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Employer Forms
Forms are available for downloading in Adobe PDF (Acrobat) format, a summary of each form is shown below.
Available forms
- LG/1 (PDF - 96 KB)- Form for completion by a person offered employment in which they are eligible to join the Local Government Pension Scheme
- LG/101 (PDF - 55 KB) - Notification of termination of employment of a pensionable employee.
- LG/102 (PDF - 59 KB) - Notification of final pay.
- LG/103A (MS Word - 58 KB) - Ill health retirement declaration - For determinations made after 30 September 2008.
- LG/103B (MS Word - 60 KB) - Ill health retirement declaration - For determinations made before 1 October 2008.
- LG/103C (MS Word - 53 KB) - Ill health retirement declaration - For a deferred member who ceased employment after 31st March 2008.
- LG/104 (PDF - 72 KB) - Nomination of beneficiary for the payment of death grant
- LG/172 (PDF - 49 KB) - Notification of change in contractual hours.
- LG/210 (PDF - 18 KB) - Notification of absence from work.
- LG/211(UL) (PDF - 44 KB) - Form to be given to an active member who is granted unpaid leave or leave on reduced pay for more than 30 days.
- LG/211(MA) (PDF - 45 KB) - Form to be given to an active member who is on unpaid maternity, paternity and adoption absence.
- LG/211(TD) (PDF - 44 KB) - Form to be given to an active member who is absent due to a trade dispute (strike)
- LG/212 (PDF - 40 KB) - Notification of resumption of duty after a period of Leave of Absence.
- LGPS/X (PDF - 135 KB) - Election by an active member to cease Scheme membership.
- LG/221 (PDF - 49 KB) - Monthly contribution remittance advice.
- LG/TAX1 (PDF - 55 KB) - Notification to Tax Office of a new pensioner.
- Employer Contacts (MS Word - 93 KB) - Inform LPFA of your contact details or changes in details.
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