Employer Forms

Links to and descriptions of London Borough of Bexley's forms for completion by personnel or payroll administrators (as appropriate) relating to the Local Government Pension Scheme.

All forms should be returned to LPFA via the TOPS Section (Pensions), London Borough of Bexley unless stated otherwise.

PEN 1 (2) - Election to enable employee to join / rejoin the LGPS

OPT OUT FORM - Election to enable employee to opt out of membership of the LGPS

TRANSFER DETAILS FORM - Form to enable new LGPS member to provide details of previous pension scheme arrangement(s) etc. After completion to be returned to the London Pensions Fund Authority (LPFA), return envelope supplied when provided with brief scheme guide to new starters, or via TOPS Section

EXPRESSION OF WISH FORM - Form to enable new LGPS member to nominate someone to receive the lump sum death grant payable in the event of death in service. After completion to be returned to the London Pensions Fund Authority (LPFA), return envelope supplied when provided with brief scheme guide to new starters, or via TOPS Section

PEN 1 (A) - New LGPS member notification to be submitted to the LPFA

PEN 6A - Notification of a period of absence (as a result of a strike, jury service, parental leave etc or reserve forces special leave) when no (or reduced) contributions made to be submitted to the LPFA

PEN 6B - Notification of a period of maternity absence to be submitted to the LPFA

PEN 7 - Notification of amendments to information previously supplied (including changes to name / contribution rate / contractual hours) to be submitted to the LPFA

PEN 13 - Notification of a leaver’s details to be submitted to the LPFA

PEN 14(1) - Request for estimate(s) of pension benefits to be submitted to the LPFA

PEN 14(2) - Advance notice of employee leaving with entitlement to benefits to be submitted to the LPFA

Ill Health Retirement Certificates:

These forms are for completion by a suitably qualified medical practitioner and scheme employer where a member is being assessed for possible medical retirement. Because they are subject to frequent amendment to reflect changes in legislation, these forms should always be downloaded as required and not stored as hard copy by employers or medical practitioners.

Certificate 103A - For a current employee

Certificate 103C - For a deferred beneficiary who ceased membership on or after 1 April 2008

Certificate 103D - For a deferred beneficiary who ceased membership on or after 1 April 1998 and before 1 April 2008

Certificate 103E - For a deferred beneficiary who ceased membership before 1 April 1998

Certificate 103F - 3rd Tier Ill Health Retirement Review Certificate for a Current 3rd Tier Pensioner

Certificate for Councillor Member - Current

Certificate for Councillor Member - Deferred

Note on review of members with Tier 3 Award that has been suspended

Local Government Pension Committee did not include a 3rd tier ill health retirement review certificate for a suspended 3rd tier pensioner where the review was taking place within 3 years of original date of leaving amongst the updated forms that they circulated as part of Circular 249 in June 2011. This was because it is not clear whether a discontinued 3rd tier pension can be brought into payment on account of a medical condition beyond that which originally led to the award of the 3rd tier ill health pension. Local Government Pensions Committee is liaising with the department for Communities and Local Government on clarifying the position in this regard.

Details of the London Borough of Bexley Occupational Health Unit can be found on the employer contacts page.