9 Present status Please tick the appropriate box: I am currently married; I am currently in a civil partnership; I have a co-habiting partner; Or None of the above apply (for example, you are single, a widow or widower, divorced, etc) Notes: If you are married or in a civil partnership and have not previously sent the Marriage or Civil Partnership Certificate to us, please attach the Certificate to this form. The Certificate will be treated confidentially and returned promptly. If you are cohabiting with a partner please attach the following so we can verify that the cohabitation conditions for entitlement to a pension have been met [Administering authority to enter survivor’s information required by the administering authority to verify that the cohabitation conditions have been met for 2 years as at the relevant date] 10 Full name & address of the registered occupational pension scheme & scheme administrator (if different) to which you want your LGPS rights in the XXXX Pension Fund to be transferred (if more than one Post code scheme please give second scheme details on separate sheet and indicate in what proportions you would like the transfer payment to be split between the schemes)
9 Present status Please tick the appropriate box: I am currently married; I am currently in a civil partnership; I have a co-habiting partner; Or None of the above apply (for example, you are single, a widow or widower, divorced, etc) Notes: If you are married or in a civil partnership and have not previously sent the Marriage or Civil Partnership Certificate to us, please attach the Certificate to this form. The Certificate will be treated confidentially and returned promptly. If you are cohabiting with a partner please attach the following so we can verify that the cohabitation conditions for entitlement to a survivor’s pension have been met [Administering authority to enter information required by the administering authority to verify that the cohabitation conditions have been met for 2 years as at the relevant date] 10 Full name & address of the registered occupational pension scheme & scheme administrator (if different) to which you want your LGPS rights in the XXXX Pension Fund to be transferred (if more than one scheme please give second scheme details on separate sheet and indicate in what proportions you would like the transfer payment to be split between the schemes) Post code
FCTDv7.0c.docx