Employee Form - For new employees only

Please read carefully the form below and double check your answers (especially your bank details and email address) as your payment maybe delayed if it contains errors. Thank you.

All fields marked * are mandatory

Your Name

Your First Name*

Your Last Name*

Date of your first day working for us since last 6th April?*

/ /
(If you can't remember please call us.)

Are you Male or Female?
MaleFemale
(As soon as HMRC allows a third option we will include it here!)

Your Permanent Home Address

Are you resident in the UK?*

Your House Name or Number*

Street*

Town or City*

County*

Your Postcode*

Your Mobile Telephone Number*

Your Landline Telephone Number

Your Email*

Please double check your email address is correct.

Emergency Contact Telephone Number*

Emergency Contact Name

Your NI & Bank Details

Your National Insurance Number*

Use the format AB 12 34 56 C

(If you do not have an NI No. type "no NI" and ring 0345 6000643 to apply for one. 8:30am – 4:30pm or contact your nearest job centre.)

Bank Account Name* (e.g. "Mr J Smith")

Bank Sort Code* (6 digits)

Bank Account Number* (8 digits)

If your account number only has 7 digits, add a zero to the front. If your account number has 9 digits leave out the first zero.

Date of Birth and Right to Work Options

Your Date of Birth*

/ /

What is your nationality?*

Do you have the right to work in the UK?*
YesNo

Do you wish to opt out of the working time regulations?
YesNo

(By clicking 'yes' this will give you the option of working in excess of an average of 48 hours per week. This can be changed at anytime. Gov.uk Maximum Weekly Working Hours )

Can we use your image in our marketing/social media?
YesNo

Student Loans and First Aid

Do you have a Student Loan which is not fully repaid?
YesNo

Are you repaying your Student Loan direct to the Student Loans Company by agreed monthly payments?
YesNo

Prior to this job have you had any first aid training?
YesNo

Please enter the Date of your Certificate

P45 and Benefits

Are you receiving any state benefits?
YesNo

Benefits Office

Can you give us a P45 (dated since last 6th April) from your previous employer?
YesNo

Your P45

If you are unable to attach your P45 please call 01728 491001

Please read each statement below and tick A, B or C against the one which applies *
A - This is my first jobB - This now my only jobC - As well as this job, I have another job

P45 Options

A: This is my first job since 6 April and I have not been receiving taxable Jobseeker's Allowance, Employment and Support Allowance or taxable Incapacity Benefit, State Pension or Occupational Pension.

B: This is now my only job but since last 6 April I have had another job or received taxable Jobseeker's Allowance, Employment and Support Allowance or taxable Incapacity Benefit. I do not receive a State Pension or Occupational Pension.

C: As well as this new job, I have another job or receive a State Pension or Occupational Pension.

Your Health

Do you suffer from Hayfever or other environmental allergies? Eg bee/wasp stings?
YesNo

Please state all allergies you have

Please state any health complaint you have we should know about? Eg epilepsy

Your Message

I confirm all the information given above is correct to the best of my knowledge and I understand I may be prosecuted if I knowingly give false information.

Yes

If you do not receive a confirmation email within a few minutes please resubmit your employee form checking your email address is correct.