Forms and spreadsheets

Forms for employers to help manage the Scheme for your organisation.

LGS22A – Ill-Health Medical Examination Request Form
To be completed by the employer to request a medical for a member who may be eligible for ill-health retirement.
document download pdf 698.78kB
LGS25 – Amendment Details Form
To be completed by the employer. Notifies NILGOSC of any changes in contractual working hours, weeks or contribution rate.
document download pdf 229.49kB
LGS34 – Breaks in Employment
To be completed by employer when member commences a period of unpaid leave or a career break.
document download pdf 301.49kB
LGS35 – Re-Employment Following a Break
To be completed by employer when member returns from a period of unpaid leave or a career break.
document download pdf 249.36kB
Pre-2015 LGS35 – Re-employment Following a Break
This form is to be used when an employee recommences employment after a break in service. Pre-2015.
document download pdf 98.33kB
document icon
SS35 – Service Break Spreadsheet
To be completed by employer to inform NILGOSC of strike action, unpaid sick or unpaid leave.
document download xls 114kB
document icon
Career Break Spreadsheet
document download xlsx 9.84kB
LGS36 – Member Transferred within the Education Authority
This form must be completed when a member transfers from one Education Authority region to another.
document download pdf 918.37kB
LGS40 – Employer Contact and Signatory Form
To be completed by employer to advise NILGOSC of the authorised signatories and contacts for that authority.
document download pdf 1.03MB
document icon
Interest Calculator for Backdated Contributions
document download xls 319kB
document icon
Template letter to send to a member going on reserve forces leave
document download doc 44kB
document icon
Backdated Arrears Spreadsheet
document download xls 36kB
Back to top