Form Of Claim For Senior Citizens printable pdf download

Form Of Claim For Senior Citizens

S.A. - 1

Husband’s/Wife’s Claim

reference number(s)

Date of receipt of claim

………………………..

……………………………………………………..

For official use only

. …………………….…………....................

File No

………………………….……………………………

………...…………………………..

Name

Local Board No.

…………………………………………………..…

. …………………………………..

Address

Pension Grant No

…………………………………………………….

. …………………………………

Rejected Claim No

. ……………………………………………….…….

I.D. No

. …………………………………………….……..

N.I.S. No

FORM OF CLAIM FOR SENIOR CITIZENS’ PENSION

Instructions

1. A person desiring to claim Senior Citizens’ Pension must complete this form, sign it, and forward it with

his/her Birth Certificate or other evidence of age to the Chairman of the Local Public Assistance Board of the

district in which the claimant resides.

2. If a husband and wife are each claiming Senior Citizens’ Pension at the same time, each must fill out a

separate form.

Qualifications

1. The person must have attained the age of sixty-five years.

2. (i) The person must have been ordinarily resident in Trinidad and Tobago for a period of twenty years

immediately preceding the claim for pension; provided that a person shall not be deemed to have ceased

to be resident in Trinidad and Tobago merely by reason of temporary absence there from for an

aggregate period not exceeding five years during the said period of twenty years or;

(ii) For a period of fifty years in the aggregate.

3. The person’s income must not exceed $4,500.00 per month.

Important Notice

The following documents are required to substantiate a claim for Senior Citizens’ Pension (original and copies):

1. Electoral Identification Card.

2. Birth Certificate (computer generated) and Affidavit (where necessary).

3. Other evidence of age (e.g. Marriage Certificate/Baptismal Certificate).

4. Passport (previous and current).

5. Evidence of employment and wages/benefits receiving/received.

6. Evidence of National Insurance Benefits / other Pension / Benefits

7. Any other document as may be required by the Local Board.

Form Of Claim For Senior Citizens

Related Articles

Related forms

Related Categories