Election to purchase Additional Pension Before completing this form, please read the ‘Additional Pension’ factsheet available on our website Part A - To be completed by the member Section 1 About you – Surname First names NI number Date of birth / / Membership SD number Payroll number Address Section 2 About your Additional Pension – Amount to be purchased £ To be payable from: / / Age 60 or Age 65 (1995 Section members) Age 65 (2008 Section members) Normal Pension Age (2015 Scheme members) Type of cover: Self only Self only and dependants Purchase arrangement: Installments Lump sum Payment period: years Date of application: / / Total amount payable: £ Monthly payment: £ You must give this application form to your employer within six weeks of the date of application. Failure to do so may increase the cost of your Additional Pension and could reduce the period available for payment of installments. Section 3 Member declaration – I confirm that I have read the factsheet, which explains the basic ‘Additional Pension’ rules for the purchase of an Additional Pension.
Election to purchase Additional Pension Before completing this form, please read the ‘Additional Pension’ factsheet available on our website Part A - To be completed by the member Section 1 – About you Surname First names NI number Date of birth / / Membership number SD Payroll number Address Section 2 – About your Additional Pension Amount to be purchased £ To be payable from: / / Age 60 or Age 65 (1995 Section members) Age 65 (2008 Section members) Normal Pension Age (2015 Scheme members) Type of cover: Self only Self only and dependants Purchase arrangement: Installments Lump sum Payment period: years Date of application: / / Total amount payable: £ Monthly payment: £ You must give this application form to your employer within six weeks of the date of application. Failure to do so may increase the cost of your Additional Pension and could reduce the period available for payment of installments. Section 3 – Member declaration I confirm that I have read the ‘Additional Pension’ factsheet, which explains the basic rules for the purchase of an Additional Pension.
Added%20benefits-AP1-20180518-%28V5%29.docx