EXPRESSION OF WISH FOR PAYMENT
OF DEATH GRANT
Local Government Pension Scheme (LGPS)
Complete this form to choose your nominees to receive your LGPS lump sum death grant. If you are over
age 75, a lump sum death grant is not payable so do not complete this form.
We use your expression below on all your LGPS pension records that we administer.
Your personal details
Surname
Forename(s)
National Insurance
Date of birth
number
Home address
Personal email
address
Your nominee details
I wish Kent County Council Pension Section, in the exercise of its absolute discretion, to consider paying any
death grant due under the LGPS to the nominee(s) shown below and in the percentage shares indicated. This
form revokes any previous expression of wish made by me.
Name of beneficiary
Relationship to you (if applicable)
Percentage
share
%
%
%
100%
TOTAL
Percentage shares must add up to a total of 100%. If you wish to nominate more than 3 beneficiaries,
please add an extra sheet. Quote your National Insurance number and sign and date the extra
sheet.
Signed
Return this form
Please save the document then use the online enquiry and document upload form. You can post it to
Kent
County
Council, Pension Section, Sessions House, County Hall, Maidstone, Kent ME14 1XQ.
Privacy notice
In order to administer the pension scheme, we collect, hold, process and share personal data. For further
information read our privacy notice on the Kent Pension Fund website
www.kentpensionfund.co.uk/privacynotice