Application for Non-Contributory Old Age Pension
This application form is intended for individuals seeking a non-contributory old age pension in Bermuda. It provides necessary information and instructions for eligibility and documentation required. Ensure all information is filled out accurately to avoid delays in processing.
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How do I fill this out?
To fill out this form, start by using block capitals for clarity. Ensure you answer all questions completely to avoid delays. Gather all necessary documentation before submission to streamline the process.

How to fill out the Application for Non-Contributory Old Age Pension?
1
Read through the entire form carefully.
2
Fill out each section with accurate information.
3
Attach required documents such as your birth certificate.
4
Double-check your answers for any mistakes.
5
Submit the completed form to the Department of Social Insurance.
Who needs the Application for Non-Contributory Old Age Pension?
1
Individuals aged 65 and older applying for pension benefits.
2
Residents looking for financial support during retirement.
3
People who have resided in Bermuda for a required period.
4
Applicants with a verified income below the threshold.
5
Those in need of assistance while applying for contributory pensions.
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What are the instructions for submitting this form?
To submit this form, you can deliver it in person to the Department of Social Insurance, located on the Ground Floor of the Government Administration Building at 30 Parliament Street, Hamilton HM 12, Bermuda. Alternatively, you may choose to mail it to the same address. It's advisable to keep a copy of your submitted form for your records.
What are the important dates for this form in 2024 and 2025?
Important submission dates for this application in 2024 and 2025 will be detailed on the official government website. Ensure timely submission to avoid missing out on benefits. Stay updated with any changes to eligibility requirements or deadlines.

What is the purpose of this form?
The purpose of this form is to facilitate the application for a non-contributory old age pension for eligible Bermudians. It ensures that applicants provide necessary information to verify their eligibility and supports the assessment process. This document plays a crucial role in accessing financial benefits during retirement.

Tell me about this form and its components and fields line-by-line.

- 1. Surname: Applicant's last name.
- 2. Other Names: Any additional names used.
- 3. Permanent Address: Current residential address.
- 4. Occupation: Current job title or profession.
- 5. Bank Details: Necessary banking information for pension deposit.
- 6. Signature: Signature for authentication.
- 7. Witness Signature: Signature by an authorized witness.
- 8. Bermudian Status: Confirmation of Bermudian citizenship.
What happens if I fail to submit this form?
Failing to submit this form may result in delayed access to pension benefits. Applicants may miss out on financial support that could assist them during retirement. It's crucial to ensure timely submission and accurate completion to avoid complications.
- Delayed Processing: Incomplete submissions can delay approval times.
- Loss of Benefits: Failure to apply within the required time can lead to loss of eligibility.
- Need for Resubmission: Incorrect details may require additional paperwork and resubmission.
How do I know when to use this form?

- 1. Retirement Planning: For seniors planning their financial strategy.
- 2. Financial Assistance: Those needing support in their golden years.
- 3. Initial Application: For first-time applicants to the pension scheme.
Frequently Asked Questions
What is the purpose of this application?
It is to apply for a non-contributory old age pension.
Who is eligible to apply for this pension?
Individuals over age 65 who meet residency requirements.
Can I edit this form before submitting?
Yes, you can easily edit the document using PrintFriendly.
How do I submit this completed form?
You can submit it in person or via mail to the designated office.
What documents do I need to attach?
Attach your birth certificate or passport as verification.
Is there a deadline for submitting this application?
Applications should be made within 13 weeks of eligibility.
Can I save my edits?
Yes, you can download the edited version after finishing.
How do I share this form with others?
Use the sharing options available on PrintFriendly.
What if I need assistance filling out the form?
Resource guides are available online to help with the process.
What happens if I make a mistake on my application?
Review your form carefully; edits can be made prior to submission.
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