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NIFRS Partner Nomination Form

Partner Nomination Form – For NIFRS members only

Please read these notes before completing the partner nomination form, then keep them in a safe place.

Do not complete this form if either of you are currently married or in a civil partnership with anyone else

  1. You can nominate your partner to receive a survivor pension after your death by completing this form and jointly signing the declaration.
  2. For a nomination to be accepted certain conditions must be met, including:
    • you and your partner have been living together in an exclusive long-term relationship for at least 2 years;
    • you and your partner are free to marry or to enter a civil partnership – please refer to ‘Guide to relationships that are not allowed to marry in the UK’.
    • you and your partner are financially interdependent e. you rely on your joint finances to support your standard of living, although you do not need to be contributing equally.
    • the conditions stated in the declaration section of the form.
  1. You should not rely on this information alone giving the partner entitlement to a pension. Following your death, the Scheme administrator will need to be satisfied that your relationship continued to meet the qualifying conditions for the payment of a survivor’s
  2. Evidence of financial interdependency will be required if your partner makes a claim following your Evidence might include:
    • confirmation that you lived in a shared household;
    • shared bank accounts or investments;
    • a loan or mortgage in joint names;
    • have wills naming each other as the main beneficiary;
    • confirmation of shared household expenditure;
    • a joint tenancy agreement (i.e. if living in rented accommodation);
    • a mutual power of attorney;
    • your partner being nominated as the main beneficiary of life
  1. If your relationship comes to an end and you should cancel your nomination by completing a Cancellation of Existing Partner or Death Benefit Nomination  . You can also find this form from our website at: hscpensions.hscni.net under the heading ‘NIFRS Scheme Forms’ or ask your Employer to download a copy for you. If you enter a new relationship, you may want to make a new nomination at some time in the future.
Guide to relationships that are not allowed to marry in the UK

The statutory list may change so the following list is only a guide.

A man may not marry his:

mother, adoptive mother, former adoptive mother, daughter, adoptive daughter, former adoptive daughter, grandmother, granddaughter, sister, half -sister, aunt or niece.

A woman may not marry her:

father, adoptive father, former adoptive father, son, adoptive son, former adoptive son, grandfather, grandson, brother, half- brother, uncle or nephew.

A man may not enter into a civil partnership with his:

father, adoptive father, former adoptive father, son, adoptive son, former adoptive son, grandfather, grandson, brother, half- brother, uncle or nephew.

A woman may not enter into a civil partnership with her:

mother, adoptive mother, former adoptive m other, daughter, adoptive daughter, former adoptive daughter, grandmother, granddaughter, sister, half- sister, aunt or niece.

Partner Nomination Form (NIFRS)

This field is for validation purposes and should be left unchanged.
Please note, this form is for NIFRS members only. If you work for the HSC please access the form via the HSC Pension Scheme Forms section.

Section 1 - Your details

Please enter your details below.
Name(Required)
Address(Required)
DD slash MM slash YYYY

Section 2 - Partners Details

Please enter your partners details below.
Partners Name(Required)
Partners Address(Required)
DD slash MM slash YYYY

Section 3 - Declaration to be completed and agreed to by the member and their partner

We declare that:

1. we have lived together for years, during which time our financial affairs have been interdependent, or your partner has been financially dependent on you; (You can enter the amount of years that you have lived together below.)

2. we have a committed relationship with each other and we intend to continue this indefinitely;

3. we are mutually responsible for each-others welfare;

4. we are not related in a way that would prevent either marriage or a civil partnership;

5. neither of us is married to or in a civil partnership with anyone else;

6. neither of us is currently nominated as a partner of anyone else;

7. we will inform HSC Pension Service if our relationship comes to an end;

8. we understand that benefits will not be paid unless the partner provides satisfactory evidence that the declaration above is valid when the Scheme member dies;

9. we have read the accompanying notes.

We have read and agree to the points listed above.(Required)

Section 4 - Status

Max. file size: 40 MB.
Evidence might include: confirmation that you lived in a shared household, shared bank accounts or investments, a loan or mortgage in joint names, have wills naming each other as the main beneficiary, confirmation of shared household expenditure, a joint tenancy agreement (i.e. if living in rented accommodation), a mutual power of attorney, or your partner being nominated as the main beneficiary of life assurance.

Section 5 - Declaration

Please confirm that both you, and your partner have read and agreed with all of the information provided throughout this form.
Confirmation(Required)

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