Death of a PB BEFORE April 2008 December 2013 | Page 18

SECTION 6 Guardian’s Declaration

*Please delete as appropriate

I/We*
as parent/guardian(s)/foster parents* of
agree to apply all payments receivable from the South Yorkshire Pension Fund for the sole benefit of the child.
Signed Date

SECTION 7

Method of Payment of Child’s Pension

or building society in case of difficulty).

(A)

(please choose ONE method and complete any necessary details in CAPITALS. Please consult your bank

Direct to my Bank Account

Name of Bank
Address of Bank
Bank Sort Code

Bank Account No.

Name(s) of Account Holder(s)
(B)

Direct to my Building Society Account

Name of Society
Address of Society
Society Sort Code

Society Bank Account No.

Society Account No.

Name(s) of Account Holder(s)

SECTION 8

Pension Password Service (PPS)

I wish to register for the PPS.
Mother’s maiden name Password#
#Your

password should be no more than 10 characters long. It may be made up of letters and numbers.
You should not tell anyone your password.

SECTION 9

Declaration.

I have read the ‘Guide to LGPS Benefits on the Death of a Preserved Beneficiary’ and declare that I
have completed Sections 1, 6, 7 and 8* of this form correctly to the best of my knowledge and belief.
*Please delete as appropriate
Signed Date

DATA PROTECTION

The information you provide on this form will be processed on a database, strictly for the purposes of pensions administration in accordance with relevant legislation.
Authorised and regulated by the Financial Conduct Authority