Form AFPS Form 9
Part A – Your Details
Q1. Rank
Part A – Your Details
Q2. First Name
Part A – Your Details
Q3. Surname (in block capitals)
Part A – Your Details
Q4. Service number
Part A – Your Details
Q5. Address
Part A – Your Details
Q6. Postcode
Part A – Your Details
Q7. Telephone number – including Area code
Part A – Your Details
Q8. Email Address
Part B - AFPS 05 /RFPS
Q9. I wish to make an inverse commutation of a portion of my tax-free lump sum (in multiples of £100) to increase my taxable annual pension or the taxable annual pension for both myself and my dependant.
Guidance: I understand that the scheme actuary will calculate the cost and the lump sum is to be reduced once the exchange is agreed. The decision is not reversible. I also understand that if I make this exchange to increase my spouse’s, civil partner’s or partner’s benefits but he/she dies before me, the exchange will not be reversed
Part B - AFPS 05 /RFPS
Q10. of my lump sum to increase my annual pension and £ that of my dependant
Guidance: See booklet MMP/123 (RFPS) or MMP/124 (AFPS 05) or visit the MoD website for more information.
Part C - AFPS 15 – Application to Inversely Commute Total EDP Lump Sum
Q11. I wish to Inversely Commute my total EDP Lump Sum into an additional EDP Income Stream and I fully understand that this decision can not be reversed.
Part D – AFPS 15 - Application to Commute Part of Pension
Q12. I want to commute my AFPS15 pension to raise a tax-free lump sum. I understand that I shall raise £12 for every £1 of pension that I give up. The maximum amount I can raise is 25% of the value of my pension.
Part D – AFPS 15 - Application to Commute Part of Pension
Q13. I want to commute the following: The maximum allowed or The following amount £
Guidance: Please visit the Ministry of Defence (MOD) website for more information
Part G - Consent for email correspondence
Q14. 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.
Guidance: 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 G - Consent for email correspondence
Q15. Do you wish to correspond via email? Yes No
Options: Yes; No
Part F - Declaration
Q16. I confirm that the information I have given is accurate and complete to the best of my knowledge and belief.
Part F - Declaration
Q17. 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 F - Declaration
Q18. I understand that if I knowingly give false information, I may be liable to prosecution.
Part F - Declaration
Q19. I agree to refund any sum paid as a result of this claim in the event that an overpayment is made for any reason.
Part F - Declaration
Q20. 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 H - Signature of applicant
Q21. Signature
Part H - Signature of applicant
Q22. Date
Part I – Acknowledgement
Q23. Name
Part I – Acknowledgement
Q24. Address
Part I – Acknowledgement
Q25. Postcode
Part I – Acknowledgement
Q26. Service number