State Pension Claim Form - Department For Work & Pensions Page 16

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Part 4
When to claim your State Pension - continued
What date do you want to claim your
State Pension from?
If no date is input this may delay payment
of your State Pension
Insert the date
Part 5
About National Insurance (NI) contributions
If you are a married woman or a widow
Have you been self-employed in the
No
United Kingdom or the Isle of Man at
Yes
any time since 6 April 1978?
No
Have you been paying reduced rate
NI contributions?
Yes
12

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