West Midland Police Medical Scheme  
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Direct Debit Mandate
 

If you are not in the West Midlands Police Force but are from a police force within England, Scotland or Wales then in addition to the Application Form You will need to complete a Direct Debit Mandate this will load Acrobat for the form.

Click here to obtain the form Direct Debit Mandate

 

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West Midland Benevolant Fund - Company Register No. 3179216