Name
Your employer
Your employer Airedale NHS Foundation Trust Advanced Barnsley Hospital NHS Foundation Trust Birmingham Community Healthcare NHS Foundation Trust Blackpool Teaching Hospitals NHS Foundation Trust Bournemouth, Christchurch and Poole Council Calderdale and Huddersfield NHS Foundation Trust Cambridgeshire County Council Childs Farm East Lancashire Hospitals NHS Trust East London NHS Foundation Trust East Riding of Yorkshire Council East Sussex CCG Gateshead Health NHS Foundation Trust Harvey Nichols Huntingdonshire District Council Manchester University NHS Foundation Trust Livewell Southwest NAViGO Health and Social Care CIC NHS Blood and Transplant NHS Property Services North Middlesex University Hospital NHS Trust North West Ambulance Service NHS Trust Northamptonshire County Council Nottinghamshire Healthcare NHS Trust Pennine Acute Hospitals NHS Trust Poole Hospital NHS Foundation Trust Salford Royal NHS Foundation Trust Shropshire Council Somerset West and Taunton Council South West Yorkshire Partnership NHS Foundation Trust South Western Ambulance Service NHS Foundation Trust Stockport NHS Foundation Trust TNT University of Essex University Hospitals of Morecambe Bay NHS Foundation Trust University Hospital Southampton NHS Foundation Trust Welsh Ambulance Services NHS Trust West Hertfordshire Hospitals NHS Trust Western Sussex Hospitals NHS Foundation Trust Whittington Health NHS Trust Yorkshire Ambulance Service NHS Trust
Employee number
Your NHS 8 digit assignment number
Your donations will go to Sue Ryder Care
Your donations will go to The Prince's Trust
Your donations will go to Barnsley Hospitals Charity.
Your donations will go to Birmingham Community Healthcare Charity.
Your donations will go to Blue Skies Hospitals Fund.
Your donations will be split equally between Teddy20 and Russell Cotes Art Gallery & Museum.
Your donations will go to Forget Me Not Children's Hospice.
Your donations will be split equally between East Anglia's Children's Hospices (EACH) and Marie Curie.
Your donations will go to FareShare.
Your donations will go to East Lancashire Hospitals NHS Trust Charity.
Your donations will go to Albert Kennedy Trust (AKT) and Refuge.
Your donations will be split equally between The National Autistic Society and P.A.U.L for Brain Recovery.
Your donations will go to Chestnut Tree House Children's Hospice.
Your donations will be split equally between FACT, Gateshead Foodbank and QE Charitable Funds.
100% of your donations will go to Macmillan Cancer Support.
Your donations will be split equally between Carers Trust and Dementia Friends, an Alzheimer's Society Initiative.
Your donations will go to the Manchester University NHS Foundation Trust Charity.
Your donations will go to the St Luke’s Hospice, Plymouth.
Your donations will go to the Gardiner Hill Foundation.
Your donations will go to MIND.
Your donations will be split equally between Carers Trust and The Silver Line.
Your donations will go to North Middlesex General Charitable Fund.
Your donations will go to the North West Ambulance Services charity.
Your donations will go to Northampton Hope Centre.
Your donations will go to Nottinghamshire Healthcare NHS Trust Charitable Trust Funds.
Your donations will be split between MedEquip4Kids and The Pennine Acute Hospitals Charity.
Your donations will go to Poole Africa Link.
Your donations will go to Mind in Salford.
Your donations will be split equally between Hope House Children's Hospices and Severn Hospice.
Your donations will go to the Musgrove Park Hospital Neonatal Intensive Care Unit.
Your donations will go to EyUp - the Trust's charity.
Your donations will go to the South Western Ambulance Service Charity.
Your donations will go to the Stockport NHS Charity.
Your donations will be split equally between Cancer Research UK, Macmillan Cancer Support and Wooden Spoon.
Your donations will go to The University of Essex Scholarships.
Your donations will go to Morecambe Bay Hospitals Charity.
Your donations will go to Southampton Hospital Charity.
Your donations will go to PONT.
Your donations will go to Help for Heroes.
Your donations will go to Love your Hospital.
Your donations will go to Whittington Hospital Charitable Fund.
Your donations will go to the Yorkshire Ambulance Service Charitable Trust. I am pleased to confirm that I wish to participate in the Pennies from Heaven scheme and hereby authorise my employer above as my agent to collect each pay period from my salary such odd penny balances (maximum 99p per pay period) and to distribute such amounts to the charity/charities shown above. This authorisation is effective from the date I submit this form and shall remain in force until cancelled in writing. If I am a UK Taxpayer I give my consent for Gift Aid to be reclaimed on my donations (this boosts your donation by 25% and costs you nothing) and agree for my employer to provide the charities with my name and address for this purpose only. I understand that if I pay less Income Tax and/or Capital Gains Tax in the current tax year than the amount of Gift Aid claimed on all my donations it is my responsibility to pay any difference. It is noted that a minimum of 93% of my donations will go directly to the nominated charity/charities with the rest retained by Pennies from Heaven Fundraising Limited to cover administration costs. This fee is offset however if donations are eligible for Gift Aid as for every £1 donated the charities, after reclaiming Gift Aid, will receive £1.16 after the fee is deducted. PLEASE DO NOT SEND THIS FORM ON INTERNET EXPLORER AS YOUR DATA WILL NOT BE RECEIVED. PLEASE USE AN ALTERNATIVE BROWSER
I am pleased to confirm that I wish to participate in the Pennies from Heaven scheme and hereby authorise my employer above as my agent to collect each pay period from my salary such odd penny balances (maximum 99p per pay period) and to distribute such amounts to the charity/charities shown above. This authorisation is effective from the date I submit this form and shall remain in force until cancelled in writing. If I am a UK Taxpayer I give my consent for Gift Aid to be reclaimed on my donations (this boosts your donation by 25% and costs you nothing) and agree for my employer to provide the charities with my name and address for this purpose only. I understand that if I pay less Income Tax and/or Capital Gains Tax in the current tax year than the amount of Gift Aid claimed on all my donations it is my responsibility to pay any difference. It is noted that 100% of my donations will go directly to the nominated charity/charities. PLEASE DO NOT SEND THIS FORM ON INTERNET EXPLORER AS YOUR DATA WILL NOT BE RECEIVED. PLEASE USE AN ALTERNATIVE BROWSER
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