Responsibility Allowance Requests must be supported by a Director or Assistant Director and your People and Culture Partner

Please complete this form fully as the information you provide will be sent for further approval.

If you have not provided all of the information requested you may be required to re-submit your request which will delay the outcome.

Prior to completing this form you must seek approval for the allowance from your Director / Associate Director and your People and Culture Partner or People and Culture AD.

Please Note: As of 1st March 2024, this form is not to be completed for requests at 8a or above. Please contact your People and Culture Partner. 

Your data will be held and processed securely in line with the relevant data and privacy laws including the General Data Protection regulation. For information on how we use your data and your privacy rights if you are employed by NHSBT for information if you are employed by an agency alternatively you can contact NHSBT’s Privacy Officer dpofficer@nhsbt.nhs.uk

Employee Details

Please Note: This form is not to be completed for requests at 8d or above. Please contact your People and Culture Partner. 

Employee current pay band Required