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Forms For Members and Councillors

LGS2 Opt Out Notice Section A
LGS2 Opt Out Notice Section A

To be returned to your employer. PDF (290kb)
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LGS2 Opt Out Notice Sections B and C
LGS2 Opt Out Notice Sections B and C

To be returned to NILGOSC - *PDF 160KB
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LGS8 Transfer Quotation Request Form
LGS8 Transfer Quotation Request Form

PDF 945kb Updated July 2020
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LGS9 Past Service Enquiry Form
LGS9 Past Service Enquiry Form

PDF 300kb
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LGS10 - Public Service Pension History
LGS10 - Public Service Pension History

PDF (465kb)
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LGS11 - Election to re-join the main section of the Scheme
LGS11 - Election to re-join the main section of the Scheme

Return this completed form to your employer. PDF (2,021kb)
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LGS12 - Election to join the 50/50 section of the Scheme
LGS12 - Election to join the 50/50 section of the Scheme

Return completed form to your employer. PDF (3,004kb)
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LGS20 - Expression of Wish Form
LGS20 - Expression of Wish Form

PDF (318kb) Updated 22nd January 2020 for Amended Regulations
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LGS22b - Ill-Health Medical Examination Request Form for a Deferred Member
LGS22b - Ill-Health Medical Examination Request Form for a Deferred Member

PDF 305KB
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LGS24 Change in Circumstances Form
LGS24 Change in Circumstances Form

PDF 235KB
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LGS27A - Additional Pension Contributions (APCs) to Boost Pension
LGS27A - Additional Pension Contributions (APCs) to Boost Pension

PDF, 1MB
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LGS27B - Additional Pension Contributions (APCs) for Lost Pension
LGS27B - Additional Pension Contributions (APCs) for Lost Pension

PDF 1,258kb
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Forms For Employing Authorities

SS1 New Member Spreadsheet
SS1 New Member Spreadsheet

Excel 2,892kb
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SS2 Opt Out Spreadsheet
SS2 Opt Out Spreadsheet

xls 922kb
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LGS6 - Remittance Form
LGS6 - Remittance Form

Word doc (85kb)
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SS11 - Election to re-join the main section of the Scheme
SS11 - Election to re-join the main section of the Scheme

Excel Spreadsheet 13kb
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SS12 - Election to join the 50/50 section of the Scheme
SS12 - Election to join the 50/50 section of the Scheme

Excel Spreadsheet 13kb
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LGS13 Waiving Reductions
LGS13 Waiving Reductions

PDF (1,053kb)
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LGS15 - Leavers Form
LGS15 - Leavers Form

PDF (812KB). November 2020
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LGS15 - Leavers Form Guidance Notes
LGS15 - Leavers Form Guidance Notes

PDF (276kb) - updated July 2020
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LGS16 - Employer Notification of Employee Leaving
LGS16 - Employer Notification of Employee Leaving

PDF (3,080kb)

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LGS17 Employer's Request for an Estimate of Retirement Benefits
LGS17 Employer's Request for an Estimate of Retirement Benefits

PDF 1,947kb
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SS17 Bulk Quote Request Spreadsheet
SS17 Bulk Quote Request Spreadsheet

Revised spreadsheet 5 April 2018 (XLS 15kb)
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LGS19 - Death Notification Form
LGS19 - Death Notification Form

PDF (416kb)
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LGS22A - Ill-Health Medical Examination Request Form
LGS22A - Ill-Health Medical Examination Request Form

May 2019, PDF 261kb
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LGS24 Change in Circumstances Form
LGS24 Change in Circumstances Form

(PDF 235)
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LGS25 Amendment Form
LGS25 Amendment Form

PDF 379kb
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LGS34 Breaks in Employment
LGS34 Breaks in Employment

PDF 301KB
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LGS35 Re - Employment Following a Break
LGS35 Re - Employment Following a Break

PDF 250kb
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Pre 2015 LGS35 Re-employment Following a Break
Pre 2015 LGS35 Re-employment Following a Break

If the employee's service break spans the 2009 and 2015 regulations then both the old and new LGS35 must be completed

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SS35 Service Break Spreadsheet
SS35 Service Break Spreadsheet

XLS, 118KB
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Career Break Spreadsheet
Career Break Spreadsheet

Excel 10kb
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LGS36 - Member Transferred within the Education Authority
LGS36 - Member Transferred within the Education Authority

PDF* 1436kb
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LGS40 - Employer Contact and Signatory Form
LGS40 - Employer Contact and Signatory Form

PDF (987kb)
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Interest Calculator for Backdated Contributions
Interest Calculator for Backdated Contributions

XLS, 312KB
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Template letter to send to a member going on reserve forces leave
Template letter to send to a member going on reserve forces leave

Word doc, 44kb
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Backdated Arrears Spreadsheet
Backdated Arrears Spreadsheet

Excel 36kb
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Sample Preformatted Spreadsheet and Reconciliation Form
Sample Preformatted Spreadsheet and Reconciliation Form

Excel 84KB
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