Online J2 Form

J2 Form

GP Practice, Direction Employers & Out of Hours Staff (Not to be completed by the member, and not to be submitted for Partners, Locums or Salaried/Retainer GPs)

Notification of Start of Pensionable Employment: This form must be completed and submitted to HSC Pension Service immediately once a person starts pensionable employment. (To be completed by an authorised officer)

National Insurance Number(Required)

Date of Birth(Required)

Has the date of birth been verified from the members birth certificate?

Yes

Name(Required)

Prefix First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Enter Email Confirm Email

Phone

Date Member Started Current Pensionable Employment(Required)

Capacity in which employed?

Whole-Time or Part-Time?(Required)

Whole-Time

Part-Time

Is this the joiner's only pensionable employment? Y/N (If No, please give details of other employments e.g. Practice No, HSCT, Staff No.)(Required)

Yes

Please give details of other employments

If Part-Time, what is the proportion of whole-time as a fraction?

Annual Whole Time Equivalent (WTE) Salary(Required)

Employer Declaration

Please enter your details below:

Name(Required)

Prefix First Last

Official Designation(Required)

Practice Manager, Payroll Admin etc. (You cannot sign your own form)

Employer Code/Practice Number(Required)

Telephone Number(Required)

Email(Required)

Enter Email Confirm Email

Upload a SD77

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Max. file size: 20 MB.

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Online J2 Form