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.

Detail

If you can’t use the forms on this page, contact the Future Pension Centre to ask for a State Pension statement.

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

The State Pension is changing

Read about the new State Pension if you’re:

  • a man born on or after 6 April 1951
  • a woman born on or after 6 April 1953

Read about the basic State Pension if you’re:

  • a man born before 6 April 1951
  • a woman born before 6 April 1953