GREATER MANCHESTER POLICE
Application to re-join the service as an officer on the 30+ Police Retention Scheme
Please ensure you have read the available information on the 30+ Police Retention Scheme before
completing this form.
SECTION A – to be completed by Police officer
Full name
PIN
Rank
Age
Home address..................................................................................................................................................
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Do you currently reside in a Police House? Please tick as appropriate
Yes
No
Division/Dept
Current role
Work telephone number
Intended date of commencement of 30+ Police Retention Scheme
Please tick as appropriate
Have you and your line manager completed a recent appraisal?
Yes
No
Please attach a copy to this application form.
Please tick as appropriate
Are you eligible for a Competence Related Threshold Payment?
Yes
No
Are you eligible for a Special Priority Payment?
Yes
No
Have you ever been denied any of the above payments?
Yes
No
If Yes, please give the reason for refusal .........................................................................................................
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Form 003A (03/2005)
Page 1 of 4
Evidence to support application
Officers applying for the 30+ Police Retention Scheme are assessed in terms of their competence and
commitment to further service. Please use this section to summarise your ability to perform your current role
(including relevant skills, knowledge and training etc) and your commitment to the Force’s Vision Statement,
policing priorities, diversity, health and safety and achieving high levels of attendance.
Please attach a copy of your attendance record and your postings history.
(Officers will not be eligible for consideration if they have current disciplinary sanctions on file; or are facing
conduct proceedings for serious breaches; or are subject to Unsatisfactory Performance Procedures).
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Please continue on next page if required
Declaration
I would like to apply to join the 30+ Police Retention Scheme after having completed 30 years pensionable
service.
I understand that to do this I must retire and rejoin the service after a minimum of one day in retirement, and
in doing so will lose any housing/rent allowance (if in receipt of this).
I understand that my application is subject to Occupational Health Assessment and completion of Annex A
Election under Police Pension Regulation G4.
I understand that to be selected I must be assessed as fully competent and committed to further service, and
found by Occupational Health to be in satisfactory health for the purposes of the proposed appointment.
I further acknowledge that I am aware of the financial implications involved in my re-engagement under the
30+ Police Retention Scheme and that I have been advised of the need to take independent financial advice
if I am in any doubt about these implications.
Name (please print) .........................................................................................................................................
Signed.......................................................................................................... Date............................................
Form 003A (03/2005)
Page 2 of 4
SECTION B – to be completed by Line Manager
Comments by Line Manager
I *recommend / do not recommend that this officer should be re-engaged to his or her current role, subject to
an Occupational Health Assessment and bearing in mind his or her attendance record.
(*Please delete as appropriate).
Note: Under the 30+ Police Retention Scheme it is generally intended that officers remain in their current role
in order to retain their specific skills.
Comments/business case for retention / rejection
This should include relevant information such as the specialist nature of the role, any specialist qualifications,
skills, experience, significant training investment or any recruitment difficulties etc.
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Please continue on a separate sheet if required.
Name (please print) .........................................................................................................................................
Signed.......................................................................................................... Date ...........................................
SECTION C – to be completed by Divisional HR Manager
Comments by Divisional HR Manager
I * recommend / do not recommend that this officer should be re-engaged to his or her current role, subject to
an Occupational Health Assessment and bearing in mind his or her attendance record. (* Please delete as
appropriate).
Note: Under the 30+ Police Retention Scheme it is generally intended that officers remain in their current role
to retain their specific skills. Before recommending that an officer be re-engaged into his or her current role
issues such as any future re-structuring need to be considered.
Comments:
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Name (please print) .........................................................................................................................................
Signed.......................................................................................................... Date ...........................................
Form 003A (03/2005)
Page 3 of 4
SECTION D – to be completed by Divisional/Branch Commander
Comments by Divisional/Branch Commander
I * recommend / do not recommend that this officer should be re-engaged to his or her current role, subject to
an Occupational Health Assessment and bearing in mind his or her attendance record.
(* Please delete as appropriate)
Note: Under the 30+ Police Retention Scheme it is generally intended that officers remain in their current role
to retain their specific skills. Before recommending that an officer be re-engaged into his or her current role
issues such as any future re-structuring need to be considered.
Comments:
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Name (please print) .........................................................................................................................................
Signed.......................................................................................................... Date............................................
Completed forms to be returned to the Personnel Services Unit, 4th Floor Chester House.
SECTION E – to be completed by ACC, Personnel & Development
ACC Personnel & Development Decision/Recommendation
This officer *should / should not be re-engaged, subject to an Occupational Health Assessment.
(* Please delete as appropriate).
Name (please print) .........................................................................................................................................
Signed.......................................................................................................... Date ...........................................
Form 003A (03/2005)
Page 4 of 4