T4A Slips: 1  
   Federal slips: 


T4A - Statement of Pension, Retirement, Annuity, and Other Income
Box Line Description Federal Slip
Payer's name
15 Employer-offered dental benefits
16 Pension or superannuation 16
18 Lump-sum payments 18
20 Self-employed commissions 20
If to be included/reported in your self-employment income on T2125 (line 13899/13900 on T1) (20-1)
If already included/reported in your self-employment income on T2125 (line 13899/13900 on T1) (20-2)
22 Income tax deducted 22
24 Annuities 24
Record due to spouse's death?
28 Other income: 28
Other income (if already included in your self-employment income, e.g., T2125, ...) (other-1)
Other income (no income tax withheld at source) (other-2)
Other income (except above) (other-3)
30 Patronage allocations 30
32 RPP contribution (past service) 32
Contributions for service after 1989 32-1
Contributions for service 1989 and earlier years while were a contributor 32-2
Contributions for service for 1989 and earlier years while not a contributor 32-3
34 Pension adjustment 34
37 Advanced life deferred annuity purchase 37
40 RESP accumulated income 40
42 RESP educational assistance 42
46 Charitable donations 46
48 Fees for services 48
If already included in your self-employment income, e.g., T2125, ... (fees-1)
Regular (except above) (fees-2)
 
104 Research grants 104
105 Scholarships, bursaries, fellowships, artists' project grants, and prizes 105
Tick this box if the amount in box 105 above is not taxable
106 Death benefits 106
107 Payments from a wage-loss replacement plan 107
109 Periodic payments from an unregistered plan 109
116 Medical travel assistance 116
117 Loan benefits 117
118 Medical premium benefits 118
119 Premiums paid to a group term life insurance plan 119
123 Payments from a revoked DPSP 123
125 Disability benefits paid out of a superannualation or pension plan 125
127 Veterans' benefits 127
128 Veterans' benefits eligible for pension splitting 128
130 Apprenticeship incentive grant or Apprenticeship completion grant 130
131 Registered disability savings plan (RDSP) income 131
132 Wage Earner Protection Program 132
133 Variable pension benefits 133
134 Tax-Free Savings Account (TFSA) taxable amount 134
135 Recipient-paid premiums for private health services plans 135
154 Cash award or prize from payer 154
194 PRPP payments 194
196 Tuition assistance for adult basic educations 196
 
197 Canada Emergency Response Benefit (CERB) 197
198 Canada Emergency Student Benefit (CESB) 198
199 Canada Emergency Student Benefit (CESB) for eligible students with disabilities or those with children or other dependents 199
200 Provincial/Territorial COVID-19 financial assistance payments 200
202 Canada Recovery Benefit (CRB) 202
Repayment of CRB above (box 202)
203 Canada Recovery Sickness Benefit (CRSB) 203
204 Canada Recovery Caregiving Benefit (CRCB) 204
   - Tick this box if the amounts in boxes 197, 198, 199, 200, 202, 203, and 204 above are not taxable. (e.g., You are a registered Indian or the income above is exempt from tax under the Indian Act.)
 
201 Repayment of COVID-19 financial assistance 201
   - Tick this box if the amount in box 201 is provincial or territorial COVID-19 benefits repayment
205 One-time payment for older seniors 205
210 Postdoctoral fellowship income 210
211 Canada Worker Lockdown Benefit 211