New Recruits and Transferee joiner form

This form is designed for new joiners of the Lancashire Police Federation. Please remember to select which type of joiner you are below.

Important related documents:

Group Insurance Scheme (from 1 May 2021)
Travel Insurance Policy (from 1 May 2021 to 30 April 2022)

Given name *

Surname *

Date of birth *

Home address *

Telephone

Mobile

E-mail address *

National insurance number

Collar number

If you chose transferee, which branch are you transferring from?

Section 1

I joined Lancs Police Force on

Section 2

Lancashire Joint Branch Board has informed me of the benefits of joining the Police Federation of England and Wales and that I may opt to join the PFEW but am not required to do so.

I wish to be a member of the PFEW

Lancashire Joint Branch Board has informed me that: as a member of the PFEW, I will pay subscriptions to gain access to the full range of member services; I am not required to join but that if I choose not to, I will not have access to those services

I wish to pay Federation subscriptions

By confirming yes to paying Federation subscriptions, I am authorising the Chief Constable to make the necessary deductions from my salary - £23.58 per month. (For new recruits, the cost is £11.79 per month for the first year, before increasing to £23.58 per month.)

Group Insurance Scheme

To be a member of the Group Insurance Scheme you must contribute to Police Federation Voluntary Funds. Details of what is covered and included can be found in the Scheme Benefits Booklet. Please indicate the cover you would like by ticking the appropriate box.

Self 130K life cover - £32.50 per month for serving officers (first 12 months free for new recruits)

Self 130k and Partner 55k cover - £37.99 per month for serving officers (first 12 months free for new recruits)

Beneficiary

Name of beneficiary 1

Address

Contact number

% of benefit

Name of beneficiary 2

Address

Contact number

% of benefit

Charities

Benevolent Fund - £7.40 per month for serving officers (first 12 months free for new recruits)

Police Treatment Centres - £7.80 per month for serving officers (first 12 months free for new recruits)

St George's Trust - £1.50 per month for serving officers (first 12 months free for new recruits)

This is my authorisation to deduct the necessary subscriptions from my salary at the appropriate point. One months notice of cancellation is required by email to Lancashire@polfed.org.

Consent for storing submitted data ∵ *

Yes, I give permission to store and process my data

∵ For more information on Lancashire Police Federation's data policy, please click here.

New Recruits and Transferee joiner form

Section 1

Section 2

Group Insurance Scheme

Beneficiary

Charities

X

Magazine

Reps

Discounts