Yes – Move onto next question
No – Further question below: Please cancel this transaction and check the member address. If it is incorrect, please correct it before attempting this transaction again.
Leaver form
Have you checked that WYPF have the correct address on record?
Please enter one the following ranks:
Firefighter Trainee
Firefighter Development
Firefighter Competent
Crew Manager Development
Crew Manager Competent
Watch Manager Development
Watch Manager Competent A
Watch Manager Competent B
Group Manager Development
Group Manager Competent A
Group Manager Competent B
Station Manager Development
Station Manager Competent A
Station Manager Competent B
Area Manager Development
Area Manager Competent A
Area Manager Competent B
Assistant Chief Fire Officer
Deputy Chief Fire Officer
Chief Fire Officer
Civil Partnership
Cohabiting Partner
Married
Not Married
Unknown
No – move onto next question
Yes – further question below
Have you notified WYPF?
Yes – move on to next question
No – complete FPS Split Pension Notification form via the portal
2015 Protected Pensionable Pay (Final Salary) applies?
No – move onto next question
Yes – further question below
Have you notified WYPF?
Yes – move on to next question
No – complete FPS 2015 Protected Pensionable pay form via the portal
Last date of employment/active membership
Drop down calendar (dd/mm/yyyy)
Auto-Enrolment opt-out
Contractual opt-out
Dismissal
Interbrigade out
Please provide details *
Redundancy
Voluntary
Please provide any strike information that has not yet been notified to WYPF
- Date of strike (dd/mm/yyyy)
- Hours on strike
- Add another?
- No/Yes
- Total number of days strike
- Strike contributions being repaid?
- No/Yes
Total number of hours strike
Pay lost due to strike £
Was member in receipt of Long Service Increment (LSI) at 30 June 2007?
No/Yes
No
Yes - total pension contributions relating to the CPD payment (Employee, Employer & Notional Ill Health percentages) from 1 July to date of leaving £
Is there any other pay deemed pensionable via an APB (from 01/07/2013) i.e. Temporary Promotion?
No
Yes - total pension contributions relating to the 'Temporary payment' (Employee, Employer & Notional Ill Health percentages) from 1 July to date of leaving
Date from (dd/mm/yyyy) Annual Pay £
Date from (dd/mm/yyyy) Annual Pay £
Date from (dd/mm/yyyy) Annual Pay £
Was pay higher in any of the earlier 2 years?
No – move onto next question
Yes
- Date from (dd/mm/yyyy) Annual pay £
- Date from (dd/mm/yyyy) Annual pay £
- Date from (dd/mm/yyyy) Annual pay £
No – move onto next question
Yes
- Actual pensionable pay for the previous complete financial year £
- Actual pensionable pay from 1 April to retirement date
Member made RDS modified election?
No - move onto next question
Yes
Repaying by periodical payment?
No – move onto next question
Yes
- Date of first payment(dd/mm/yyyy)
- Amount of monthly payment £
- Is the member continuing to make these periodic contributions after leaving? Yes/No
No – move onto next question
Yes – CPP for current financial year i.e. from 1st April until date of leaving: £
Assumed Pensionable Pay (APP) applies where member has had a period of reduced pay OR no pay but has repaid pension contributions.
No – move onto next question
Yes
- APP for the current financial year (1st April to date of leaving) £
- Do you need to send revised CPP/APP for any previous financial year?
- Yes/No
Do you need to send revised CPP/APP for any previous financial year?
No – move onto next question
Yes
APP for any previous financial year
- Year APP £
- Year APP £
- Year APP £
- Year APP £
Extra contributions - Were there any contributions outstanding at the date of leaving?
No – move onto next question
Yes
- Please give details of the outstanding contributions here £
- How are these arrears being recovered?
Joiners with less than three months membership who have not opted out
Pension contributions in financial year of leaving:£
Pension contributions in previous financial year if membership spans year end: £