COIF Charities Deposit Fund
Withdrawal Form
Please call our Client Services Team on 0800 022 3505 if you would like help to complete this form.
This form should be completed in
BLOCK capitals using black ink.
Account number
Account name
Please withdraw
Senator House, 85 Queen Victoria Street, London EC4V 4ET Freephone: 0800 022 3505
CCLA Fund Managers Limited (Registered in England No. 8735639) Registered address: Senator House, 85 Queen Victoria
Street, London, EC4V 4ET is authorised and regulated by the Financial Conduct Authority under the Financial Services and
Markets Act 2000 (FSMA) and is the manager of the COIF Charities Deposit Fund (Registered Charity No. 1046249). Deposits
taken by the COIF Charities Deposit Fund are exempted from the FSMA by the Financial Services and Markets Act (Exemption)
Order 2001. Under the EU Money Market Fund Regulation 2017/1131, the COIF Charities Deposit Fund is categorised as a
short-term LVNAV Money Market Fund.
Data Protection Legislation: CCLA is a data controller and will hold relevant personal details which have been supplied to the
manager for the purposes of fulfilling its obligations to clients. Data will be stored by CCLA and treated as confidential. CCLA will
not provide details to any other party except where necessary to fulfill the service obligations described, or where required by
law. Full details of CCLA's Privacy Notice are available on CCLA's website. Full details of CCLA’s Data Protection Policy are
available on request.
(April 2020,(FMPDWTH2019))
Amount in words
The transaction will be processed as detailed in the appropriate Funds Scheme Particulars.
Authorised signature(s) This form must be signed in accordance with the current mandate.
Print name Print name
Daytime telephone number
Daytime telephone number
Please send a BACS payment to the nominated bank account
Please tick one option:
Please transfer to another COIF Charities Deposit Fund account number
Please tick
Please tick
Please tick to withdraw all
Please tick to close account