We want to provide financial support to our colleagues in the event they pass away whilst in our employment, we will do this through our Death in Service scheme. Eligible colleagues should complete the below form to provide us with details of the nominated individual who should be contacted and receive any financial payment.

It is your own responsibility to complete this form and return it your Home Administrator. You must make us aware of any changes in the personal details of your nominated individual by completing an updated form. Not providing us with completed and up to date nomination form may impact the chance of your nominated individual receiving any financially support from us. You must have gained consent from your chosen individual for their personal data to be shared and held on file by Christadelphian Care Homes before completing this form. Should you leave our organisation the information you have shared about your nominated individual will be securely destroyed.