SECAmb Hardship Fund Application Form January 2023

Please fill in the below form if the following applies:

  • You are a GMB member
  • You work for SECAmb
  • You attended a picket line on 11th January
  • You have been docked wages due to being on strike on that day

We need you to complete the form in full, including uploading two payslips to evidence the pay deduction.

If you have any questions regarding this process, please email us at

SECAmb Hardship Payment Application

  • Strike Date *:

  • Did you take: *:

  • Did you actually respond to a call/calls from the picket line? *: