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Cancellation of Existing Partner or Death Benefit Nomination

Cancellation of Exisiting Partner or Death Benefit Nomination Form

Please read these notes before completing the form for cancelling an existing nomination, then keep them in a safe place.

1. You may use this form only if you have membership on or after 1 April 2008. 2. You may choose to cancel an existing partner nomination or death benefit nomination by completing this form. 3. If you wish to amend an existing nomination you must submit a new application using form PN1 for a partner nomination or form DG3 for a death benefit nomination. 4. Submitting this form will result in the appropriate nominations being revoked completely. This means that any benefits payable upon your death will be paid in accordance with the Scheme rules, rather than to named individual(s) or a body. 5. When you have completed your form please click submit.
Please confirm that you have read and understood the above(Required)
Name(Required)
Email(Required)
Address(Required)
DD slash MM slash YYYY
I wish to cancel my existing(Required)
You may cancel your existing partner nomination by indicating above. If you wish to amend an existing nomination you should make a new nomination *
I confirm that I wish to cancel my existing nomination(s) as indicated above and understand that this means that any benefits payable upon my death will be paid in accordance with the Scheme rules, rather than to named individuals or bodies. Please sign and date below:(Required)
This field is for validation purposes and should be left unchanged.

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