Your details Title* Mr Mrs Miss Ms Mx Other
What is your title?
Name*
Forename(s)
Surname
Date of Birth* National Insurance Number
Nationality*
Marital status* Single Living with Partner Married/Civil Partnership Widowed/Surviving Civil Partner Divorced/Separated
Number of dependants* 0 1 2 3 4 5 6 7 8 9 10
Age of dependants* Please separate ages by comma, if you have more than one dependant.
Your ID As a regulated financial organisation we are required to authorise your identity.
Before we set up your Member Account, we need some photo ID. Simply take a photo on your mobile device and upload it. This can be:
- Full or provisional UK driving licence (this can only be used for photo ID or address, not both)
- UK Passport
- Foreign passport/visa
- EU national ID card
Upload photographic ID here: If you are experiencing issues uploading documents, you can email them to id@no1copperpot.com
Please ensure that the photo shows all of the document and is clear.
We also need proof of your address. It can include any of the following:
- Full or provisional UK driving licence (this can only be used for photo ID or address, not both)
- Utility Bill (within last 3 months)
- Council Tax Bill (within last 12 months)
- Bank/Building Society Statement (within last 3 months)
- Mortgage Statement (within last 12 months)
- HMRC Tax Notification (dated within last 6 months)
- Benefit letter/Jobcentre Plus letter (within last 12 months)
Upload proof of address here: If you are experiencing issues uploading documents, you can email them to id@no1copperpot.com
Please ensure that the photo shows all of the document and is clear.
Your address If you have not updated your current address, please can you update your address details prior to completing this application form as it may cause delays.
You can update your details here and return to this form. Is the UK your main country of residence?* Please note, we can only lend to people living in the UK. You must be a UK resident to apply for a loan with us.
Current address*
Time at current address* Under 1 year 1-2 years 2-3 years 3-4 years 5-6 years 6-7 years 7+ years
Previous address*
Contact details Mobile telephone*
If your loan is approved we will send your loan paperwork through to you electronically via the RMail secure system.
Therefore, please provide us with the email address where you would like the paperwork to be sent.
Personal email address* Remember to provide the email address which you would like us to send your loan paperwork to.
Residential status Residential status* Percentage of shared equity*
Is this property in a joint or sole name?* Approximate value of home*
Do you have an outstanding mortgage?* Approximate value of mortgage* This is the total outstanding balance you have left to pay.
Approximate term remaining on your mortgage*
Who is your current mortgage provider?*
Do you have any additional lending secured on this property?* Please provide details of the lender and the amount*
Please give more information*
Employment details Are you part of the Police Family or are you a family member of someone who works/worked for the Police?* Police Officer Police Staff PCSO Police Special Retired Police Officer Retired Police Staff Family member I work for Border Force I work for the National Police Federation
Introducing members name*
Forename(s)
Surname
Introducing members Member Number (if known)
Your relation to the introducing member* Spouse Co-habiting partner Child/step-child Parent/Step-parent Grandchild Guardian
Occupation* Job title/rank*
Company name*
What force are you employed by?* Avon and Somerset Police Bedfordshire Police British Transport Police Cambridgeshire Constabulary Cheshire Police City of London Police Civil Nuclear Constabulary Cleveland Police Cumbria Constabulary Derbyshire Constabulary Devon and Cornwall Police Dorset Police Durham Police Dyfed-Powys Police Essex Police Gloucestershire Constabulary Greater Manchester Police Gwent Police Hampshire Constabulary Hertfordshire Constabulary Humberside Police Kent Police Lancashire Constabulary Leicestershire Police Lincolnshire Police Metropolitan Police Service Merseyside Police Ministry of Defence Police National Crime Agency (NCA) Norfolk Constabulary Northamptonshire Police Northumbria Police North Wales Police North Yorkshire Police Nottinghamshire Police Police Scotland Police Service of Northern Ireland South Wales Police South Yorkshire Police Staffordshire Police Suffolk Constabulary Surrey Police Sussex Police Thames Valley Police Warwickshire Police West Mercia Police West Midlands Police West Yorkshire Police Wiltshire Police Other
