57.1. The statement provided to a member in application of section 112.1 of the Act shall contain the following information:(1) the name of the member;
(2) the name of the pension plan and the number that Retraite Québec assigned to it;
(3) the date of payment of the early benefit;
(4) in the event that the benefits referred to in section 15.1 were used to pay the benefit:(a) the amount of the benefit paid;
(b) the balance of the value of the benefits after payment of the benefit;
(5) in the event that the benefits referred to in section 15.3 were used to pay the benefit:(a) the amount of the benefit paid;
(b) the amount of the reduction of the member’s pension following payment of the said benefit;
(c) a mention that the amount will be adjusted if the conditions or characteristics of the pension paid under the plan, with the exception of those related to early or postponed payment, are different from those used to determine the amount or if payment of the pension begins on a date other than the date of the normal retirement age.