Staff Lottery Retired Staff Membership Form

As a retired member of staff from Hull University Teaching Hospitals NHS Trust, you can sign up to join the Staff Lottery here.

Name(Required)
Home Email Address(Required)
Retirement Date(Required)
Membership fees(Required)
This field is for validation purposes and should be left unchanged.

How to pay for your membership

  1. Go to the government website
  2. Select Continue
  3. Under Invoice Number, enter FULL NAME – Retired Staff Lottery Membership
  4. Select Continue
  5. Under amount to pay, enter £60
  6. Select Continue
  7. Check your details and then select Continue to payment
  8. Enter your card details, billing address and contact details
  9. Continue and complete the process

We take your privacy, and the security and confidentiality of healthcare data, extremely seriously. This website has been built with security and confidentiality in mind.

  • Your IP address is never logged in our database.
  • Any person identifiable data you submit via this form is stored on a secure database server in England, which only the relevant authorised healthcare professionals can access.
  • All email notifications containing person identifiable data are sent securely through NHSmail.
  • Our processes for collecting data via this website have been approved by the Hull University Teaching Hospitals NHS Trust Information Governance Committee.
  • We are fully compliant with GDPR and the Data Protection Act 2018.
  • If you have any questions or concerns about this form, please contact the Digital Communications Team.