If you have a referral code, please enter it here
What force were you employed by?* Avon and Somerset Police Bedfordshire Police British Transport Police Cambridgeshire Constabulary Cheshire Police City of London Police Civil Nuclear Constabulary Cleveland Police Cumbria Constabulary Derbyshire Constabulary Devon and Cornwall Police Dorset Police Durham Police Dyfed-Powys Police Essex Police Gloucestershire Constabulary Greater Manchester Police Gwent Police Hampshire Constabulary Hertfordshire Constabulary Humberside Police Kent Police Lancashire Constabulary Leicestershire Police Lincolnshire Police Metropolitan Police Service Merseyside Police Ministry of Defence Police National Crime Agency (NCA) Norfolk Constabulary Northamptonshire Police Northumbria Police North Wales Police North Yorkshire Police Nottinghamshire Police Police Scotland Police Service of Northern Ireland South Wales Police South Yorkshire Police Staffordshire Police Suffolk Constabulary Surrey Police Sussex Police Thames Valley Police Warwickshire Police West Mercia Police West Midlands Police West Yorkshire Police Wiltshire Police Other
Name your employer*
Time with currently employer*
Work address*
Do you contribute to your workplace pension?* Do you plan to join your workplace pension in the future?* Setting up payment Direct Debit Please add a Direct Debit Once you have completed the Direct Debit information above, please return to this page to complete the rest of the form. We will not be able to set up your membership otherwise.
Your Cambridgeshire Constabulary payroll number*
Your payroll number starts with 90 or 95 followed by 6 digits.
This allows you to begin saving via payroll deduction.
Your Cambridgeshire Constabulary staff payroll number*
Your payroll starts with 90 followed by 6 digits.
This allows you to begin saving via payroll deduction.
Your Cambridgeshire Constabulary staff payroll number*
Your payroll starts with 90 followed by 6 digits.
This allows you to begin saving via payroll deduction.
Your Cheshire Constabulary payroll number*
This is usually your resource number (20 plus 4 digits).
This allows you to begin saving via payroll deduction.
Your Cheshire Constabulary staff payroll number*
This is usually your resource number (20 plus 4 digits).
This allows you to begin saving via payroll deduction.
Your Cheshire Constabulary staff payroll number*
This is usually your resource number (20 plus 4 digits).
This allows you to begin saving via payroll deduction.
Your City of London Police payroll number*
Your payroll number starts with 01 followed by 4 digits.
This allows you to begin saving via payroll deduction.
Your City of London Police staff payroll number*
Your payroll number starts with 01 followed by 5 digits.
This allows you to begin saving via payroll deduction.
Your City of London Police staff payroll number*
Your payroll number starts with 01 followed by 5 digits.
This allows you to begin saving via payroll deduction.
Your Cumbria Police payroll number*
Your payroll number starts with 0 followed by 4 digits.
This allows you to begin saving via payroll deduction.
Your Cumbria Police staff payroll number*
Your payroll number starts with 0 followed by 4 digits.
This allows you to begin saving via payroll deduction.
Your Cumbria Police staff payroll number*
Your payroll number starts with 0 followed by 4 digits.
This allows you to begin saving via payroll deduction.
Your Derbyshire Constabulary payroll number*
Your payroll number starts with 9000 or 9001 followed by 4 digits. This allows you to begin saving via payroll deduction.
Your Derbyshire Constabulary staff payroll number*
Your payroll number starts with 9000 or 9001 followed by 4 digits. This allows you to begin saving via payroll deduction.
Your Derbyshire Constabulary staff payroll number*
Your payroll number starts with 9000 or 9001 followed by 4 digits. This allows you to begin saving via payroll deduction.
Your Dyfed Powys Police payroll number*
Your payroll number starts with 8 followed by 4 digits.
This allows you to begin saving via payroll deduction.
Your Dyfed Powys Police staff payroll number*
Your payroll number starts with 5 or 6 followed by 4 digits.
