Form AFPS Form 16
Part A - Your Details
Q1. First Name
Part A - Your Details
Q2. Surname
Part A - Your Details
Q3. Address
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 - Membership of Armed Forces Pension Scheme
Q10. I wish to Opt Out of the Armed Forces Pension Scheme.
Guidance: The effective date for Opting Out of the Scheme will be the first pay period beginning on or after the date on which the option was exercised and submitted to Veterans UK. The exception to this is when the Service Person has been a member for a period less than three months since the first day of service, in which case, the first day of service will be used. Any Added Pension contributions that are being made will cease. By Opting Out of the Scheme, Service Personnel are no longer eligible for ill-health or death benefits, however, they will still be eligible to receive compensation from the Armed Forces Compensation Scheme and/or the War Pension Scheme for any illness or injury that is attributable to service. Reservists who have opted out are eligible to apply to the MOD to make employer contributions (for periods of mobilisation) into a civilian occupational pension scheme. Prior to opting out of the scheme, individuals may wish to seek independent financial advice.
Part B - Membership of Armed Forces Pension Scheme
Q11. I wish to Opt In to the Armed Forces Pension Scheme.
Guidance: The effective date for Opting In to the Scheme will be the date that the Commanding Officer received the request to Opt In. Any submission from a Service Person applying to Opt back into the Scheme more than once within a period of 12 months will be subject to approval by Veterans UK. Reservists may also exercise this option once per period of mobilisation. Service Personnel with fixed protection for Lifetime Allowance are ineligible to be a Member of the Scheme.
Part E - Consent for email correspondence
Q12. Do you wish to correspond via email?
Options: Yes; No
Guidance: 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.

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 - Signature of Applicant and Commanding Officer
Q13. Signature of Applicant
Part F - Signature of Applicant and Commanding Officer
Q14. Date
Part F - Signature of Applicant and Commanding Officer
Q15. Signature of Commanding Officer
Part F - Signature of Applicant and Commanding Officer
Q16. Received by Commanding Officer on:
Part G - Acknowledgement
Q17. Name
Part G - Acknowledgement
Q18. Address
Part G - Acknowledgement
Q19. Service Number