This form is an example of the type of record you would need to use to meet the record keeping requirements. You may prefer to use a personal diary to record this information. You can use Group Certificates, Tax Returns or a letter from your employer to help verify your work record.
This form is used by veterans, partners or war widow(er)'s who have registered for the Pension Bonus Scheme. The form is used to provide an example of the work record that is required to be kept in order to claim the Pension Bonus at a later date.
If you are using an Apple computer and want to fill out your form electronically, please download the form and open it with Acrobat 7 or later.