Bereavement notification form - National Grid UK Pension Scheme

Please use this form to tell us about the death of one of our members.

All fields marked* need to be completed in order to submit the form.

The form will ask you to input the deceased members’ date of birth. If this is earlier than 1942, please click on the 1942 date to highlight it, and then press the little up arrow to the right. The list will extend to show earlier years, which you can then select from.

About our member

Member’s full name *

Scheme reference number (if known)

Members address *

Date of birth *

Marital status *

Date of death *

Is the date of death confirmed? *

Are you aware if the member was receiving any payments from the scheme (e.g a pension)?

Details of a spouse or dependant

If our member was in receipt of a widow or dependant pension, you do not need to complete this section.

Did our member leave a legal spouse (Legal spouse is anyone who was married or in a civil partnership) *

Details of any children

If our member was in receipt of a widow or dependant pension, you do not need to complete this section.

Are there any dependent children under the age of 23 *

Are there any children who were financially dependent on our member due to mental or physical incapacity? *

Please enter your details below

Your Name *

Your relationship to the deceased *

Contact telephone number (please enter your home or mobile phone) *

E-Mail

Your Full Address *

Your Postcode *

About the estate

Who is dealing with the estate *

Who should we contact?

Who should we contact in relation to settlement of any benefits due? *

What happens next?

Once we’ve been notified, we will stop making pension payments and process any death benefits that are due – this might be a dependant’s pension, a lump sum or bereavement grant. We will contact you within 2 working days to request any further information we need.

3 + 1 = ?Please prove that you are human by solving the equation *