Alliance Healthcare and Boots Retirement Savings Plan (AHBRSP)

SMART Opt out Form

If you need help completing this form please call 0115 959 1670 (internal 72 16 70).

If you would like to opt out of SMART please fill in the details below and send to Alliance Healthcare & Boots Pensions at the address below.

My details:

Please note this form must be completed and submitted by the 5th of the month that you wish to opt out of paying by SMART. This is due to payroll processing dates. If it is received after the 5th, your request to opt out will be processed at the next available payment date.

Please confirm your details before submitting this form.