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  • The Ministry of Health is seeking your views on the proposed Sugar Tax and changes to the Mental Health Act. You will find the consultation documents and online feedback forms here.

Department of Social Insurance - Contributory Pension/Gratuity Application

AN APPLICATION SHOULD BE MADE WITHIN 13 WEEKS FROM THE DATE A PERSON BECOMES ELIGIBLE FOR THE BENEFIT. DELAY IN CLAIMING MAY RESULT IN LOSS OF BENEFIT.

CONTRIBUTORY PENSIONS ACT, 1970
A person shall be entitled to a contributory old age pension if he/she:

  • is over pension age (over age 65); and
  • satisfies the relevant contribution conditions

I declare that to the best of my knowledge and belief all the statements on this form are true.

Particulars Of Claimant

Telephone number format: 123-456-7890
E.g., 19 Feb 2018
(All applications must be submitted with proof of bank account.(i.e. Copy of bank statement, or copy of credit/debit card that contains name and account number/void check etc.)
Allowed files: .jpg, .gif, .pdf
E.g., 19 Feb 2018
E.g., 19 Feb 2018
Below, please list ALL Employers over the past 10 years.
E.g., 19 Feb 2018
E.g., 19 Feb 2018
E.g., 19 Feb 2018

Please note that a scan of your Government issued ID is required.
If you do not have a valid passport, you can attach a copy of your birth certificate along with your drivers license. Submissions of a drivers license without a copy of your birth certificate will not be accepted.

Allowed files: .jpg, .gif, .pdf
Allowed files: .jpg, .gif, .pdf

Please note that an incomplete application may result in a delayed pension payment. All sections of this application MUST be completed in order for processing to begin. Processing takes 30 to 60 days. To query an application, please call 294 9242 ext 1129 or email sibenefits@gov.bm

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