Combined Pension Statement application form for employers and pension providers

Form for employers and pension providers to apply to use the Combined Pension Statement service.

This publication was withdrawn on

We’ve withdrawn this form because the Combined Pension Statements scheme is closed for new applications. The scheme ends in March 2016.


Combined Pension Statements: application form and notes for employers and pension providers

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The Combined Pension Statement is a voluntary service that lets you combine information about State Pension and workplace or personal pensions in a single statement.

Use this form to apply to use the Combined Pension Statement if you are an employer or pension provider.

For more information about what Combined Pension Statements are, how they can benefit your scheme members and what you have to do to provide them, read our Combined Pension Statements guide.

Published 9 May 2014