Short Term Insurance Request Form and Instructions

Download and Print the Form

Hard copies of this form are also available from the CSC.

When do I use this form?
The Payment Request form should be used to reclaim money for individuals using receipts. You should not be reclaiming more than £50 for each person at a time.

Who do I return it to and what should I attach?
The Payment Request form needs to be submitted as a hard copy to the CSC Reception. All the receipts that you are reclaiming for should be attached to the form.

What happens after I have submitted it?
The Union pays money back directly to individual bank accounts every Friday. The money should turn up in the payee’s account on the following Wednesday.

Who can I contact if I need more help?
Email all enquiries to uclu-csactivity@ucl.ac.uk.