Avon Pension Fund
Administered by Bath and North East Somerset Council
Administered by Bath and North East Somerset Council
Employers Forms| Introduction to Employers' Forms |
| This section of the website contains all the forms in use by the Pension Fund, they are available in two formats 'Portable Document Format' (PDF) and also 'Microsoft Word' format. Please follow the link next to each LGPS Form to download the required form in the specific format. |
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| If you are unable to access the below formats you can download a FREE viewer to access both Word & PDF format | |||||||||
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| LGPS 01 - Pension Scheme Membership Form | ||||||||||||
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| LGPS 01A - Transfer Enquiry Authorisation Form | ||||||||||||
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| LGPS 02 - Notification of a New Pensionable Employee Form | ||||||||||||
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| LGPS 03 - Notification of Changes during Pensionable Employment | ||||||||||||
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| LGPS 04 - Opting Out Form | ||||||||||||
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| LGPS 05 - Certificate of Protection of Pensions Benefits | ||||||||||||
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LGPS 06 - Leave of Absence which extends beyond 30 days Payment Contributions |
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| LGPS 07 - Maternity / Adoption Leave-Payment of Contributions | ||||||||||||
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| LGPS 08 - Absence due to a Trade Dispute in Payment of Contributions | ||||||||||||
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| LGPS 15 - Leaving the Pension Scheme | ||||||||||||
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| LGPS 17A - Ill-Health Certificate | ||||||||||||
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| LGPS 17B - Ill-Health Certificate for Councillors | ||||||||||||
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| LGPS 17C - Ill-Health Certificate - Tier 3 - 18 Month Review | ||||||||||||
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| LGPS 17D - Ill-Health Certificate - Suspended Tier 3 Review | ||||||||||||
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| LGPS 18A - Ill-Health Certificate - Deferred Benefits pre 1.4.1998 | ||||||||||||
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| LGPS 18B - Ill-Health Certificate - Deferred Benefits pre 1.4.2008 | ||||||||||||
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| LGPS 18C - Ill-Health Certificate - Deferred Benefits post 1.4.2008 | ||||||||||||
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| LGPS 18D - Ill-Health Certificate for Councillors - Deferred Benefits | ||||||||||||
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| LGPS 19 - Expression of Wish Form | ||||||||||||
| Members of the LGPS can express a wish for any residual cash lump sum death benefits which may be payable to be paid to the persons or organisations of their choice by completing an Expression of Wish Form. | ||||||||||||
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| LGPS 19A - Nomination of Cohabiting Partner for Survivors Pension | ||||||||||||
| Members who were paying into the LGPS on, or after, 1 April 2008 may nominate a cohabiting partner to receive a Survivor’s Pension in the event of their death by competing a ’Nomination of a Cohabiting Partner for Survivor’s Pension Form’. Notes on the back of the form explain who you are able to nominate. | ||||||||||||
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| LGPS 20 - Notice of Retirement / Pension Payment / Partnership Statement / Lifetime Allowance Declaration | ||||||||||||
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| LGPS 22 - Application for Partners and / or Childs Allowances | ||||||||||||
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| LGPS 22A - Dependant Child aged 18 to 23 - Annual Declaration | ||||||||||||
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| LGPS 23 - Request for an Estimate of Pension Benefits | ||||||||||||
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| LGPS 24 - Notice of Election | ||||||||||||
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| LGPS 25 - Occupational Pension Declaration | ||||||||||||
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LGPS 50 - Pension Contributions Monthly Remittance Advice (Sample) (The form, LGPS 50 is for example purposes only, an authorised version will be sent, by the Fund on request) |
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| LGPS 51 - Annual Return of Employees Contributions | ||||||||||||
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| LGPS 52 - Annual Return of Contributions | ||||||||||||
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| LGPS 53 - Authorised Signatories for Certification of Pension Documentation | ||||||||||||
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| LGPS 54 - Authorised Medical Practitioners | ||||||||||||
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| LGPS Councillors' Forms in Use | ||||||||||||
| LGPS 01 - Councillors Pension Scheme Membership Form | ||||||||||||
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| LGPS 19 - Councillors Death Grant Nomination Form | ||||||||||||
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| 21/04/2010 |
