Appendix D – Pre-A Day pension schemes
Updated 4 June 2021
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Appendix D – Pre-A Day pension schemes
I wish to add myself as a pension scheme administrator to the following schemes on the Pension Schemes Online service.
Scheme administrator ID:
Scheme administrator name:
Pension Scheme Tax Reference (if held):
Superannuation Fund (SF) reference (if held):
Pension scheme name:
Date I became the pension scheme administrator for this scheme:
Pension Scheme Tax Reference (if held):
SF Reference (if held):
Pension scheme name:
Date I became the pension scheme administrator for this scheme:
Pension Scheme Tax Reference (if held):
SF Reference (if held):
Pension scheme name:
Date I became the pension scheme administrator for this scheme:
Pension Scheme Tax Reference (if held):
SF Reference (if held):
Pension scheme name:
Date I became the pension scheme administrator for this scheme:
Pension Scheme Tax Reference (if held):
SF Reference (if held):
Pension scheme name:
Date I became the pension scheme administrator for this scheme:
I confirm I am the scheme administrator for the above schemes. I understand that if any of the above information does not match records held by HMRC, I will not be added as scheme administrator.
The information that I have provided is correct to the best of my knowledge and belief.
Signature:
Date:
If you are sending this by email, this form will be accepted as being signed if you have entered your full name above.