Severance payments at NHS foundation trusts: approval form
Apply for approval for a special severance payment for an NHS foundation trust staff member.
MS Word Document, 48KB
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Use this form to apply to HM Treasury for a special severance payment for someone leaving their job at an NHS foundation trust.
It is for payments outside someone’s normal contractual entitlement.
You should read Managing Public Money Annex 4.13 before completing this form.