Application for Membership of
Doctors and Dentists Protection Union

Step 1
Step 2
Step 3
Step 4
Step 5
Step 6
Step 7

Step 1

Your Details

Please provide following details as they appear in GMC or GDC record

Address on which you would like to be contacted if different from above

Same As Above Address

Step 2

Telephone Contact Details

Security

Step 3

Job Title and Grade

Step 4

Professional Negligence Indemnity

It is a legal and regulatory requirement [...]

Do you require Professional Negligence indemnity?

Yes

Step 5

Declaration of Pre-existing professional Issues

We do not provide cover for professional issues [...]

Q. Please provide details [...]

Q. Are you aware of any matters [...]

Q. Have you been subject to [...]

Step 6

Claims Information

Q. Have any claims [...]

Q. Are you aware of any acts [...]

Previous Union or Defence Organisation Membership

Q. Have you ever had membership [...]