Application for financial support

If you encounter difficulties completing this application, please contact:

Ms Laura Banner, Secretary of the Benevolent Society

0121 236 2657 

laura.b.banner@gmail.com

About you 

Employment History

Please complete either your, or your partners employment history to the best of your knowledge.

Referral

Applicants are advised that the function of the Benevolent Society is not to relieve the Department of Social Security, the Department of Work and Pensions or Local Authorities from any responsibility they may have to the applicant. 

Pleae note, the Trustees of the Society do not normally consider an application until after the case has been considered by the relevant Departments or Local Authority.

Finances

Income
Expenditure

Application summary

Now we'll ask your excess/ income deficit which you will need to calculate from the above entered information, as well as any assets in place.

Please submit the form once complete.