EMPLOYEE STARTER FORM

Please ensure you answer all questions so we can set up your new employee.

Official Use only:	Dept Code:	PT Office:
Service User’s Name:
Employer’s First Name:	Surname:	Title
Employee’s First Name:	Surname:	Title.
Address: Town: Post Code:	Date of Birth:	Nationality:
Gender: (Optional)
Mobile :
Landline:
Email Address:
It is essential you inform us of any changes
Employment Start Date:	Click here to enter a date.
Number of contracted hours per week ?	Have you included your P45?
Your National Insurance Number
Your Passport Number (required only if you are not a British Citizen)
Where did see this vacancy?
Employee statement – You must select 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 Jobseeker's 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 Jobseeker's 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. 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.
Please complete employee bank details only if the employee is paid directly into their bank account by Penderels Trust. If the employee is paid by the employer, please leave this section blank.
Employee Bank Details:
Account Name
Name of Bank/Building Society
Sort Code
Bank account number
Declaration: I confirm the above information is correct
Employee Signature:
Date:
Additional Information:
PLEASE NOTE YOU ARE NOT EMPLOYED BY PENDERELS TRUST Penderels Trust Payroll Bureau processes your wages on the instructions of and on behalf of your employer named at the top of this form. If you have any employment queries, you should discuss these with your employer. GENERAL DATA PROTECTION REGULATION (GDPR): Your details will be kept electronically and as paper files. Information will be provided to both HM Revenue and Customs and the Benefits Agency if requested. It may be necessary to share your information with your employer’s funding authority in accordance with their reviewing and monitoring process. Please sign the confidentiality statement below to confirm you are happy for information to be shared. It will not be shared with any other organisation without your express permission (except where required by law through a statutory duty or order). Confidentiality Statement I confirm that I am happy for information to be transferred from Penderels Trust to my employer’s funding authority as required for their review and monitoring purposes as detailed above.
Employee Signature:
Date: