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Death Benet Nomination Form
In the event of your death, a lump sum may be paid to a family member, friend, charity, or other
organisation or business. To nominate who the lump sum may be paid to, please log in or register for the
pension portal and update your death benet nominee, or complete this form.
You can complete and return your form via email to: contactcentre@MyCSP.co.uk.
Unless you are employed in the Civil Service and are sending from your gov.uk email address, please
include scanned copies or photographs of two pieces of ID, plus one for your address. Full instructions
for completing the form can be found here.
Alternatively, you can print the form, complete it in black ink and BLOCK CAPITALS, sign and return it to:
Civil Service Pensions, PO Box 2017, Liverpool, L69 2BU.
IMPORTANT: We will be unable to process your form if it is incomplete. Please read the guidance notes
carefully on page three which explain how to complete this form.
Your personal details
Your name
Your date of birth (DD/MM/YYYY)
Your address and postcode
Your National Insurance (NI)
number
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Your declaration
I understand that this form replaces any previous Death Benet Nomination form that I have
completed.
The Scheme is committed to managing your data in line with the Data Protection Legislation. For
more information about how your data is managed, please visit:
www.civilservicepensionscheme.org.uk/privacy-policy
Your signature: Date: / /
Your nomination for death benets
Nominee Name
Please note: classic members
can only nominate one individual
or one organisation – (refer to
guidance notes on page three for
more information.)
Nominee address and postcode Relationship
to you
% of benets
(Total must add
up to 100%)
In the event of my death, it is my wish that any lump sum payable from Civil Service Pensions is paid
to the nominee(s) noted below, in the proportion(s) shown.
Please provide further information in the email if needed. This must include your full name and
National Insurance or Member Number.
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Guidance notes
Please read the following guidance carefully before completing your Death Benet Nomination form.
1. If you are a member of classic, you can only nominate one individual or one organisation to receive
your lump sum. The organisation can be incorporated (for example, a bank) or an unincorporated
body (for example, a partnership or rm of solicitors).
2. If you are a member of one of the other schemes (classic plus, nuvos, premium or alpha), you can
nominate:
a) one or more individuals; or
b) one incorporated organisation or one unincorporated body; or
c) one or more individuals and one incorporated organisation or one unincorporated body.
3. The total percentage of death benets you allocate must add up to 100%. If you do not give a
percentage, we will divide your death benet equally between the people or organisations you
have named.
4. You must sign and date the form.
5. Unless you return your form via email with the required ID, your witness must sign and date the
form on the same date that you sign and date it. Your witness must not be one of your nominees.
Full name of witness
Witness address and postcode
Witness
Important: your witness must sign and date the form on the same date that you sign and
date it. Please note that your witness cannot be a person you have nominated to receive a
Death Benet Lump Sum.
Witness signature: Date: / /
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Important information
1. This nomination will replace any previous lump sum death benet nominations you have made.
We will send you a conrmation letter after your death benet nomination details have been
updated.
2. Your nomination is not binding on the pension scheme. If for some reason the scheme does not
pay benets to someone you have named (for example, your nominee has died), we will pay the
benets to your personal representatives (the people who deal with your nancial matters after
your death).
3. You should make sure that you keep your death benet nomination(s) up to date. Your Annual
Benet Statement contains details of your death benet nominee(s). You can also check your
death benet nomination(s) on the Pension Portal.
4. An individual nomination will not be valid, if, at the time of your death:
a nominee was your husband, wife or civil partner at the time you made your nomination and
your marriage or civil partnership has since ended; or
a nominee has died; or
a nominee was convicted of your murder or manslaughter.
5. If you get divorced or your civil partnership is dissolved and your nominee was your spouse or civil
partner, your death benet nomination for them will become invalid. In this instance, if you wish to
nominate a new beneciary, you can do so on the Pension Portal or by submitting a new Death
Benet Nomination Form. Any other existing nominees would remain unaected.
6. In the case of a divorce or a dissolution, in some circumstances the court may order that all or part
of any death benet is to be paid to your former husband, wife or civil partner.
For classic members, should part of your death benet be ordered to be paid to your former
spouse, the remainder of your benet can be paid to another nominee of your choice. You will
need to update your death benet nominee on the Pension Portal or complete a new form in this
circumstance.
For classic plus, nuvos, premium and alpha members, should part of your death benet be ordered
to be paid to your former spouse, the remainder of your benet would be paid to your other
nominees.
7. The pension scheme must pay death benets within two years of your death. If we are unable to
contact your nominee (s), or if there is no valid nomination, we will pay any death benet to your
personal representatives.
©March 2021