Personal Details

*What is your policing role?
*First name
*Contact no.
Mobile no.
*Email address
*Confirm email
Enter postcode and optionally house number in address line1 then click 'Find Address'
*Address line 1
*How did you hear about us?
Please Specify:
*Current Constabulary or Police Service?
*Constituent force (where you live now)
*Force Served in
*Shoulder/Collar Number
*Years in Service
*Date of birth
We would like to keep in contact with you and tell you about our work. Please let us know how we can contact you by ticking the applicable options below. Our privacy policy can be viewed at
Payment Details
Bank Details
Flint House Police Rehabilitation
Flint House
Reading Road
Goring on Thames

For any queries contact our helpline: 01491 874499

Is the account in your name? Are you the only signatory required to authorise this direct debit? If not, please contact us and we will send you a paper form for completion with all necessary signatures.