Confidential

    This application applies to a limited fund campaign to support beneficiaries on low income. Beneficiaries meeting the criteria have access to a financial grant to assist with Winter Fuel payments. Applications will be processed based on the information provided.

    Applications will only be processed where all questions have been answered.

    Knowingly providing false or misleading information could lead to a criminal offence being committed.

     

    Personal Details


     

    Are You?

     

    Self - Annual Salary £



     

    Partner - Annual Salary £



     

    Are you in receipt of any means tested benefits?

    Self








     

    Partner








     


    Grant payment





    Declaration

    I agree that all the information provided in the application form is true and correct.*

     

    Please make sure you have agreed to the above declaration by ticking the box. We are unable to process your application unless this is done.
    By signing this form, you acknowledge agreement to the use of information provided in line with The Players Foundation GDPR Policy.

    Do you hold an LPA if signing on behalf of beneficiary

    Documentation Required

    • Please enclose an official letter confirming proof of your benefits payment (if applicable)

    • If you have not provided your PFA membership number, we will require proof you meet our beneficial class i.e., copy of an old playing contract.

    • Proof of photo identification, this can be in the form of a photocard driving licence or passport and a copy of an official letter confirming your address.