Form: Application for a State Pension statement

Updated: Added revised BR19 English and Welsh - print versions.

You can use form BR19 to get a State Pension statement if:

you are aged 16 or over, and at least 30 days away from your State Pension age when we look at your application Form you fill in on screen using Adobe Reader (interactive)

To use this interactive PDF:

save it fill it in print the completed form sign it post it to the address on the form

You can fill in this form and save it using Adobe Reader XI or later. This means that you don’t have to complete the form in one go.

Form you fill in with a pen

To use this PDF:

print the form fill it in with a pen sign it post it to the address on the form Check online or by phone

You can also check your State Pension online or by phone.

Local copy of br19-interactive-application-for-a-state-pension-statement.pdf
Local copy of br19-print.pdf
Local copy of br19-interactive-application-for-a-state-pension-statement-w.pdf
Local copy of br19-print-w.pdf

https://www.gov.uk/government/publications/application-for-a-state-pension-statement

seen at 14:39, 6 December in Publications on GOV.UK.
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