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Part 5 - Pensions Part 6 - Earnings (working for an employer)

Your Partner
Pension credits

What type of work do you or your partner do?

What is the name, address and telephone number of your employer and your payroll employee number?
of the following pensions? If Name Name
Yes, please give details Address Address
_i

Tel. No. Tel. No.
Payroll employee number Payroll employee number

If ‘Yes’, when is it due to end?
When did you or your partner start
work for your current employer?

What is the average number of hours
you or your partner work each week?

How much do you or your partner earn
(before deductions, e.g., tax/NI)?

How often do you get paid?
(Weekly, fortnightly, 4 weeklies, monthly)
How do you get paid? (cash, cheque,
into a bank account)

Have any deductions been made from your Gross pay for private pension scheme, superannuation,

statutory sick pay, statutory maternity pays etc?

if ‘Yes’, give details of deduction and amount.

If yes, how much? You:

We may write to your for more information.

If ‘Yes’, how much?
Date of next pay increase

HB/CTB 07 04/2013 A A
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