Unmarried partner nomination form - Pensions

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2.4 About your status – Please ensure that all documents supplied are the originals or a certified true copy Single (not previously married) Married Please give date / / (enclose your marriage certificate and spouse‟s birth certificate) Civil Partnership Please give date / / (enclose your civil partnership registration and civil partners birth certificate) Widowed/surviving partner Please give date / / (enclose your spouse‟s or civil partners death certificate) Divorced or dissolved civil partnership Please give date / / (enclose your decree absolute or certified civil partnership dissolution order) 2.5 About your spouse/civil partner Your spouse‟s or civil partner‟s surname Your spouse‟s or civil partners other names Your spouse‟s or civil partner‟s date of birth / / Your spouse‟s or civil partner‟s NI No. 2.6 Have you any dependant children? No Yes Please give details below Surname Forenames Gender (M/F) Date of birth Continue on a separate sheet if needed Part 3 Type of Pension and Retirement Lump Sum 3.1 Why are you claiming your deferred benefits? Please tick the box(es) which applies to you. Retirement based on age* *For Existing Deferred Members your benefits may be actuarially reduced to take account of this Early payment of benefits based on ill-health grounds Commuted early payment of benefits based on ill-health grounds Date you are claiming your benefits from 2
3.2 Benefits - If you need a pension benefits estimate to help you decide how much lump sum you need, please see Notes Page 6 which will tell you how to request one. Do you wish to give up part of your pension Yes continue below No go to part 4 to receive a lump sum or if you are an Existing Deferred Member a higher lump Sum? If YES do you want the maximum Yes go to part 4 No continue below lump sum permitted? If NO, please specify the amount required not more than the maximum amount permitted Amount of lump sum £ (whole pounds only) 3.3 Trivial Commutation of Pension If your pension entitlement is small you may be able to claim your pension on grounds of Triviality. Do you wish to claim your pension benefits Yes continue below No go to part 4 on the grounds of triviality? Is your overall pension fund value from all Yes No your pension‟s schemes, including the Unified Scheme less than £18,000 (or overall pension entitlement less than £900 pa)? Part 4 – Employment Details What was the name of your last IOM Government Employer? What date did you leave? / / What was your job title? Are you currently working for the Yes No IOM Government? If YES, where are you employed? What date will you be leaving? We cannot pay your pension without this information Do you intend to work for the IOM Yes No Government after you get your pension? If yes, please provide the name and address of your employer Name Address Postcode 3
Page 1: GUS 4 Public Sector Pensions Author
Page 5 and 6: Part 6 - Declaration Please sign an
Page 7 and 8: An allowance may be paid if the chi
Page 9: If you are claiming benefits from t

Unmarried partner nomination form - Pensions

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