Employer Forms

Employer Forms

Please find below the 2021/2022 employer forms for use when notifying the pension team of any amendments to a member's pensionable status.

Employer Forms 

LGS1B – Brief Guide to the LGPS 

LGS15A – Admission to the Scheme

LGS15B – Changes to pensionable status     

LGS15C – Withdrawal from the Scheme 

LGS15C(iconnect) - Withdrawal form for I-Connect users

LGS15 (MAIN) – Re-entry to the MAIN Section of the LGPS 

LGS15A (50/50) – Admission to the 50/50 section of the LGPS

LGS15D – Opt-out notification

LGS18 - Final Pay/APP Additional Information sheet
 

Employer Estimate Request forms 

EST3 – Employer estimate request form for an active scheme member 

EST4 – Employer estimate request form for a former scheme member

 

Member forms 

LGS5 – Expression of Wish for payment of a Death Grant 

LGS6 – Co-habiting partner information form 

LGS10 – Election to opt in to the LGPS 

LGS10B – Election for re-entry to the MAIN Section of the LGPS 

LGS13 – Declaration of Previous Pension Rights 

LGS5050 – 50/50 election form and factsheet 

 

Ill-Health Certificates 

LGS26 - Occupational Health Ill Health Retirement Certification for a Current (active) Employee 

LGS26B - Occupational Health Ill health Retirement Certification for a Deferred Beneficiary who ceased membership as an employee on or after 1 April 2008 and before 1 April 2014

LGS26C - Occupational Health Ill health Retirement Certification for a Deferred Beneficiary who ceased membership as an employee on or after 1 April 1998 and before 1 April 2008

LGS26D -  Occupational Health Ill health Retirement Certification for a Deferred Beneficiary who ceased membership as an employee before 1 April 1998 

LGS26F - Occupational Health Ill health Retirement Certification for a Deferred Beneficiary who ceased membership as an employee on or after 1 April 2014

 

3rd Tier Ill-heath certificates

LGS26E13rd Tier Ill Health Retirement Review Certificate for a Current  3rd Tier Pensioner where the cessation of employment occurred after 31 March 2014 – England and Wales – Review taking place 18 months after the date of cessation of employment

LGS26E2 3rd Tier Ill Health Retirement Review Certificate for a Suspended 3rd Tier Pensioner where the cessation of employment occurred before 1 April 2014 – England and Wales – Review taking place 3 or more years after the date of cessation of the 3rd tier pension

LGS26E3 3rd Tier Ill Health Retirement Review Certificate for a Suspended  3rd Tier Pensioner where the cessation of employment occurred after 31 March 2014 – England and Wales – Review taking place 3 or more years after the date of cessation of the 3rd tier pension

LGS26E43rd Tier Ill Health Retirement Review Certificate for a Suspended  3rd Tier Pensioner where the cessation of employment occurred after 31 March 2014 – England and Wales – Review taking place at the request of the member whilst the 3rd Tier pension is in payment or within 3 years after payment of the 3rd Tier pension has been discontinued

LGS26E5 3rd Tier Ill Health Retirement Review Certificate for a Suspended 3rd Tier Pensioner where the cessation of employment occurred before 1 April 2014 – England and Wales – Review taking place within 3 years of date of cessation of the 3rd Tier pension

 

Year-end guidance

Year-end return guide 2021

Year-end 2021 file template 

 

Employer Contribution Return 

Contribution Return form 2021/2022  

Contribution Return 2021/2022 guidance

 

Shared Cost APC documents 

SCAPC Guide 

SCAPC employer template letters 

SCAPC list of employer actions

 

2020/2021 forms

2020/2021 LGS15C Withdrawal form
2020/2021 LGS15A Admission to the Scheme 

 

Other useful guides

Employer Liabilities and Costs within the LGPS

 

Document downloads

Employer Forms

Document name Type Size
Expression of Wish for payment of a Death Grant docx 98.97 KB