Update your contact details
===========================

Please keep us updated with any changes to staff responsible for sending and signing off pensions data and who we can contact with any queries (authorised contacts). This can be done by completing the employer contact details form below.

You can also use this form to:

- **Confirm IDRP Stage 1 Appeals Officer –** Let us know the person who is appointed in your organisation to determine the Stage 1 Internal Dispute Resolution Procedure (IDRP) appeals.
- **Confirm the name of your payroll provider** -Let us know who you use and update us if you change providers.
- **Confirm your Independent Registered Medical Practitioner (IRMP)** – let us know who you have appointed to assess ill health retirement applications and decide the appropriate “tier” for ill health.
- **Confirm who completes and submits the monthly interfaces** – Let us know who the person who provides the monthly pension data via interfaces.
- **Sign up to our employer newsletter** – Our Pensions Line e-zine keeps you updated with changes to legislation and what you need to do.

Please submit a new form for each type of change you wish to make.

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Employer Contact Us
-------------------

"\*" indicates required fields

LinkedInThis field is for validation purposes and should be left unchanged.

Employer Name

Employer Number (eg: 00123)

Employer Address

Employer Email Address

Telephone Number

Please give the telephone number including dialling code.

What would you like to update?Please selectConfirm Contact DetailsConfirm IDRP Stage 1 Appeals OfficerConfirm Name of Payroll ProviderConfirm Contact for Interfaces’Subscribe to Pensions LineConfirm IRMP for ill health assessments

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Please complete each section below, so that we know who to contact with any queries and who is authorised to complete the relevant pension forms.

All email addresses provided will be automatically subscribed to the mailing list for Pensions Line – our employer e-zine which keeps you updated with changes to legislation and what you need to do. Recipients can unsubscribe however please ensure at least one member of your organisation receives the newsletter as it is our main way of communication.

Contact Name

Job Title

Contact Email

Contact Tel Number

Please give the telephone number including dialling code.

Type of Contact  New Contact

  Revised Contact

If revised, please confirm previous contact to be removed from our list:

Our Payroll is provided  In House

  By an Outside Provider

If you have a contract with an outside provider, please confirm the name the payroll provider here:

Please note that we do not deal with your payroll provider directly without authorised delegated contacts being provided

Do you wish to add more contacts?\*  Yes

  No

Contact Name

Job Title

Contact Email

Contact Tel Number

Please give the telephone number including dialling code.

Type of Contact  New Contact

  Revised Contact

If revised, please confirm previous contact to be removed from our list:

Do you wish to add more contacts?\*  Yes

  No

Contact Name

Job Title

Contact Email

Contact Tel Number

Please give the telephone number including dialling code.

Type of Contact  New Contact

  Revised Contact

If revised, please confirm previous contact to be removed from our list:

Do you wish to add more contacts?\*  Yes

  No

Contact Name

Job Title

Contact Email

Contact Tel Number

Please give the telephone number including dialling code.

Type of Contact  New Contact

  Revised Contact

If revised, please confirm previous contact to be removed from our list:

Please complete this form giving details of the person appointed in your organisation to determine Stage 1 IDRP appeals. Although the form asks for the person’s name, it is more important that the designation of the officer is known.

The above organisation has appointed the following officer to deal with IDRP Stage 1 appeal determinations:

Designation of appointed officer:

Name of present holder of above office:

Work address for appointed officer:

Email address of appointed officer:

Telephone number of appointed officer:

Please give the telephone number including dialling code.

It is an employer’s responsibility to ensure all the data we receive is correct. However, you can delegate some administration duties to your payroll provider if you wish. By completing these details, you authorise Peninsula Pensions to accept data and completed pensions forms directly from your payroll provider. The responsibility for the timely and accurate provision of data and contributions remains with you as the employer.

Delegated Authority

Name of authorised signatory

Email

Telephone no.

Please give the telephone number including dialling code.

Name of second authorised signatory

Email

Telephone no.

Please give the telephone number including dialling code.

**I authorise the above persons to complete the following forms on behalf of the above employer.**

New StarterPlease selectYesNo

Estimate RequestsPlease selectYesNo

Submit Hour changes and AmendmentsPlease selectYesNo

Monthly Contribution ReturnPlease selectYesNo

Monthly data via interfacesPlease selectYesNo

Leaver Forms\*Please selectYesNo

* Somerset CC Contract Academies
SCC/SSE will only notify Pensions of early leavers &amp; early/age retirements only – For any employer decision retirements (eg; redundancy, efficiency, flexible retirement, ill health) it will remain your responsibility to complete and submit the leavers form direct to Pensions

**I understand and agree to the following:**

The above delegated contacts are not responsible for the information provided and are acting only as an agent on behalf of the employer.\*  I understand and agree

The responsibility for the timely and accurate provision of data and contributions remains with the employer and if any issues arise it will be the employer that will be accountable under the LGPS Regulations not the delegated authority.\*  I understand and agree

All emails must be sent securely. The delegated authority must be able to use Egress switch in accordance with Devon County Council’s email policy.\*  I understand and agree

Our Payroll is provided  In House

  By an Outside Provider

If you have a contract with an outside provider, please confirm the name the payroll provider here:

Please note that we do not deal with your payroll provider directly without authorised delegated contacts being provided.

Please complete each section below, so that we know who to contact with any queries and who is authorised to complete the relevant pension forms.

All email addresses provided will be automatically subscribed to the mailing list for Pensions Line – our employer e-zine which keeps you updated with changes to legislation and what you need to do. Recipients can unsubscribe however please ensure at least one member of your organisation receives the newsletter as it is our main way of communication.

Contact Name

Job Title

Email

Contact Telephone Number

Please give the telephone number including dialling code.

**If the contact is your payroll provider, please ensure you have registered them as an Authorised Delegated Contact – you can do so via this form by selecting ‘Confirm Authorised Delegated Contacts’**

Type of Contact  New Contact

  Revised Contact

If revised, please confirm previous contact to be removed from our list:

Pensions Line is our employer e-zine which keeps you updated with changes to legislation and what you need to do.

Please provide the name and email address of the person(s) wishing to be added to the mailing list:

Name to be added

Email address to be added

Do you wish to add more subscribers?\*  Yes

  No

Name to be added

Email address to be added

Do you wish to add more subscribers?\*  Yes

  No

Name to be added

Email address to be added

Do you wish to add more subscribers?\*  Yes

  No

Name to be added

Email address to be added

Do you wish to add more subscribers?\*  Yes

  No

Name to be added

Email address to be added

Do you wish to add more subscribers?\*  Yes

  No

Name to be added

Email address to be added

If you wish to add more subscribers, please submit another form.

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Doctor's full name\*

GMC number\*

Practice address\*

Practice Email address\*

Practice Telephone number\*

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Completed by:\*

Email:\*

Date\*

 Submit

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