NMC enquiry form

Your web browser is outdated and may be insecure

The RCN recommends using an updated browser such as or

The purpose of this form is for legal support to be arranged for RCN members who have been contacted by the NMC.

Note that for us to provide legal representation, you must have been in the correct category of membership at the time of the incident(s) cited in the referral.

Before completing this form, please see our advice guides on NMC issues.

If you have been contacted by the NMC, need to self-refer to the NMC, or have a question about the NMC, please complete the below form. Please do not contact or respond to the NMC until you have heard back from the RCN legal team.

If you have not been contacted by the NMC but believe you have been referred, we will not be able to arrange support until you have been formally notified. Please get back in touch when the NMC has contacted you directly.

If you are a witness and your practice is not being brought into question, you do not need to complete this form. You can find further information on being a witness in our witness advice guide.

Please confirm that you have read our advice

Contact details

Full name: RCN membership number: Address: Best contact number:

Please note that RCN Direct will not usually call you. Where an onward referral is required, provided you were in the correct category of membership at the time of the incident, we will provide these contact details to the RCN鈥檚 Legal Department.

Do you give us your consent to pass on this information? Yes No Can we leave you a voicemail? Yes No Can we contact you on this matter by email? Yes No If we need to pass your enquiry to your local RCN office or a specialist RCN department, would you like any emails from them to be password protected? Yes No Email address you would like us to reply to Please confirm the email address you would like us to reply to Please list any times that you are unavailable for calls during the next week (9am-5pm):

Employment details

Place of work Employer When did you start working with your current employer? Ward or department Job category Job title Weekly contracted hours Do you have any meetings scheduled? Yes No If yes, please give date, time and location: Are you already being supported by a rep? Yes No If yes, please include details below: Are you in the UK on a visa? Yes No If yes, please include details below (including how long you have been in the UK):

NMC

Have you been contacted by the NMC? Yes No

Date of incident that led to the referral to NMC What date did the NMC contact you? Is there an interim suspension? Yes No Is there an interim order hearing? Yes No If yes, when and where? NMC officer name: NMC officer email: NMC officer phone number: NMC case reference number: NMC pin number: Is there a deadline to respond to the NMC? Yes No If yes, when is the deadline? Please list the allegations/concerns, as stated in the letter from the NMC: Is your employer aware that you have been contacted by the NMC? Yes No Is your employer taking any action against you following the NMC referral? Yes No If yes, please provide brief details: Do you know if any other nurses/midwives have been referred or may be referred? If yes, please provide details:

Can we update your personal details if any of the above does not match the data we currently hold on your record? Yes No

By submitting this form, you are giving the RCN permission to contact you about your submission.

You can control the information you receive from the RCN by updating your preferences at MyRCN.

We don’t update your contact details unless you ask us to. The best way to check and update the details we hold for you is by visiting MyRCN.

The information you provide in this form will be stored by the RCN.

Protecting your privacy is very important to us. Please view our privacy policy to find out more about the information we collect and how it is used.

汤头条污料

Joining the RCN

Why should I join?

Member benefits

Employment

Pay and benefits

Support

This is 汤头条污料

Professional development

Career resources

Introducing our Library

Library member services

Locations

Become a representative

Make a difference

Have your say

Advice and support

Support services for members

Popular advice guides

News

Events

Updates from RCN leaders

汤头条污料 the RCN

Championing fairness for all

RCN group websites

Your Spaces

RCN Country Sites

Popular Links

RCN Regional Sites

Your web browser is outdated and may be insecure

NMC enquiry form

Contact details

Employment details

NMC

Your Spaces

RCN Sites

Work & Venue

Further Info

Connect with us: