Form AFPS Form 14
Part A - Your Details
Q1. First Name
Part A - Your Details
Q2. Surname
Part A - Your Details
Q3. Address forecast to be issued to
Part A - Your Details
Q4. Postcode
Part A - Your Details
Q5. Service Number
Part A - Your Details
Q6. National Insurance Number
Part A - Your Details
Q7. Date of Birth
Part A - Your Details
Q8. Telephone Number
Part A - Your Details
Q9. Email Address
Part B - Pension Scheme Membership
Q10. Pension Scheme Membership (insert your pension scheme from the options below)
Options: AFPS75; AFPS05; NRPS; FTRS97; Royal Gibraltar; RFPS; AFPS15
Part B - Pension Scheme Membership
Q11. Service Start Date
Part B - Pension Scheme Membership
Q12. Service Discharge Date
Part B - Pension Scheme Membership
Q13. If you are a member of the AFPS05 scheme currently in receipt of your EDP please tick here
Part B - Pension Scheme Membership
Q14a. Additional Armed Forces Pension Benefits (complete if you have more than one deferred pension award from any Armed Forces Pension Schemes)
Part B - Pension Scheme Membership
Q14b. Pension Scheme Membership (insert Additional Scheme(s) from options below)
Options: AFPS75; AFPS05; NRPS; FTRS97; Royal Gibraltar; RFPS; AFPS15
Part B - Pension Scheme Membership
Q14c. Further Service Start Date
Part B - Pension Scheme Membership
Q14d. Further Service Discharge Date
Part C - Charges
Q15. Additional requests may be submitted subject to an administrative charge of £90 (£75 + VAT)
Part C - Charges
Q16. Have you received a forecast within the last 12 months? (If no, go to Part D)
Options: Yes; No
Part C - Charges
Q17. By Bank transfer use the details below:
Part C - Charges
Q18. Account Title: MOD DBS MIL PERS UK Receipts
Part C - Charges
Q19. Sort Code: 60-70-80
Part C - Charges
Q20. Account Number: 10021116
Part C - Charges
Q21. If paying from abroad please use the following:
Part C - Charges
Q22. IBAN Number: GB87NWBK60708010021116
Part C - Charges
Q23. SWIFT Code: NWBKGB2L
Part C - Charges
Q24. In all bank transfers please use your service number followed by the reference Pension Forecast in all cases, as in Service Number/Pension Forecast
Part D - Data Protection
Q25. How the MOD collects and uses personal information
Part E - Declaration
Q26. I confirm that the information I have given is accurate and complete to the best of my knowledge and belief.
Part E - Declaration
Q27. I understand that I must immediately tell the MOD of anything that may affect my entitlement to, or the amount of, payment made under any scheme administered by Veterans UK, including any change of address
Part E - Declaration
Q28. I understand that if I knowingly give false information, I may be liable to prosecution.
Part E - Declaration
Q29. Remember – You must sign this form yourself if you can, even if someone else has filled it in for you. If a representative who acts as a Power of Attorney or Appointee for the claimant is signing this form, they must enclose evidence to show that they are the legal representative.
Part F - Consent for email correspondence
Q30. I authorise Veterans UK of the MOD to use email whenever possible in its correspondence with me via my nominated email address shown on the front of this claim form. I accept that the information may include my personal details excluding bank account numbers, National Insurance number, medical details and any other information that could compromise my identity
Part F - Consent for email correspondence
Q31. I understand that correspondence transmitted by email may be open to abuse because it is transmitting over an unsecured network. I accept that the MOD will not be liable for any loss, interception or unauthorised use of information transmitted this way. I am content for Veterans UK to correspond with me from the email address shown at the front of this claim form.
Part F - Consent for email correspondence
Q32. Do you wish to corresponde via email? Yes No
Options: Yes; No
Part G - We would appreciate your feedback
Q33a. We would appreciate your feedback. Please tell us what prompted your request for this pension forecast?
Options: a) I am nearing Pension Age; b) The ‘Are You Pension Ready?’ Campaign; c) Armed Forces Pensions information on www.gov.uk; d) Other
Part G - We would appreciate your feedback
Q33b. If Other, please give details
Part H - Signature of applicant
Q34. Signature
Part H - Signature of applicant
Q35. Date