This allows you to begin saving via payroll deduction.
Your Dyfed Powys Police staff payroll number*
Your payroll number starts with 5 or 6 followed by 4 digits.
This allows you to begin saving via payroll deduction.
Your Essex Police payroll number*
Your payroll number starts with 420 followed by 5 digits.
This allows you to begin saving via payroll deduction.
Your Essex Police staff payroll number*
Your payroll number starts with 420 followed by 4 digits.
This allows you to begin saving via payroll deduction.
Your Essex Police staff payroll number*
Your payroll number starts with 420 followed by 4 digits.
This allows you to begin saving via payroll deduction.
Your Greater Manchester Police payroll number*
This should be your 6 digit warrant number.
This allows you to begin saving via payroll deduction.
Your Greater Manchester Police staff payroll number*
Your payroll number should be 7 digits.
This allows you to begin saving via payroll deduction.
Your Greater Manchester Police staff payroll number*
Your payroll number should be 7 digits.
This allows you to begin saving via payroll deduction.
Your Gwent Constabulary payroll number*
Your payroll number starts GWP followed by 6 digits.
This allows you to begin saving via payroll deduction.
Your Gwent Constabulary staff payroll number*
Your payroll number starts GWP followed by 6 digits.
This allows you to begin saving via payroll deduction.
Your Gwent Constabulary staff payroll number*
Your payroll number starts GWP followed by 6 digits.
This allows you to begin saving via payroll deduction.
Your Hampshire Constabulary payroll number*
Your payroll number starts 03 followed by 6 digits.
This allows you to begin saving via payroll deduction.
Your Hampshire Constabulary staff payroll number*
Your payroll number starts 03 followed by 6 digits.
This allows you to begin saving via payroll deduction.
Your Hampshire Constabulary staff payroll number*
Your payroll number starts 03 followed by 6 digits.
This allows you to begin saving via payroll deduction.
Your Humberside Police payroll number*
This is your 6 digit warrant number.
This allows you to begin saving via payroll deduction.
Your Humberside Police staff payroll number*
Your payroll number should be 6 digits.
This allows you to begin saving via payroll deduction.
Your Humberside Police staff payroll number*
Your payroll number should be 6 digits.
This allows you to begin saving via payroll deduction.
Your Lancashire Police payroll number*
Your payroll number should be 7 digits.
This allows you to begin saving via payroll deduction.
Your Lancashire Police staff payroll number*
Your payroll number should be 7 digits.
This allows you to begin saving via payroll deduction.
Your Lancashire Police staff payroll number*
Your payroll number should be 7 digits.
This allows you to begin saving via payroll deduction.
Your Leicestershire Police payroll number*
Your payroll number should be 7 or 8 digits ending in 1.
This allows you to begin saving via payroll deduction.
Your Leicestershire Police staff payroll number*
Your payroll number start 0, 1 or 2 followed by 7 digits, ending in 1. This allows you to begin saving via payroll deduction.
Your Leicestershire Police staff payroll number*
Your payroll number start 0, 1 or 2 followed by 7 digits, ending in 1. This allows you to begin saving via payroll deduction.
Your Lincolnshire Police payroll number*
Your payroll number should be 6 digits long. This allows you to begin saving via payroll deduction.
Your Lincolnshire Police staff payroll number*
Your payroll number should be 6 digits long. If you work for G4S this starts with a 4. This allows you to begin saving via payroll deduction.
Your Lincolnshire Police staff payroll number*
Your payroll number should be 6 digits long. If you work for G4S this starts with a 4. This allows you to begin saving via payroll deduction.
Your Metropolitan Police payroll number*
This should be your 8 digit warrant number. This allows you to begin saving via payroll deduction.
Your Metropolitan Police staff payroll number*
Your payroll number should be 8 digits long. This allows you to begin saving via payroll deduction.
Your Metropolitan Police staff payroll number*
Your payroll number should be 8 digits long. This allows you to begin saving via payroll deduction.
Your NCA payroll number*
Your payroll number should be 6 digits long. This allows you to begin saving via payroll deduction.
