Forms

1. General forms for completion by employers - LGPS
2. Payment notification - LGPS
3. Retirement due to ill health - LGPS
4. Medical certificates - LGPS
5. Tier 3 Ill-Health review forms - LGPS

Tier 3 Ill-Health review forms - LGPS

• Suspended pensioner who left employment after 31 March 2014 - B [170.9 KB] [pdf]
  

  LGPS IH-4B. 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 - C [163.2 KB] [pdf]
  

  LGPS IH-4C. Review requested by pensioner 3 or more years after cessation of payment and before normal retirement age.

• Current pensioner who left employment before 31 March 2014 [166.9 KB] [pdf]
  

  LGPS IH-4D

• Suspended pensioner who left employment before 31 March 2014 - E [168.5 KB] [pdf]
  

  LGPS IH-4E. 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 before 31 March 2014 - F [160.8 KB] [pdf]
  

  LGPS IH-4F. Review requested by pensioner 3 or more years after cessation of payment and before normal retirement age

• Current pensioner who left employment after 31 March 2014 [168.6 KB] [pdf]
  

  LGPS IH-4A

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