Submit an eligibility enquiry

Complete this form and submit an eligibility enquiry for yourself or on behalf of someone you know.

This is required so that our staff can confirm eligibility to apply for a grant before an application can be made. This will include checking the employee's information against the database we hold of employees of Mansfield Brewery plc which was passed to the Baily Thomas Provident Fund at the time of its closure. In some cases, we verify employment with a third party organisation such as Her Majesty's Customs & Excise (HMRC) in order to determine eligibility. 

Please make sure you have all the information you need before you start to complete the form as it is not possible to save the form and return to it later. 

This form should not be used by beneficiaries that have accessed the trust previously and know that they are eligible to apply.  Instead, use our email address enquiries@bailythomasprovidentfund.org.uk to contact us.

 

Applicant details
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Details of employment
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