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Forms and spreadsheets

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

LGS15 – Leaver’s Form thumbnail

LGS15 – Leaver’s Form

To be completed for all leavers, i.e. entitled to immediate benefits, not entitled to immediate benefits, death in service or moving to another employer in the Scheme.
pdf | 1.54MB
LGS15 – Leaver’s Form Guidance Notes thumbnail

LGS15 – Leaver’s Form Guidance Notes

Guidance notes for LGS15 - Leaver's form.
pdf | 407.3kB
LGS16 – Employer Notification of Employee Leaving thumbnail

LGS16 – Employer Notification of Employee Leaving

Advance notification of a Leaver with date of leaving after 31 March 2015.
pdf | 1.81MB
LGS17 – Employer’s Request for an Estimate of Retirement Benefits thumbnail

LGS17 – Employer’s Request for an Estimate of Retirement Benefits

To be completed by employer to request pension benefit and capital cost figures.
pdf | 832.74kB
SS17 – Bulk Quote Request Spreadsheet thumbnail

SS17 – Bulk Quote Request Spreadsheet

To be completed by employer to request bulk quotations for members aged between 55 and 65 e.g. bulk redundancy quotations.
xlsx | 11.87kB
LGS19 – Death Notification Form thumbnail

LGS19 – Death Notification Form

If a member dies in service, you should complete LGS19 immediately and LGS15 as soon as possible.
pdf | 785.21kB
LGS22A – Ill-Health Medical Examination Request Form thumbnail

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.
pdf | 792.89kB
LGS24 – Change in Circumstances Form thumbnail

LGS24 – Change in Circumstances Form

To be completed to advise NILGOSC of any relevant changes to a member’s status.
pdf | 739.95kB
LGS25 – Amendment Details Form thumbnail

LGS25 – Amendment Details Form

To be completed by the employer. Notifies NILGOSC of any changes in contractual working hours, weeks or contribution rate.
pdf | 825.48kB
LGS34 – Breaks in Employment thumbnail

LGS34 – Breaks in Employment

To be completed by employer when member commences a period of unpaid leave or a career break.
pdf | 819.77kB
LGS35 – Re-Employment Following a Break thumbnail

LGS35 – Re-Employment Following a Break

To be completed by employer when member returns from a period of unpaid leave or a career break.
pdf | 0.93MB
SS35 – Service Break Spreadsheet thumbnail

SS35 – Service Break Spreadsheet

To be completed by employer to inform NILGOSC of strike action, unpaid sick or unpaid leave.
xls | 114kB
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