Split pension notification 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

Drop down calendar (dd/mm/yyyy)

Average Pensionable Pay

• Average Pensionable Pay up to date of split

Rates of Pay

• Date from(dd/mm/yyyy)
• Annual Pay £
• Date from (dd/mm/yyyy)
• Annual Pay £
• Date from (dd/mm/yyyy)
• Annual Pay £
• Date from (dd/mm/yyyy)
• Annual Pay £
• Date from (dd/mm/yyyy)
• Annual Pay