Unilever UK Pension Fund (UUKPF)

Dependant pension request form

Personal Details
My instructions to the Trustees











Declaration

I confirm that the above named person is wholly or partly dependent on my earnings; or dependent on me because of permanent disability and would be severely affected by my death and would need to employ someone else, at his or her own expense, to help as I did.

I understand that if I have exercised, or do so in the future, the option to surrender part of my pension to provide additional pension to my spouse, or, if applicable to my dependant after my death, the Trustees will need to consent to this application.

I confirm I will notify the Unilever UK Pension Fund of any changes in these circumstances and I have read the Notes detailed in the application for a dependant pension letter.

Signature & Date

Please complete this form on screen, print it out, sign it and return it to the Unilever UK Pensions Team at the address below.

For More Information

If you have any queries or require any further information about this form, please call the Unilever UK Pensions Team on 0800 028 0051 (or +44 (0)20 7939 4909 from overseas) between 8.45 a.m. and 5.00 p.m., Monday to Friday (UK time). You can contact the Unilever UK Pensions Team by fax, the number is +44 (0) 1372 757953.

If you would like to write to the Unilever UK Pensions Team, the address is:

Unilever UK Pensions Team
Hewitt Associates Outsourcing Limited
Parkside House
Ashley Road
Epsom
Surrey
KT18 5BS

Email: unileverpensionsteam@hewitt.com

For any future queries in respect of your Unilever UK Pension Fund membership or pension fund benefits please contact the Unilever UK Peoplelink Service Desk on 0800 028 4390 between 9.00 a.m. and 5.00 p.m., Monday to Friday (UK time). Or, if you are employed by TRL, your HR and Payroll Manager.

The Final salary plan, the Career average plan and the Investing plan are sections of the Unilever UK Pension Fund. The Final salary and Career average plans are administered by Hewitt. The Investing plan is managed directly by FIL Life Insurance Limited on behalf of Unilever UK.