Form AFPS Form 12
Part A - Your Details
Q1. Part A - Your Details
First Name Address forecast to be issued to
Surname
Postcode
Service Number National Insurance Number
Date of Birth Telephone Number
Email Address
Part B - Pension Scheme Membership
Q2. Are you paid from a Unique Pay Table? Yes No
If Yes state which Pay Table
Options: Yes; No
Part B - Pension Scheme Membership
Q3. Have you received SUPA in the last 3 years? Yes No
Reason for Forecast request
Premature Voluntary Release (PVR)
Completion of Engagement
ILL Health
Flexible Service (FS)
Options: Yes; No
Guidance: Note: FS minimum period is 3 months and maximum period is 3 years. All FS options will be included in the forecast for periods of 3, 6, 12, 24 and 36 months
Part C – Additional Information
Q4. Part C – Additional Information
Have you transferred in any Pension Benefits from another Scheme?
Do you have previous service? Yes No
If you have previous service and are eligible to aggregate this to your current service, have you previously told Veterans UK of your intention to do so?
(Note: This is not a notification of your wish to aggregate but instead is to help us identify your previous election)
Are you paying or have you ever paid for Additional Voluntary Contributions? Yes No
If yes, state which type of Additional Voluntary Contributions
Are you paying or have you ever paid for Added Pension? Yes No
Do you have a Pension Share Order implemented against your AFPS benefits? Yes No
Options: Yes; No
Part C – Additional Information
Q5. Officer - Current Pay Level
Rank Increment
Other Ranks Current Pay Level
Rank Increment Supplement
Part D - Charges
Q6. Part D - Charges
Additional requests may be submitted subject to an administrative charge of £90 (£75 + VAT)
Have you received a forecast within the last 12 months? (If no, go to Part E)
Options: Yes; No
Part D - Charges
Q7. Please indicate your preferred method of payment by ticking one of the boxes below:
A single deduction from my next available Salary payment. Please note this facility is not available to Volunteer Reservist Personnel
By Bank transfer use the details below:
Account Title: MOD DBS MIL PERS UK Receipts
Sort Code: 60-70-80
Account Number: 10021116
If paying from abroad please use the following:
IBAN Number: GB87NWBK60708010021116
SWIFT Code: NWBKGB2L
In all bank transfers please use your service number followed by the reference Pension Forecast in all cases, as in Service Number/Pension Forecast
Options: A single deduction from my next available Salary payment.; By Bank transfer
Part E - Data Protection
Q8. Part E - Data Protection
How the MOD collects and uses personal information
Part F - Declaration
Q9. I confirm that
• the information I have given is accurate and complete to the best of my knowledge and belief.
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
• if I knowingly give false information, I may be liable to prosecution.
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 G - Consent for email correspondence
Q10. Part G - Consent for email correspondence
Veterans UK is happy to conduct correspondence with customers via a nominated email address if that is their preference. There are some types of personal information we would not be able to include in an email correspondence, which are listed below:
Part G - Consent for email correspondence
Q11. Do you wish to correspond via email? Yes No
Options: Yes; No
Part H
Q12. Part H - We would appreciate your feedback. Please tell us what prompted your request for this pension forecast.
Part H
Q13. I am nearing Pension Age
Armed Forces Pensions information on gov.uk
Other (please give details below)
Options: I am nearing Pension Age; Armed Forces Pensions information on gov.uk; Other
Part I
Q14. Part I - Signature of applicant
Signature
Date