Please complete all sections of this form.
If you have any questions or need help, please email email@example.com, ring 020 7836 6378, or use the “Let’s chat?” box below.
If you would like to print a downloadable version of the form, click here.
Please provide a copy of your professional CV with this application form
You must submit a supporting note from your GP or healthcare provider if you are currently unable to work because of illness or injury. The ABF will reimburse you any reasonable fee charged by your GP for this note.
Your earnings last yearWhat was your earned income from employment in the last financial year? Use the figure from your P60 or Self-Assessment declaration.
Please do not include information about any benefits you receive in this section.
Upload bank statements covering the last two months
As part of your application we require copies of your last two months’ bank statements. This should be from your ‘main’ current account from which these bills are paid.
If you are unable to upload this document, please post it to us at:Actors’ Benevolent Fund, FREEPOST LON20563, London, WC2N 6AS
Please supply a doctor’s note or letter from your healthcare provider, including the receipt if you were charged a fee.
All details you have provided in the application form will be kept confidential.
Please check that you completed all sections of this form.
We highlighted the missing information in red.
We will contact you to confirm receipt of your application and explain what happens next. If you have any enquiries please call us on 020 7836 6378.