State Pension Claim Form - Department For Work & Pensions Page 5
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26State Pension claim form
IPC BR1 GOV 12/13
Part 1
About you
Benefit you can get because of this claim can be paid more quickly if you:
•
answer all the questions on the form that apply to you, and your husband, wife or civil partner if you have one
•
send us all the documents we ask for with this form.
If you cannot do this, get in touch with us, but benefit you can get because of this claim may be delayed.
Please tell us your National Insurance (NI) Number
Letters Numbers
Letter
You can find your NI number on your NI number card,
letters from social security or payslips. But do not delay
sending in this form if you cannot find the number.
If you do not know your NI number, have you ever
No
had one or used one at any time?
Yes
Surname or family name
All other names, in full
Title
All other surnames or family names you have been
known by or are using now Please include maiden name
,
all former married names and all changes of family nam
e.
Your permanent address
Phone number Add your national and local area code
1
What is this number? Please tick
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