The Ben Fund form

The Ben Fund is an independent charity dedicated to supporting and caring for the police from recruitment into retirement.

For more information, please read the Ben Fund's Force Wellbeing leaflet, or their Physiotherapy leaflet. You can also contact the Ben Fund by phone (01254 244980) or at enquiries@nwpbf.org.

To be completed by SERVING OFFICERS

Full name *

Date of Birth *

Home address (incl. postcode) *

Phone number *

E-mail address *

Force *

Date joined force *

Collar number

National insurance number

On joining The Ben Fund a monthly contribution of £7.40 will be deducted directly from your salary, this means you save the tax element, so the actual cost to you is £5.92 per month if you are a 20% taxpayer or £4.44 per month if you are a 40% taxpayer.

I do wish to become a subscribing member of the North West Police Benevolent Fund

I authorise the appropriate contribution to be deducted from my salary until further notice, by the “Payroll Giving” method which is a tax efficient method of funding.

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.

The Ben Fund form

To be completed by SERVING OFFICERS

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