FELA Strike Hardship Claim Form

Membership Number *

Forename *

Surname *

Address *

Home Email *

Telephone *

College *

Contract *

If part time please complete the following:

Normal hours on days worked:

Date of action taken

(Please confirm the date of strike).

Name of Confirming EIS Representative:

If you are in a 2 member household with another EIS member please enter their details

Partner EIS No Partner Surname Partner Forename

Reason for your claim *

Details of your claim *

NOTE: The Strike Hardship Fund is intended to be used to support colleagues who are disproportionately impacted by the cycle of strike dates - e.g. some part-time members of staff, as a consequence of the pattern of strike days, may lose a significantly higher percentage of their income when compared to a full-time member of staff.

It is not a daily payment for everyone on strike.

Should there be an award, payment will be made by BACS to the bank account details held on your membership record. Information on when Strike Hardship Payments are to be made will be provided on the Institute website

FELA Strike Hardship Claim Form

EIS FELA Members - Application to Strike Hardship Fund in respect of strike cycle: April/May 2024

If part time please complete the following:

If you are employed on an hourly paid contract please indicate below the hours you would have worked on the relevant strike days:

Date of action taken

If you are in a 2 member household with another EIS member please enter their details