Please read the privacy and consent statements below and tick the box to confirm your agreement.
In accordance with the UK General Data Protection Regulation, we will only use your personal data in connection with your application to the IOSH Benevolent Fund. We’ll always treat your personal details with the utmost care and will never pass them to a third party without your consent. Your information will be kept for as long as necessary to support the Benevolent Fund application and administration process.
I hereby certify that the information contained within this document is a true record of my current situation. Information given falsely or deliberately withheld will invalidate the application and no payment will be made, or if payment is already in progress, it will be stopped. By submitting this form I give IOSH permission to carry out any necessary due diligence checks in order to verify the accuracy of the information provided. I understand that this may include for example checking my IOSH membership, making enquiries to any other organisations I have named in this form, and checking my employment status.
