Report a death form :: Pearson Pensions

Who is this for?

Are you the spouse or civil partner of the member? YesNo

We are very sorry for your loss. In order to pay any benefits due, we need to collect some information about you and your spouse/civil partner. If you have any questions about the form, or if you would prefer to talk a member of the team, please call 0800 781 1378 and then select option 5.

We are very sorry for your loss. If you have any questions about the form, or if you would prefer to talk a member of the team, please call 0800 781 1378 and then select option 5.
Your details

* Denotes required fields

Your personal details
Title* - This is a required field Forename(s)* - This is a required field Surname* - This is a required field

Address

Country* - This is a required field Start typing your address
Look up address

Address line 1* - This is a required field Address line 2 Town County/State/Province/Region Postcode/Zip code

NI Number
National Insurance number*

Date of birth*

Day* of birth - This is a required field

Month* of birth - This is a required field

Year* of birth - This is a required field

Other information
Email address* - This is a required field
Phone number

Relationship to the member* - This is a required field
- This is a required field

Are you aware of any other individuals who were financially dependent on the member at the time that they died? If so, we may need to obtain further information at a later date.*
- This is a required field
What would you like to do?

Member’s personal details
Member’s Title* - This is a required field Member’s Forename(s)* - This is a required field Member’s Surname* - This is a required field

Address

Member’s Country Start typing the member’s address
Look up member’s address

Member’s Address line 1* - This is a required field Member’s Address line 2 Member’s Town Member’s County/State/Province/Region Member’s Postcode/Zip code

Member's National Insurance number* - This is a required field

Member’s date of birth*

Member’s Day* of birth - This is a required field

Member’s Month* of birth - This is a required field

Member’s Year* of birth - This is a required field

Date they died*

Member’s Day* of death - This is a required field

Member’s Month* of death - This is a required field

Member’s Year* of death - This is a required field

Were they survived by a spouse or civil partner?*n/aYesNo

Details of spouse or civil partner
Title* - This is a required field Forename(s)* - This is a required field Surname* - This is a required field

Address of Spouse / civil partner

Country* - Spouse/civil partner
Look up Spouse/civil partner’s address

Address line 1* Address line 2 - Spouse/civil partner Address line 2 - Spouse/civil partner Town - Spouse/civil partner County/State/Province/Region - Spouse/civil partner Postcode/Zip code - Spouse/civil partner

NI Number of Spouse / civil partner
Spouse / civil partner’s National Insurance number* - This is a required field

Date of birth of Spouse / civil partner*

Spouse / civil partner’s Day* of birth - This is a required field

Spouse / civil partner’s Month* of birth - This is a required field

Spouse / civil partner’s Year* of birth - This is a required field

Other information
Spouse / civil partner’s Email address* - This is a required field Spouse / civil partner’s Phone number

Do you have a copy of the member’s death certificate that you can upload?* - This is a required fieldYesNo

Please select the file number 1 Choose file

| Delete file

Note that there is a 5MB file size limit per file and only JPG, Word and PDF files can be attached.
Additional Information

If you do not have a copy of the death certificate and the death was registered in the UK, please do not worry as we can find this information through our tracing service.

If the death was registered outside of the UK, then we will need a copy of the certificate before we can assess any further benefits payable. You can upload a copy of the certificate when it is available through the Submit a Document page on our website at: www.pearson-pensions.com/submit-document/ - This link opens in a new browser window
Your declaration

Data protection

Please tick the box below to confirm that you understand and acknowledge the statements.

The Trustee, as the controller under the applicable data protection legislation in the UK, uses certain personal information about you to (amongst other reasons) communicate with you and administer your benefits in the Plan. Your information is shared with the Plan’s administrators, other providers of services to us, and public bodies such as HM Revenue & Customs. For more detailed information on how we use and disclose your information, the protections we apply, the legal bases we rely on and your data protection rights, please see our privacy notice at www.pearson-pensions.com/privacy-notice/ - This link opens in a new browser window. If you would like a copy of our privacy notice to be sent to you, please contact the pensions helpline.
I confirm I understand that the data I provide will be used as outlined in the data protection statement. Today's Date:
Date: 27-07-2024

The Pearson Pension Plan

Report a death form

Who is this for?

Your details

Your personal details

Address

NI Number

Date of birth*

Other information

What would you like to do?

Member’s personal details

Address

Member’s date of birth*

Date they died*

Details of spouse or civil partner

Address of Spouse / civil partner

NI Number of Spouse / civil partner

Date of birth of Spouse / civil partner*

Other information

Your declaration

Data protection

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