Apply Now – Join the Psychologists Protection Society

DETAILS OF QUALIFICATION 1

DETAILS OF QUALIFICATION 2

DETAILS OF QUALIFICATION 3

DETAILS OF QUALIFICATION 4

DETAILS OF QUALIFICATION 5

DETAILS OF PROFESSIONAL ASSOCIATION

DETAILS OF YOUR SECOND PROFESSIONAL ASSOCIATION

DETAILS OF YOUR THIRD PROFESSIONAL ASSOCIATION

• During the past five years no claim has been made against me, any employee or supervisee of mine for negligence, error or omission relating to professional duties;
• I am not aware, after enquiry, of any circumstances which might give rise to a claim against me, any of my employees or supervisees of mine;
• I will not work outside the United Kingdom (except where approved by PPS);
• No underwriter in respect of the work that I do has ever refused renewal, terminated an agreement, or imposed special conditions; That all the above information is true and complete and that this membership form shall be the basis of the contract between myself and the company; Once a member of PPS, I will advise PPS of any problems by phone and in writing as soon as possible as assistance cannot be provided retrospectively. I will also inform PPS in writing of any changes in my circumstances or practice.

• During the past five years no claim has been made against me, any employee or supervisee of mine for negligence, error or omission relating to professional duties;
• I am not aware, after enquiry, of any circumstances which might give rise to a claim against me, any of my employees or supervisees of mine;
• I will not work outside the Republic of Ireland (except where approved by PPS);
• No underwriter in respect of the work that I do has ever refused renewal, terminated an agreement, or imposed special conditions; That all the above information is true and complete and that this membership form shall be the basis of the contract between myself and the company; Once a member of PPS, I will advise PPS of any problems by phone and in writing as soon as possible as assistance cannot be provided retrospectively. I will also inform PPS in writing of any changes in my circumstances or practice.

• During the past five years no claim has been made against me, any employee or supervisee of mine for negligence, error or omission relating to professional duties;
• I am not aware, after enquiry, of any circumstances which might give rise to a claim against me, any of my employees or supervisees of mine;
• I will not work outside my country of residence (except where approved by PPS);
• No underwriter in respect of the work that I do has ever refused renewal, terminated an agreement, or imposed special conditions; That all the above information is true and complete and that this membership form shall be the basis of the contract between myself and the company; Once a member of PPS, I will advise PPS of any problems by phone and in writing as soon as possible as assistance cannot be provided retrospectively. I will also inform PPS in writing of any changes in my circumstances or practice.