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Click ‘Get Form’ to open the editable GP Pension Form A 2009 in the editor.
In Part 1, enter your name and National Insurance number. Specify the Host PCT/LHB and its registration number if available.
Fill in the dates you worked for the Employing Authority. If you worked multiple periods, list each separately, ensuring clarity on start and end dates.
Sign and date the form at the bottom of Part 1, confirming your claim for NHS Pension Scheme membership as an individual.
Part 2 must be completed by an authorized signatory from the Employing Authority. They will certify your gross pay and sign off on the declaration.
Ensure that all sections are filled accurately before saving or exporting your completed form for submission.
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