FORM PEN 3 LOCAL GOVERNMENT PENSION SCHEME ELECTION TO

LOCAL E DATA A NOME COMPLETO DA INSTITUIÇÃO DE
POSITION LOCAL SERVICE DIRECTOR HOURS 13 HOURSWEEKS
0 EN EU LOCAL AND REGIONAL AUTHORITIES

0 ES CONTRIBUCIÓN DE LOS ENTES LOCALES
0 ES LOS ENTES REGIONALES Y LOCALES
0 EU LOCAL AND REGIONAL AUTHORITIES CONTRIBUTING

PEN3 Onscreen Version




FORM

PEN 3


FORM PEN 3 LOCAL GOVERNMENT PENSION SCHEME ELECTION TO


LOCAL GOVERNMENT PENSION SCHEME




ELECTION TO JOIN – MAIN SCHEME


If you would like to join the Scheme, complete the details below and then return this form to your Employer’s payroll department. Please note that membership cannot commence until the first day of the pay period following receipt of your election.



ELECTION TO JOIN THE LOCAL GOVERNMENT PENSION SCHEME


Please complete the following in BLOCK CAPITALS


Surname ……………………………………………….. First name(s) ……………………………………………….


Previous surname(s), e.g. maiden name (if applicable) ……………………………………………………………..


Date of birth ……………………………………………. National Ins. No. …………………………………………


Home address …………………………………………………………………………………………………………...


Employer ………………………………………………………………………………………………………………….


Employment (e.g. job title) ………………………………………………………………………………………………


Place of employment ……………………………………………………………………………………………………


Date of appointment …………………………………………………………………………………………………….



I wish to join the Local Government Pension Scheme. Please accept this as my election to join.


Signed …………………………………………………………………………. Date …………………………………






When completed, both pages of this form should be returned directly to your employer’s payroll department.




The Staffordshire Pension Fund website contains extensive information about the pension scheme, however if you would like further assistance please feel free to contact us:


[email protected]

01785 278222













FOR OFFICE USE ONLY


To be completed by the employer before sending to Pension Services.


Please tick the relevant boxes:



I confirm that pension deductions have been made from ………………… (this should be from the first day of the month following the date of election)


I enclose a copy of the Starters Form (PEN APT 1)




Name ……………………………………………………………………………………………………...



Job Title …………………………………………………………………………………………………..



Signed …………………………………………………………………… Date …………………………

On behalf of the employer


FORM PEN 3 Version 2.0 March 2014



2 LOCAL PLANNING APPEAL TRIBUNAL TRIBUNAL D’APPEL
4 VINNYTSIA REGIONAL ASSOCIATION OF LOCAL SELF
APPLICATION FORM FOR FEASIBILITY STUDY GRANT LOCAL ENTERPRISE


Tags: election to, my election, local, election, pension, scheme, government