MAKING YOUR CHOICES
OPTING OUT OF SALARY SWAP
FULL NAME: _____________________________________
NI NUMBER: _________________________________
CONTACT NUMBER: _________________________________
EMAIL ADDRESS: _________________________________
Following receipt of the company letter sent to me dated 3 September 2009, I
hereby request that I wish to be opted out of Salary Swap until further notice.
By doing this, I understand that if I were to change my mind, I would not be able
to opt in to Salary Swap until April 2010.
Now please send this form to:
The Pension Review Team
84 Salop Street
PLEASE ENSURE THIS FORM IS RECEIVED TO THE PENSION REVIEW
TEAM BY 30TH SEPTEMBER 2009. IF YOUR REQUEST IS NOT RECEIVED BY
THIS DATE, YOU WILL BE AUTOMATICALLY OPTED IN TO SALARY SWAP.
YOU WILL THEN (IN NORMAL CIRCUMSTANCES) NOT BE ABLE TO OPT-
OUT OF SALARY SWAP UNTIL APRIL 2011.