State Pension Claim Form - Department For Work & Pensions Page 9
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26Part 1
About you - continued
Did you work for an employer in the
Please go to Part 2.
No
United Kingdom or the Isle of Man?
Please tell us about any employers you have had. If you have
Yes
had more than 2 employers, tell us about them in Part 10.
Employer 1
Employer 2
Employer’s name and address
If you know the wages are dealt
with at a different address, please
give us that address, including
the postcode.
The date you started work for
this employer
The date you stopped work for
this employer if you have stopped
working for them
Payroll, staff or other
reference number
Do you have any contribution or insurance
record cards or notices that show you were
employed in the United Kingdom?
No
Yes
Please send us the original documents,
not photocopies.
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