State Pension Claim Form - Department For Work & Pensions Page 12

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Evidence of dates of birth, marriage, formation of civil partnership, divorce,
Part 3
dissolution of civil partnership, annulment or death
If you do not have the necessary birth, marriage,
With this information we can look for proof of the
divorce, annulment or death certificate and the
event from official records. This could take some
event took place in
time and may delay a decision on your claim.
Great Britain
If you do not have the necessary certificate and
Northern Ireland
the event took place in a country which is not
The Isle of Man
listed opposite we will not be able to look for
The Channel Islands
proof from official records. Please try to get a
Ireland
certificate or some other proof of the event and
send it to us as soon as you can.
or a civil partnership certificate or confirmation
of dissolution of civil partnership and the event
You must remember to send us all the documents
took place in
we ask for.
Great Britain
If you do not, benefit you can get because of this
Northern Ireland
claim may be delayed.
please give the appropriate information below.
Details of your birth
Address where you were born
Father’s full name
Mother’s full name
Mother’s name before marriage
8

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