Forms

Member forms

We provide member forms as:

1. Standard PDF - to print, complete and send.

2. Editable PDF* - complete the form online, print, sign and send.

*We need an original signature(s) for all forms . 

Forms can be sent by post or scanned and emailed - contact details here.

Form
What's it for?
Standard PDF
Editable PDF
LGPS 1 Use this form to tell us whether you want to transfer other pension rights into the scheme and nominate beneficiaries in the event of your death Open standard PDF here Open editable PDF here
LGPS 1A Use this form to opt out of the Local Government Pension Scheme Open standard PDF here Open editable PDF here
LGPS 1B Use this form to confirm that you wish to join the pension scheme Open standard PDF here Open editable PDF here
LGPS 5C Use this form to notify East Sussex Pension Fund of a change to your personal details Open standard PDF here Open editable PDF here
LGPS 30 The purpose of this form is for members to obtain their pensionable pay information from their employers’ payroll so that they can obtain an estimate of pension benefits Open standard PDF here Open editable PDF here
LGPS 50A Use this form if you wish to leave the main section of the Scheme and move to the 50/50 section of the Scheme Open standard PDF here Open editable PDF here
LGPS 50B Use this form if you wish to leave the 50/50 section of the Scheme and move to the main section of the Scheme Open standard PDF here Open editable PDF here
LGPS DG1 Use this form to let us know who you would like benefits paid to in the event of your death. Open standard PDF here Open editable PDF here
LGPS NCP1 Use this form if you want to tell us about a Cohabiting Partner (for survivor’s pension) Open standard PDF here Open editable PDF here

Employer forms

We provide employer forms as:

1. Standard PDF - to print, complete and send.

2. Editable PDF - complete the form online and send via email

Form
What's it for?
Standard PDF
Editable PDF
LGPS 5A Use this form to notify ESPF of new pension scheme members. Form LGPS-1 completed by the employee on commencement of employment should be enclosed with this form.   Open standard PDF here Open editable PDF here
LGPS 5B Use this form to notify ESPF of amendments to existing scheme member’s records (change of hours, period of absence, change of address). Open standard PDF here Open editable PDF here
LGPS 8A Use this form  to notify ESPF of a pension scheme member who is leaving the scheme early and will not be entitled to immediate benefits. Open standard PDF here Open editable PDF here
LGPS 9A Use this form to notify ESPF of a scheme member who is retiring (all types) and will be entitled to immediate benefits. Open standard PDF here Open editable PDF here
LGPS 10A Use this form to notify East Sussex Pension Fund of a pension scheme member’s death in service. Open standard PDF here Open editable PDF here
LGPS RET 1 - (Standard) Use this form if you are an employer and wish to request an estimate of the benefits that would become payable to an employee on early retirement (not due to ill health)  Open standard PDF here Open editable PDF here
LGPS RET 1 - (Ill health) As above but for ill health cases  Open standard PDF here Open editable PDF here
LGPS RET 2 - (Standard) Use this form where retirement (not ill health) has been discussed with an employee. The details will be used to provide, direct to the employee’s home address, a provisional estimate of benefits and a pre-retirement pack giving details of the various options available.   Open standard PDF here Open editable PDF here
LGPS RET 2 (Ill health) As above but for ill health cases Open standard PDF here Open editable PDF here
LGPS 31 Use this form to confirm that contributions have been deducted and payments made to the scheme in accordance with the scheme’s requirements. Open standard PDF here Open editable PDF here
Authorised signatories and contacts form Use this form to confirm Authorised signatories and contact details. Open standard PDF here Open editable PDF here

Ill Health Certificates

Current Employee

Request for early payment of benefits on
the grounds of ill health - LGPS IH-OA

Deferred members

Request for early payment of deferred benefits on the grounds of ill health (select appropriate date range)

Ceased membership as an employee
before 1 April 1998 -LGPSIH-2C

Ceased membership as an employee on
or after 1 April 1998 and before 1 April 2008 - LGPSIH-2B

Ceased membership as an employee on or
after 1 April 2008 - LGPS IH-2A

Councillors

Request for early payment of deferred benefits on the grounds of ill health (select appropriate form)

Medical Certificate for a Current Councillor - LGPSIH-3A

Medical Certificate for a Deferred Councillor - LGPSIH-3B

Certificates - Tier 3 review

Request for review of a tier 3 ill-health award

Current pensioner who left employment
before 31 March 2014 - LGPSIH-4D

REASON: 18 month review undertaken before normal
pension age.

Suspended pensioner who left employment
before 31 March 2014 - LGPSIH-4E

REASON: Review requested by pensioner whilst pension is in payment or within 3 years of payment being discontinued and before
normal retirement age. 

Current pensioner who left employment
after 31 March 2014 - LGPSIH-4A.

REASON: 18 month review undertaken before normal
pension age. 

Suspended pensioner who left employment
before 31 March 2014 - LGPSIH-4F.

REASON: Review requested by pensioner 3 or more
years after cessation of payment and before
normal retirement age.

Suspended pensioner who left employment
after 31 March 2014 - LGPSIH-4B

REASON: Review requested by pensioner whilst pension is in payment or within 3 years of payment being discontinued and before
normal retirement age.

Suspended pensioner who left employment
after 31 March 2014 - LGPSIH-4C.

REASON: Review requested by pensioner 3 or more years after cessation of payment and before normal retirement age.