State Pension Claim Form - Department For Work & Pensions

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Help using this PDF claim form
You can save data typed into this PDF form if you use Adobe Reader XI or a newer version.
This means that you do not have to fill in the form in one session.
This form will only save if:
• the form is saved onto your computer, and
• opened in Adobe Reader XI or a newer version.
The form will not save in:
• older versions of Acrobat Reader
• other pdf readers, for example Preview on a Mac or Foxit on a PC.
You can download Adobe Reader free of charge from the Adobe website.
If you are having technical difficulties:
• downloading the form
• navigating around the form, or
• printing the form
Please contact the DWP Online helpdesk.
Phone: 0345 604 3349
Minicom (textphone): 0345 604 0523
Calls to 0345 numbers cost no more than a standard geographic call and count towards
any free or inclusive minutes in your landline or mobile phone contract.
Note: Calling UK non-geographic numbers from abroad can incur a significant charge.
Please check with your telephone service provider.
Email: dwponline.helpdesk@ dwp.gsi.gov.uk
Opening hours
Monday to Friday: 8.00am - 6.00pm
Closed on all Public and Bank Holidays.
For help and advice on the information you need to put on the form or about
the benefit you want to claim, contact the office that deals with the benefit.

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Parent category: Legal