RETIREMENT QUOTATION

Complete this form if you would like us to send you a retirement quotation. The quotation will be sent to your home address.

Name *

Address

House number & Street name *

Town/City *

County *

Post Code

Pension Reference Number

or National Insurance No.

Date of Birth *

Type of Retirement Quote Age Retirement Redundancy *

Date of Estimated Retirement *

Current Pensionable Pay

Additional Information

* Please complete all boxes which are marked with * in order for us to both trace you in our scheme and answer your query.

Click on ‘Submit Quotation Request’ button to send the completed form to NILGOSC

Please ensure that your email account i.e. AOL, Hotmail etc is open before submitting.