Your NCA staff payroll number*
Your payroll number should be 6 digits long. This allows you to begin saving via payroll deduction.
Your Norfolk Constabulary payroll number*
Your payroll number starts 36 followed by 6 digits. This allows you to begin saving via payroll deduction.
Your Norfolk Constabulary staff payroll number*
Your payroll number starts 36 followed by 6 digits. This allows you to begin saving via payroll deduction.
Your Norfolk Constabulary staff payroll number*
Your payroll number starts 36 followed by 6 digits. This allows you to begin saving via payroll deduction.
Your North Wales Police payroll number*
Your payroll number starts B followed by 5 digits. This allows you to begin saving via payroll deduction.
Your North Wales Police staff payroll number*
Your payroll number starts B followed by 5 digits. This allows you to begin saving via payroll deduction.
Your North Wales Police staff payroll number*
Your payroll number starts B followed by 5 digits. This allows you to begin saving via payroll deduction.
Your North Yorkshire Police payroll number*
Your payroll number starts 00 followed by 4 digits. This allows you to begin saving via payroll deduction.
Your North Yorkshire Police staff payroll number*
Your payroll number starts 00 followed by 4 digits. This allows you to begin saving via payroll deduction.
Your North Yorkshire Police staff payroll number*
Your payroll number starts 00 followed by 4 digits. This allows you to begin saving via payroll deduction.
Your Northamptonshire Police payroll number*
Your payroll number starts 34-500 followed by 4 digits. This allows you to begin saving via payroll deduction.
Your Northamptonshire Police staff payroll number*
Your payroll number starts 34-500 followed by 4 digits. This allows you to begin saving via payroll deduction.
Your Northamptonshire Police staff payroll number*
Your payroll number starts 34-500 followed by 4 digits. This allows you to begin saving via payroll deduction.
Your Nottinghamshire Police payroll number*
Your payroll number starts 31 followed by 7 digits. This allows you to begin saving via payroll deduction.
Your Nottinghamshire Police staff payroll number*
Your payroll number starts 31 followed by 7 digits. This allows you to begin saving via payroll deduction.
Your Nottinghamshire Police payroll number*
Your payroll number starts 31 followed by 7 digits. This allows you to begin saving via payroll deduction.
Your South Wales Police payroll number*
Your payroll number starts SWP followed by 2 to 4 digits. This allows you to begin saving via payroll deduction.
Your South Wales Police staff payroll number*
Your payroll number starts SWP followed by 5 digits. This allows you to begin saving via payroll deduction.
Your South Wales Police staff payroll number*
Your payroll number starts SWP followed by 5 digits. This allows you to begin saving via payroll deduction.
Your Staffordshire Police payroll number*
Your payroll number starts 0 followed by 5 digits. This allows you to begin saving via payroll deduction.
Your Staffordshire Police staff payroll number*
Your payroll number starts 0 followed by 5 digits. This allows you to begin saving via payroll deduction.
Your Staffordshire Police staff payroll number*
Your payroll number starts 0 followed by 5 digits. This allows you to begin saving via payroll deduction.
Your Suffolk Constabulary payroll number*
Your payroll number starts 379 followed by 5 digits. This allows you to begin saving via payroll deduction.
Your Suffolk Constabulary staff payroll number*
Your payroll number starts 379 followed by 5 digits. This allows you to begin saving via payroll deduction.
Your Suffolk Constabulary staff payroll number*
Your payroll number starts 379 followed by 5 digits. This allows you to begin saving via payroll deduction.
Your Surrey Police payroll number*
Your payroll number starts 0 followed by 5 digits. This allows you to begin saving via payroll deduction.
Your Surrey Police staff payroll number*
Your payroll number starts 0 followed by 5 digits. This allows you to begin saving via payroll deduction.
Your Surrey Police staff payroll number*
Your payroll number starts 0 followed by 5 digits. This allows you to begin saving via payroll deduction.
Your Sussex Police payroll number*
Your payroll number should be 5 digits. This allows you to begin saving via payroll deduction.
