enterprise only
|
COMPANY.COMPANYTAG
|
Tag associated with company name
|
Text, 10
|
eForms Enterprise only
|
SLIPTAG
|
Subset tag
|
Text, 10
|
eForms Enterprise only
|
CUSTOMFIELD
|
GUID or other unique identifier
|
Text, 50
|
eForms Enterprise only
|
CUSTOMPASSWORD
|
Password for recipient PDF slip
|
Text, 20
|
eForms Enterprise only
|