Submit a request

Select the reasons you will be using LEAP for

Title

Your employer

Organisation (freetext)

Your work email address

This is what you use to login to Trust computers (ex. JSmith)

Job Role

Please select the department you belong to. If you are not paid by Kings then please select None Substantive Staff

Start Date

Termination Date (if known)

GMC No. (if applicable)

Contract Type

ESR number (on your payslip - if you have one)

Please enter the details of your request. A member of our support staff will respond as soon as possible.

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