Who is this for? Please use this form to send copies of any documents securely to the pensions team. You can upload up to 4 documents using this form, (PDF or Jpeg format) if you need to send more than this, you will need to submit these on a separate form. Your details * Denotes required fields Your name Title*MrMrsMissMsDrProfTitle* - This is a required field Forename(s)* - This is a required field Surname* - This is a required field Other information Email address* - This is a required field Phone* - This is a required field What would you like to do? Member’s personal details * Denotes required fields Member's Title*MrMrsMissMsDrProfMember's Title* - This is a required field Member's Forename(s)* - This is a required field Member's Surname* - This is a required field Member's Date of birth* Member's Day* of birth - This is a required fieldDD01020304050607080910111213141516171819202122232425262728293031 Member's Month* of birth - This is a required fieldMM010203040506070809101112 Member's Year* of birth - This is a required fieldYYYY20082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920191919181917191619151914 Member's National Insurance number* - This is a required field For example QQ123456C Attach file(s)* Please select the file number 1 Choose file number 1 | Delete file number 1 Please select the file number 2 Choose file number 2 | Delete file number 2 Please select the file number 3 Choose file number 3 | Delete file number 3 Please select the file number 4 Choose file number 4 | Delete file number 4 Note, you can attach up to 4 JPG or PDF documents to this form with a file size limit of 4MB per file. Additional Information Your declaration Data protection Please tick the box below to confirm that you understand and acknowledge the statements. The Trustee, as the controller under the applicable data protection legislation in the UK, uses certain personal information about you to (amongst other reasons) communicate with you and administer your benefits in the Plan. Your information is shared with the Plan’s administrators, other providers of services to us, and public bodies such as HM Revenue & Customs. For more detailed information on how we use and disclose your information, the protections we apply, the legal bases we rely on and your data protection rights, please see our privacy notice at www.pearson-pensions.com/privacy-notice/ - This link opens in a new browser window. If you would like a copy of our privacy notice to be sent to you, please contact the pensions helpline. I confirm I understand that the data I provide will be used as outlined in the data protection statement. Today's Date: Date: 03-12-2024 Thank you You will receive a confirmation email shortly. Your form will be processed by the pensions team. Please contact them directly if you have any queries. Back to Home
