Form SM R9 App Request to NHS Pensions to protect pensionable pay – Dear Sir/Madam, NHS Pension Scheme enquiry Preservation of Pensionable Pay (Please complete all – Surname Other Names National Insurance Number Payroll Number Start date of reduced pay or mark time (Only answer and tick one of the following 2 questions): 1. I wish to apply for protection of my pensionable pay, as I have suffered a reduction through no fault of my own within the last 3 months due to the following reason: (Please state reason here for example: reorganisation Please provide further information on a separate sheet if required) – 2. I wish to apply for voluntary pay protection as I have down’ to a less demanding ‘stepped role with less responsibility within the last 15 months (Please provide further information the step down example: move from an AFC band 7 to band 6 post) –for Signature Date Note for the employer: For guidance, please refer to the instructions on the form R9 EA” held within the toolkit “SM section of the NHS Pensions website.
Form SM R9 App – Request to NHS Pensions to protect pensionable pay Dear Sir/Madam, NHS Pension Scheme enquiry – Preservation of Pensionable Pay (Please complete all Surname Other Names National Insurance Number Payroll Number Start date of reduced pay or mark time (Only answer and tick one of the following 2 questions): 1. I wish to apply for protection of my pensionable pay, as I have suffered a reduction through no fault of my own within the last 3 months due to the following reason: (Please state reason here – for example: reorganisation Please provide further information on a separate sheet if required) 2. I wish to apply for voluntary pay protection as I have ‘stepped down’ to a less demanding role with less responsibility within the last 15 months (Please provide further information the step down –for example: move from an AFC band 7 to band 6 post) Signature Date Note for the employer: For guidance, please refer to the instructions on the form “SM R9 EA” held within the toolkit section of the NHS Pensions website.
SM_R9_App_members_(V2)_05%202012.docx