AE Section Opt out Form

This form should only be used once your 30-day opt out window has closed – this date will be quoted on the Notification Letter you received from Legal & General.

My details:

Surname:

Title:

Forename(s):

Date of Birth:

Address 1:

Address 2:

Address 3:

Address 4:

Postcode:

Mobile No:

National Insurance no:

Staff No:

Email address:

Employer:

I have considered my situation and I wish to leave the Auto-Enrolment Section

Please note this form must be completed and submitted by the 5th of the month that you wish to leave the AE Section. This is due to payroll processing dates. If it is received after the 5th, your request to opt out will be processed at the next available payment date.

Please confirm your details before submitting this form.

I hereby confirm that all of the above details are, to the best of my knowledge, complete and correct at the time of submitting this form.

Date:

Submit