Retirement form

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.

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

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

Drop down calendar (dd/mm/yyyy)

Early (50/25) maximum lump sum

Early (50/25) Restricted Lump Sum

Employer Initiated Retirement

Ordinary (30 Years)

Partial Retirement (2015 Scheme only)

Permanent ill hHealth (Lower Tier)

• Degree of disablement *

Permanent Ill Health (Upper Tier)

Permanent Lower Tier Ill Health PLUS Injury on duty

• Degree of disablement *

Permanent Upper Tier Ill Health PLUS Injury on duty

• Degree of disablement *

Voluntary (Age 55)

No – move onto next question

Yes – further question below

• Please give details of the outstanding contributions here £
• How are these arrears being recovered?

• 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 £

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 £

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

No - move onto next question

Yes 

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

No – move onto next question

Yes

APP for any previous financial year

• Year APP £
• Year APP £
• Year APP £
• Year APP £