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Join Us

If you are an employee of   The London Ambulance Service you may join the Benevolent Fund at any time

by downloading and printing     BOTH      of the forms below.

 

Form 1:       Joining deduction form

Form 2:      Benevolentfundform 1

 

 

Both the   Joining Deduction form   and the     Beneficiary Form   must be completed in full, including witness and Sent via internal mail to:

 

Tina Vince

London Ambulance Service Benevolent Fund
Staff Support
3rd floor HQ Waterloo
220 Waterloo Road
London
SE1 8SD

 

or by emailing the form to

Tina.Vince@Lond-Amb.nhs.uk

 

 

To update an existing members beneficiary details, only the completed and witnessed beneficiary form is required.

To Update your details please fill in:

About You











Your Beneficiary












Authorise and request the deduction from my salary, with effect from the first day of the next month following the date of this form and until further notice, the Annual sum. To be deducted by twelve monthly instalments, and paid to the London Ambulance Service Benevolent Fund on my behalf.

I also agree that under the rules of the Fund in force from time to time the subscription due from me may be varied and therefore the deduction will be varied accordingly.

I understand that I can cancel this arrangement for deduction only as from the beginning of each month, by giving one months notice and that such notice must be given to the Fund in writing.

A copy of your submission will be sent to your email address provided.

Join Now

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Beneficiary Form

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Update your Details

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