PAYROLL REGISTRATION FORM
Personal details
Title
Mr
Mrs
Ms
Miss
Other:
First Name
Middle Name
Last Name
Your Surname
Date of birth
(Click on Calendar icon & year to change years)
DD
/
MM
/
YYYY
ADDRESS
Day time Tel.
Evening Tel.
Mobile
Email
Please ensure that this is an email address you that will be able to check regularly for contract and payment information.
Occupation
NI Number
Driver's License Number
UPLOAD PROOF OF IDENTITY
Please provide one of the following.
A copy of the picture page of your:
• Passport
• Birth Certificate ( British Nationals only)
Delete all uploads
Choose files or drag here
SECURITY INFORMATION
Country of Birth
Mother's Maiden name
Town of Birth
Your eye colour
RIGHT TO WORK INFORMATION
NATIONALITY
British National (No Right to Work required)
Non British National (Right to Work Required)
Nationality (if Not British)
Right to Work Expiry Date (if Not British)
DD
/
MM
/
YYYY
File upload
Please scan, photocopy or take a clear digital photograph of your Right to Work Documents.
Delete all uploads
Choose files or drag here
Single choice
I enclose a copy of my Right to Work
GDPR REGULATIONS
We are required to inform you that as from May 25th 2018, we; as a Company processing data from individuals within the EU are required to inform you that we are doing so and that you have certain rights as to how we use that information.
Firstly, we require your permission to use your data
As a payroll provider, we need to hold personal information relating to our clients. By signing this form, you are allowing us to collect and store that data.
We also confirm to you that
We will only use the information you provide, for the purposes in which it was provided, as per the eight principles of the DPA. We will not pass the information to any unauthorised persons (such as a mailing list) We will hold and secure the information under encryption to ensure that it is not subject to data breach.
Access to your information
You have access to any information that we hold about you and can write to us to request access to that information, should you wish to update, or change any of the detail held. You also have the right to have the information removed from our systems should you choose to no longer work with us.
Should you require any further information regarding GDPR or the Data Protection Act 2018 please contact your Payroll Manager before signing this document.
Please select
I have read, understood the above and consent to my data being used.
I agree
SIGNATURE
Clear
Full name
Today's Date
DD
/
MM
/
YYYY
Company and Bank details
Name of Bank/Building Society
Branch Name
Sort Code
Your 6-Digit Sort Code
Account Number
Your 8-Digit Bank Account number
Name of account holder
If this is not you, please provide a letter of authorisation form
Building Society ref
( if applicable)
COMPANY DETAILS
Company Name
Client Name if there is no agency
Agency Address
Work Tel.
Email
CONFIRMATION
Mobile No.
Agency Name
You are entitled to holiday pay, which is paid on top of National Living Wage, we would encourage you to receive holiday pay when you take leave. However, would you rather;
Receive your holiday pay alongside with your basic pay at once, or
Receive your holiday pay when you request for it to be released
Signature Confirming Holiday Pay Option Chosen
Clear
I hereby confirm that all the above details are correct and that I have read, understood and accept the First4freelancers' terms and conditions for Payroll Solutions and the
Payroll Solution Employment of Contract.
(Required)
Signature
Clear
Today's Date
DD
/
MM
/
YYYY
HM REVENUE & CUSTOMS STARTER CHECKLIST
EMPLOYEE'S PERSONAL DETAILS
Last Name or Family Name
First Name(s)
Are you:
Male
Female
Other
Date of birth (Click on the icon & year to change years)
DD
/
MM
/
YYYY
Home Address
National Insurance Number
eg. AA123456L
Employment Start Date
(Click on Calendar icon & year to change years)
DD
/
MM
/
YYYY
EMPLOYEE'S STATEMENT
You need to select
ONLY ONE
of the following statements A, B or C.
A - This is my first job since last 6 April and I have not been receiving taxable Job Seekers Allowance, Employment and Support Allowance, taxable Incapacity Benefit, State or Occupational Pension.
B - This is now my only job but since last 6 April I have had another job or received taxable Jobseekers Allowance, Employment and Support Allowance or taxable Incapacity Benefit. I do not receive a State or Occupational Pension.
C - As well as my new job, I have another job or receive a State or Occupational pension.
Signature
I hereby confirm that the information above is correct
Clear
STUDENT LOAN
Do you have a Student Loan which is not fully repaid and all of the following apply:
• You left a course of UK higher education before last 6 April.
• You received your first Student Loan instalment on or after 1 September 1998.
No
Yes
Place
Today's Date
DD
/
MM
/
YYYY
SEND
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