Group Insurance Application Forms

To keep you up to date with current issues within the Federation and the wider police family, we will provide news items, circulars and information on current issues on a regular basis.

Our updates section is designed to give you quick responses when a news item comes to our attention.

Please check the publications section regularly.

For Cancellation of your Group Insurance Membership, this MUST be submitted in writing with a signature, and 30 Days' Notice is required. Thank you

When applying for Group Insurance or when

downloading ANY Group Insurance claim forms

please read this Privacy Notice prior to application

Application to join Merseyside Police Federation Group Insurance Scheme - Serving Officers	GIS Joining & Top up Application 2021 Standard health declaration 2021 New Beneficiary Nomination Form
Application to Add Spouse/Partner for life cover on Group Insurance Scheme	GIS Joining & Top up Application 2021 Standard health declaration 2021 Spouse Beneficiary Form
Application to join Police Staff Group Insurance Scheme	GIS joining form Police Staff 2021 Standard health declaration 2021 New Beneficiary Nomination Form
Group Insurance claim forms	Hospitalisation Benefit Claim Form Critical Illness Claim Form Dental Benefit Claim Form Half Pay Claim Form
Application for Additional Life Cover Serving Officer/Spouse	GIS Joining & Top up Application 2021 Top up Declaration Spouse of Serving Officer Merseyside Top up Health Declaration - Serving officer
Application to apply for supplementary Critical Illness Cover Member/Spouse	Supplementary Critical Illness Application 2020 Critical Illness Direct Debit Form A5