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Free Maine Afppgmc Form in PDF

The Maine AFPPGMC form is an essential application used to claim unpaid monthly pensions or to request the payment of cancelled checks for pensioners. This form is designed for individuals seeking to rectify issues related to their pension payments, ensuring they receive the benefits they are entitled to. Understanding how to properly complete this form can significantly streamline the claims process and help you secure your rightful pension payments.

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Table of Contents

The Maine AFPPGMC form serves a crucial role for individuals seeking to claim unpaid monthly pensions or request the replacement of cancelled pension checks. This application is particularly relevant for both pensioners and their beneficiaries, ensuring that those entitled to these benefits can navigate the claims process effectively. Applicants must provide their full name, age, and permanent address, along with details about their relationship to the principal pensioner. The form requires specific documentation, such as the Pensioner Update Form and the Retirement Order, to substantiate the claim. It also mandates a declaration under penalty of perjury, emphasizing the importance of accuracy in the information provided. For widows or widowers, additional documents like the Death Certificate and Declaration of Legal Beneficiaries are necessary. By detailing the reasons for unpaid pensions or stale checks, applicants can clearly communicate their circumstances, making it easier for the authorities to process their requests. This form is not just a bureaucratic requirement; it is a vital tool for ensuring that individuals receive the financial support they are entitled to, thereby contributing to their overall well-being.

Form Sample

AFPPGMC Form

Application for Claim of Unpaid Monthly Pension/Payment of Cancelled Checks

(Authority: Para 3c & 3d, Personnel Dir Nr 01-05 dtd 02 Jun 05)

Date: 01/19/2023

The Chief

AFP Pension and Gratuity Management Center

Camp General Emilio Aguinaldo

Quezon City 1110

Sir,

I, __________________________________________________, _________,

(Full Name of Applicant)(Age)

_____________, of _____________________________________________________

(Date of Birth)(Present Permanent Address) (to be accomplished if applicant is a beneficiary pensioner)

the ____________ of ___________________________________________________

(Relation)

(Name of Principal Pensioner)

is applying for claim of unpaid monthly pension / replacement of cancelled pension checks pursuant to Section 17 & 18 PD 1638/RA 340. Details of claim are as follows (state period of claim and reason for not receiving pension or for checks becoming stale. If more space is required, attached explanation/reasons)

Herewith are the pertinent documents relative to my application for unpaid monthly pension / payment of cancelled checks.

(____) Pensioner Update Form

I declare, under the penalties of perjury pursuant to the provisions of existing laws that the information stated above are true and correct. Further I certify that the documents attached herewith provide authentic information to support my request/claim.

_______________________________

(Signature over printed name)

Note: Requirements for Principal

1.Pensioner Update Form (PUF)

2.Retirement Order

3.Marriage Contract

4.Pensioner ID

5.Pension Account ( LBP/UCPB OR PVB) For Widow:

1.Pensioners Update Form (PUF)

2.Retirement or Posth Order

3.Declaration of Legal Beneficiaries

4.Death Certificate (NSO)

5.Pensioner ID

6.Marriage Contract (NSO)

7.Pension Account ( LBP/UCPB OR PVB)

8.NSO CRS form #5 (Advisory on Marriages)

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Document Overview

Fact Name	Description
Purpose	The Maine AFPPGMC Form is used to apply for claims related to unpaid monthly pensions or the replacement of canceled pension checks.
Governing Laws	This form is governed by Section 17 and 18 of Presidential Decree 1638 and Republic Act 340.
Authority	The form is authorized under Personnel Directive Number 01-05, dated June 2, 2005.
Applicant Information	Applicants must provide their full name, age, date of birth, and permanent address on the form.
Relationship Disclosure	If the applicant is a beneficiary pensioner, they must disclose their relationship to the principal pensioner.
Claim Details	Applicants need to specify the period of the claim and the reasons for not receiving the pension or for checks becoming stale.
Required Documents	Several documents are required, including the Pensioner Update Form, Retirement Order, and Marriage Contract, depending on the applicant's status.
Certification	Applicants must certify that the information provided is true and correct, under penalties of perjury.
Signature Requirement	The form must be signed by the applicant, with their printed name included beneath the signature.

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