Application for financial assistance

Application for financial assistance

Personal details
Pronouns are short words that can be used in a sentence in place of a person’s name. We ask for pronouns to ensure that we can address you correctly and respectfully.
Contact details
Relationship with IOSH
Request details
Please briefly explain what has caused your current situation and outline what the funds will be used towards.
Employment status
Supporting information
Previous application(s) for support

Please read the privacy and consent statements below and tick the box to confirm your agreement.

Privacy statement

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.