Form

Application for a State Pension statement

You can apply for a State Pension statement using this form BR19. Fill it in with a pen or use the interactive version and post them to us.

Documents

Application for a State Pension statement you can fill in on screen – and then print

This file may not be suitable for users of assistive technology. Request a different format.

If you use assistive technology and need a version of this document in a more accessible format, please email accessible.formats@dwp.gsi.gov.uk. Please tell us what format you need. It will help us if you say what assistive technology you use.

Welsh: Datganiad Pensiwn y Wladwriaeth

Detail

Use the State Pension calculator to get a quick estimate or use this form to get a more detailed statement by post.

Using these application forms

You can get a State Pension statement if you are aged 16 or over and at least 30 days away from your State Pension age when we look at your application. You can apply for a State Pension statement using these PDFs.

Form you fill in on screen using Adobe Reader (interactive)

To use this interactive PDF:

  • save it
  • fill it in
  • print the completed form
  • sign it
  • post it to the address on the form

You can fill in this form and save it using Adobe Reader XI or later. This means that you don’t have to complete the form in one go.

Form you fill in with a pen

To use this PDF:

  • print the form
  • fill it in with a pen
  • sign it
  • post it to the address on the form

If you can’t use these forms

You can also call the Future Pension Centre to get a State Pension statement.

More information

Read more about the basic State Pension.