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Forms

You can use the links below to access the scheme forms you will need to complete when members Join, Leave or Retire from the Scheme.
Forms are also available in respect of Ill Health Retirement, Permanent Injury Benefit, Additional Pension Purchase and Internal Disputes Resolution.

Joining The Scheme

  • Scheme Joining Form - GP Practices/OOH Providers/Direction Employers
    J2 (PDF 22KB)

Leaving the Scheme


Application Forms

  • Pension Application Form - Age,Ill Health, VER (Reduced),Redundancy
    AW6 (PDF 66KB)
  • Application to Commute Age Retirement Benefits - Life Expectancy Less Than 1 Year
    AW34 (PDF 22 KB)
  • Preliminary Application for Purchase of Additional Pension
    AP1 (PDF 22KB)
  • Application for Consideration of Entitlement to Early Payment of Deferred Benefits Due to Ill Health
    AW240 (PDF 128KB)

Nomination Forms


Pensions on Divorce

Internal Disputes


GP Forms

  • Annual Certificate of Pensionable Profit