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Welcome to Richmond upon Thames UNISON. If you have already registered, then please login. If not, then why not register.

Did you know you can apply for financial assistance from Unison's welfare fund?

Please speak to Bill Reed, Richmond Branch's Welfare Officer (Tel 6273) or fill in the form below.

 

Appendix One

 
THERE FOR YOU (UNISON WELFARE) - EMERGENCY GRANT APPLICATION FORM

 

Name of Branch supporting application and Name/Position/Tel No. of contact person

 

 

Name, Membership No. and Contact Tel No. of Member

 

 

Number of people in household and breakdown of relationship to member (include ages of any children)

 

 

Reason for Emergency Payment request including a summary of the events/difficulties that have resulted in the emergency situation.

 

 

Details of supportive documentation provided to the Branch by the member – if a current bank statement is unavailable, a cashpoint printout should be provided as a minimum.

 

 

Food – does the member have food available for the next 3 days?

 

Heating/lighting - does the member pay for gas/electricity via a pre-payment meter?

 

Travel to work/school/hospital – are the member and/or dependants able to access essential travel for the next 3 days? If not, specify the daily cost.

 

YES/NO*

 

 

YES/NO*

 

 

YES/NO*

 

Total amount requested

 

 

If an Emergency Grant is agreed, is the Branch able to make a cash payment on behalf of thereforyou/UNISON Welfare (authorised payments will be reimbursed once an application form is received)?

 

 

 

YES/NO*

Member’s Declaration:

 

  • I confirm that the information I have given is correct;

  • I will complete a full application form for assistance and forward it to thereforyou/UNISON Welfare with supporting documentation as soon as possible;

  • * I understand that my Branch Welfare Officer or an alternative Branch Officer where appropriate will be informed of my Emergency Application.

Signature............................................................................        Date..........................................

* Delete as appropriate