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Unmarried partner nomination form - Pensions

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Deferred Benefits Claim Form<br />

Guidance Notes for Applicants<br />

General<br />

Before you complete the claim <strong>form</strong> you may need to read the scheme member guide or download<br />

further in<strong>form</strong>ation from the PSPA website at www.pspa.im<br />

Requesting an Estimate<br />

Your annual statement will give you an estimate of the pension and lump sum benefit that is payable to<br />

you at retirement. If you need an up to date estimate, you can request one by emailing<br />

pensions@pspa.im To help us deal with your request, please include your full name, address, date of<br />

birth and scheme reference number (this can be found on your annual statement). Please also include<br />

the date you wish to claim your benefits from.<br />

Part 1 Your PSPA or Scheme Reference Number<br />

Please enter your reference number. It will usually be stated on any correspondence from us. If you<br />

don‟t know it, leave this blank.<br />

Part 2 – About Yourself<br />

2.1 Personal Details<br />

Please enter details about yourself including your contact telephone number and email address, if you<br />

have one. You must enclose your original birth certificate or an original certified copy of it. If you do not<br />

have an original birth certificate you may send your original passport. All documents will be returned to<br />

you promptly. If you prefer, you can call in to our offices in Douglas and we will take a copy of your birth<br />

certificate or passport.<br />

2.2 and 2.3 Verification of Identity and Address<br />

As with any type of financial claim, we need to ensure you are who you say you are and that you live at<br />

the address you have provided. We verify this in<strong>form</strong>ation by requesting sight of a:<br />

<br />

<br />

Photographic identity (by way of a original or certified copy of your driving licence or passport)<br />

and<br />

An original utility bill or bank statement<br />

2.4 and 2.5 About Your Adult Dependants<br />

It is important that your tell us your current status and supply details of your spouse or civil <strong>partner</strong>, if<br />

you have one. This in<strong>form</strong>ation is used in the event of your death and in<strong>form</strong>s us if there is any<br />

survivor‟s benefits payable if you die before your spouse or civil <strong>partner</strong>. Having these details will speed<br />

up the payment of any survivor‟s benefits due and will also put less strain on your dependants at that<br />

time. You must enclose original or certified copies of any certificate or documents asked <strong>form</strong>.<br />

Photocopies are not acceptable. If you have previously nominated a <strong>partner</strong> by sending us Form GUS 4,<br />

please refer to this here.<br />

2.6 Dependant Children<br />

A child allowance may be payable on your death. The terms „child allowance‟ and „child‟ can cover a<br />

number of other possible dependants as well as your own children – see below for more in<strong>form</strong>ation.<br />

6

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