Member Forms

Set out below are forms for members:

Change of address

  • If you wish to inform us of a change in address please contact us via our contact page. Choose the change of address option in the query menu. Alternatively, you can print off and complete this form and send it to NHS Pensions.
     

Application Forms

  • AW8P- Application form and guidance notes to claim deferred benefits. Please note that you should complete the census form below with your application. Please also read Booklet R before completing this form.  If you live abroad please read the bank payments overseas factsheet and complete the bank mandate form applicable to the country your bank account is held in.  The bank mandate forms can be found by clicking here.
  • Census Form 
  • RF12 (PFD 49KB): Refund of contributions – use for all staff. Criteria for claiming a refund: the member must be under normal scheme retirement age, have ceased membership of the Scheme and have less than 2 calendar years membership.
  • AW158 (PDF): Application form for child allowance where pensionable scheme membership ended after 1/4/2008. Please read Booklet R before completing this form.
  • AW158-pre 1/4/2008 (PDF): Application form for child allowance where pensionable scheme membership ended before 1/4/2008. Please read Booklet R before completing this form.
  • AW8PC (PDF 216KB) - Application form for Pension Credit Members to claim benefits awarded to them by a Pension Sharing Order. Please also read Booklet D before completing this form.
  • AW240 -  Application for consideration of entitlement for early payment of deferred benefits due to ill health.
  • AP1 - Election to purchase Additional Pension
  • AW341 (PDF 37KB): A form to commute ill-health retirement benefits for members who are terminally ill.  This form must be attached to your retirement application form. (AW8 or AW8P)
  • AW341a (PDF 131KB): An application to commute age retirement benefits for members who are terminally ill and over the normal pension age.  This form must be attached to your retirement application form. (AW8 or AW8P)
  • SM R9 App - An Application form and notes for members to apply for Protection of Pay or Voluntary Protection of Pay.

Nomination Forms

  • DB1 - Death Benefit Nomination for membership that ended before 1 April 2008
  • DB2 - Death Benefit Nomination for membership that started or continued from 1 April 2008
  • PN1 - Non registered civil partner/married partner nomination
  • NOM1- Cancelling an existing Nomination
     

GP Forms

GP Providers and non-GP Providers Certificates

2010/11 GP (and non GP) Providers Annual Certificate of Pensionable Profits 2010/11

2010/2011 Type 2 Medical Practitioner Self Assessment of Tiered Contributions     

2009/2010 Limited Company

2009/2010

Estimates of Pensionable Earnings (GMS/PMS/APMS Practice)

2009/2010 Type 2 Medical Practitioner Self Assessment of Tiered Contributions

2008/2009 Limited Company

2008/2009

2007/2008 Limited Company

2007/2008

2006/2007 Limited Company

2006/2007

2005/2006

Pensions & Divorce

Complaints & Disputes