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Staff Lottery Application Form

Title

Full name (including middle names)*

Job role

Directorate

Phone number

Work address

Payroll number*

Email*

Please tick here if you are bank staff ONLY

If you are bank staff you will need to set up a standing order to take payment for you lottery. Payroll will send you the necessary details.


Part A

I am not a member of the lottery but I want to join

Please select the amount of numbers you'd like on the lottery (£2 per number per month)


Part B

I am already a member of the lottery but want extra numbers

Number of numbers already held

Number of additional numbers required (not including already held)


Declaration

I authorise the deduction of lottery entry fees from my salary with effect from the month prior to my number(s) being entered into the draw following receipt of this form by the lottery office, until cancelled by me in writing or until the termination of my employment with York Teaching Hospital NHS Foundation Trust. I acknowledge that I have read and understand the York Teaching Hospitals Foundation Trust staff lottery rules.*

Please note: The Finance Department deals with lottery applications on the 8th of every month. You will receive a confirmation letter with your lottery numbers and staff card shortly after this date.

* required fields

Click here to return to the main Staff Benefits menu.

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While contagious viruses are active year-round, winter is a prime time for norovirus, colds, influenza (flu), and other respiratory illnesses.

 

These infections are highly contagious, so we urge people to stay away unless their visit is absolutely essential to help reduce the spread of infection within our hospitals.

Hospitals are full of sick people, many of them frail and elderly, so bringing germs into a hospital is the worst thing you can do.  We have an active programme of infection prevention but we can’t spot visitors who really shouldn’t be here.  Please stay at home if you’re unwell to help aid the wellbeing and recovery of our patients.