Membership Application Form

No1 CopperPot Credit Union membership is open to any serving or retired Police Officers, Police staff, Police Specials, PCSO’s, immediate family of a Police member (living at the same address), and children/grandchildren of a Police member.

Members are required to save between £5 – £1,000 per month into a Member Account. Your savings remain yours, for you to withdraw at any time. As a valued member, you could earn a share of our profits in the form of an annual dividend at the end of our financial year. Please click here to see our past rates. Once you open a Member Account with us, you are then eligible to apply for loans and mortgages.

Please make sure you read our general terms and conditions before you apply.

1Your details

2Your employment

3Declaration

Let's get started...
Are you part of the Police Family or are you a family member of someone who works/worked for the Police?*
Your personal details
Title*
What is your title?*
Your name*
Forename(s) Surname
Date of birth*
Nationality*
National Insurance number
Your address details
Residential address*
Street Address Address Line 2 Town/City Postcode Country
Time at current address*
Previous address*
Street Address Address Line 2 Town/City Postcode Country
Hidden
Is the UK your main country of residence?*
Is the UK your main country of residence?*
- Yes
- No
If previously answered no, please state your main country of residence*
Contact details
Mobile phone number*
Home phone number
Personal email address*
Enter Email Confirm Email

All future correspondence regarding your account will be sent to this email address.
Introducing members details
Introducing members name*
Forename(s) Surname
Introducing members Member Number (if known)
Your relation to the introducing member*

Employment and savings details
Occupation*
- Full time employment
- Part time employment
- Temporary employment
- Self-employed
- Unemployed
- Retired
Position held*
Company name*
Work address*
Street Address Address Line 2 Town/City Postcode Country
What force are you employed by?*
Job title*
Name of workplaceThis is the name of your station/workplace.
Would you like to save via Direct Debit or by transfer from your relative members account?*
- Direct debit
- By transfer from my relative members account
We will confirm this with your relative member once you have submitted your application form.
Which force were you employed by?*
Name your employer*

Direct DebitPlease add a Direct Debit

Bank name:	Bank account number:	Bank sort code:	How much would you like to save per month?	Actions
				Edit Delete
There are no Direct Debits.

Maximum number of direct debits reached.

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 number starts with 90 followed by 6 digits. This allows you to begin saving via payroll deduction.
Your Cheshire Constabulary payroll number*

This is usually you collar number (07- plus 4 or 5 digits). This allows you to begin saving via payroll deduction.
Your Cheshire Constabulary staff payroll number*

This is usually you collar number (07- plus 4 or 5 digits). This allows you to begin saving via payroll deduction.
Your Cheshire Constabulary staff payroll number*

This is usually you collar number (07- plus 4 or 5 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 starts 0, 1 or 2 followed by 7 digits, ending in 1. This allows you to begin saving via payroll deduction.
Your Lincolnshire Constabulary payroll number*

Your payroll number should be 6 digits long. This allows you to begin saving via payroll deduction.
Your Lincolnshire Constabulary 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 Constabulary 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 staff payroll number*

Your payroll number starts 31 followed by 7 digits. This allows you to begin saving via payroll deduction.
Your Nottinghamshire staff 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 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 Police 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.
How much would you like to save each month?*You can save from as little as £5 up to a maximum of £1,000. You can change this at any time during your membership.
Please enter a number from 5 to 1000.
Your bank details
Please enter your bank details for us to save on file for when you request a withdrawal. We will send your future withdrawals to this account. You can request to update these details at any point in the future.
Bank name
Name on account
Your account number
Your sort code
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. 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

Simply take a photo on your mobile device and upload it.
Upload photographic ID here:If you are experiencing issues uploading documents, you can email them to id@no1copperpot.com
Drop files here or

Max. file size: 32 MB.
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
Drop files here or

Max. file size: 32 MB.
Please ensure that the photo shows all of the document and is clear.

Declare and submit
Hidden
Have you previously had membership with us?
How did you hear about us?*
Please give more information*
Why do you want to join?*
Marketing preferences
No1 CopperPot Credit Union does NOT share your information with third party organisations for marketing purposes. However, we would like to send you information about our own products and services.
Please tick to confirm how you would like to receive this information from us:
- By email
- By post
- By SMS
Please tick to confirm:*
- I have read and understood the terms and conditions.
Click here to read the terms and conditions.
Please tick to confirm:*
- I have read the FSCS Information Sheet and Exclusions List.
Click here to view the FSCS Information Sheet and Exclusions List.
Please tick to confirm:*
- I have read the privacy notice.
Click here to view the Privacy Notice.
Please tick to confirm:*
- I have read and will abide by the Credit Union Rulebook.
Click here to view the Credit Union Rulebook.
Please tick to confirm:*
- I am employed by an employer whose workplace is within the common bond of No1 CopperPot Credit Union. I declare that the information provided is correct to the best of my knowledge. I request that you open an account in my name. I agree to be bound by the terms and conditions of the Credit Union's rules.
Please tick to confirm:*
- I declare that the information provided is correct to the best of my knowledge. I request that you open an account in my name. I agree to be bound by the terms and conditions of the Credit Union's rules.
Signature and submit
Signature*
Date of submission*
No1 CopperPot will only use your personal details in accordance with the Data Protection Act 2018. They will only be shared with licensed credit reference agencies, our regulators, auditors of No1 CopperPot, and for debt recovery purposes if necessary.
No1 CopperPot Credit Union is covered by the Financial Services Compensation Scheme and the Financial Ombudsman Service. You have 14 days from the date your account is opened within which to cancel it. If you wish to cancel please write to Slater House, Oakfield Road, Cheadle Royal Business Park, Cheadle, Cheshire SK8 3GX.
In line with government legislation, we will undertake identification verification as part of your application. If we are unable to do this electronically, we will ask you for alternative identification.

Membership Application Form

Let's get started...

Your personal details

Your address details

Contact details

Introducing members details

Employment and savings details

Your bank details

Your ID

Declare and submit

Marketing preferences

Signature and submit