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Employer Forms
This section of the site is intended for LPFA employers. In this part of the site there is information for employers, including news about the LPFA and the Local Government Pension Scheme (LGPS).
A number of commonly used forms are also available to download along with the scheme guide for employers.
PLEASE NOTE THAT EMPLOYERS SHOULD NOW BE MAKING USE OF LPFA'S ONLINE FORMS FOR COMMON SUBMISSIONS.
This will improve the flow of data and lead to benefits to the Member.
The forms can be found at www.yourfund.org.uk where a username needs to be requested before an employer can submit data. The forms currently available are:
- Joiners
- Change of Address
- Change of Hours
- Absence
- Return from Absence
- Estimate
- Leaver
Additional forms
- LG/104 (PDF - 72 KB) - Nomination of beneficiary for the payment of death grant (opens new window)
- LG/X (PDF - 45 KB) - Election by an active member to cease Scheme membership (opens new window).
- LG/221 (PDF - 49 KB) - Monthly contribution remittance advice (opens new window).
- LG/TAX (PDF - 21 KB) - Notification to Tax Office of a new pensioner (opens new window).
- Employer Contacts (MS Word - 107KB) - Inform LPFA of your contact details or changes in details.
Ill Health Declaration forms
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.
- LG/103A (PDF 52KB - link opens new window) - For current employees.
- LG/103C (PDF 41KB - link opens new window) - For a deferred member who ceased membership on or after 1 April 2008.
- LG/103D (PDF 40KB - link (opens new window) - For a deferred member who ceased membership on or after 1 April 1998 and before 1 April 2008
- LG/103E (PDF 41KB - link opens new window) - For a deferred member who ceased membership before 1 April 1998.
- LG/103F (PDF 53KB - link (opens new window) - 3rd Tier Ill Health Retirement Review Certificate for a Current 3rd Tier Pensioner.
- Current Councillor Member (PDF 41KB - link opens new window)
- Deferred Councillor member (PDF 39KB - link opens new window)
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.
Further guidance can be found under the dedicated ill health section.
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