Boots Pension Scheme

Exchanging your pension for cash Opt-out form

If you do NOT wish to receive more information about exchanging your Scheme pension for a one-off cash lump sum, you must complete this form and return it to the Boots Pensions Department by Friday 19 October 2018.

If sending by post, our address is Alliance Healthcare & Boots Pensions, Nottingham NG90 7GP.

My details:

Surname:

Title:

Forename(s):

Date of Birth:

Address 1:

Address 2:

Address 3:

Address 4:

Postcode:

Email address:

National Insurance no:

Tel No (optional):

Declaration:

I confirm that I do NOT wish to receive more information about the option to take my Scheme pension as a lump sum.

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