Your Sussex Police staff payroll number*
Your payroll number should be 5 digits. This allows you to begin saving via payroll deduction.
Your Sussex Police staff payroll number*
Your payroll number should be 5 digits. This allows you to begin saving via payroll deduction.
Your Thames Valley Police payroll number*
This is your shoulder number and starts with 01. This allows you to begin saving via payroll deduction.
Your Thames Valley Police staff payroll number*
This is your shoulder number and should starts with 06. This allows you to begin saving via payroll deduction.
Your Thames Valley Police staff payroll number*
This is your shoulder number and should starts with 06. This allows you to begin saving via payroll deduction.
Your West Yorkshire Police payroll number*
Your payroll number starts 9 followed by 5 digits. This allows you to begin saving via payroll deduction.
Your West Yorkshire Police staff payroll number*
Your payroll number starts 9 followed by 5 digits. This allows you to begin saving via payroll deduction.
Your West Yorkshire Police staff payroll number*
Your payroll number starts 9 followed by 5 digits. This allows you to begin saving via payroll deduction.
Your Cambridge Constabulary pension number*
Your pension number should be 6 numbers and one letter. You can give your National Insurance number if this is easier for you. This allows you to begin saving via pension deduction.
Your Cheshire Constabulary pension number*
Your pension number should be 7 characters long and start with 85 followed by 5 digits. You can give your National Insurance Number if this is easier for you. This allows you to begin saving via pension deduction.
Your National Insurance Number*
This allows you to begin saving via pension deduction.
Your Derbyshire Constabulary pension number*
Your pension number should be 8 characters long and start with 990 or 991 followed by 5 digits. This allows you to begin saving via pension deduction.
Your Dyfed Powys Police pension number*
Your pension number should be 5 characters long and start with 9 followed by 4 digits. This allows you to begin saving via pension deduction.
Your Essex Police pension number*
Your pension number should be 8 characters long and start with 4270 followed by 4 digits. This allows you to begin saving via pension deduction.
Your Greater Manchester Police pension number*
Your pension number should be 6 characters long and start with 06 or 01 followed by 4 digits. You can provide us with your National Insurance Number if this is easier for you. This allows you to begin saving via pension deduction.
Your Gwent Constabulary pension number*
Your pension number should be 6 characters long. This allows you to begin saving via pension deduction.
Your Hampshire Constabulary pension number*
Your pension number should be 6-8 characters long. This allows you to begin saving via pension deduction.
Your National Insurance Number*
This allows you to begin saving via pension deduction.
Your Leicestershire Police pension number*
Your pension number should be 8 characters long and start with 0, 1 or 2 followed by 7 digits. You can provide us with your National Insurance Number if this is easier for you. This allows you to begin saving via pension deduction.
Your Lincolnshire Constabulary pension number*
Your pension number should be 8 characters long and start with 00 plus 6 digits, or 200 plus 5 digits. This allows you to begin saving via pension deduction.
Your National Insurance Number*
This allows you to begin saving via pension deduction.
Your North Wales Police pension number*
Your pension number should be 6 characters long and start with C followed by 5 digits. You can provide us with your National Insurance Number if this is easier for you. This allows you to begin saving via pension deduction.
Your National Insurance Number*
This allows you to begin saving via pension deduction.
Your National Insurance Number*
This allows you to begin saving via pension deduction.
Your South Wales Police pension number*
Your pension number should be 6 characters long and start with 7 followed by 5 digits. This allows you to begin saving via pension deduction.
Your National Insurance Number*
This allows you to begin saving via pension deduction.
Your National Insurance Number*
This allows you to begin saving via pension deduction.
Your Surrey Police pension number*
Your pension number should start 03 plus 5 digits or 2 plus 6 digits. This allows you to begin saving via pension deduction.
Your National Insurance Number*
This allows you to begin saving via pension deduction.
Your West Yorkshire Police pension number*
Your pension number should be 6 characters long and start with either a 1, 6 or 9. This allows you to begin saving via pension deduction.
