Worker Assignment

Details of the Agency Worker and Hirer:

Name and address of the agency worker:

Hirer’s Details:

Name and address of the hirer:

Nature of the hirer’s business:

Name of hirer’s contact to report to on arrival:

Assignment Details:

Start date of the assignment:

End date of the assignment:

Hours of work:

Likely duration of the assignment:

Job title:

Description of duties:

Location of work:

The experience, training, qualifications and any authorisation necessary or required by law or a professional body:

Any known health and safety risks and the steps the hirer has taken to reduce the risks:

Pay:

Any expenses payable:

Actual rate of pay:

These figures are gross and therefore subject to Tax and National Insurance

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If other, please provide rate of pay:

Intervals of payment:

Number of [paid/unpaid] annual leave days:

Period of Extended Hire:

Notice period required where the hirer wishes to engage the agency worker for a period of extended hire:

Period of extended hire if the hirer wishes to engage the agency worker and avoid paying a transfer fee:

Agency worker's recruitment consultant’s contact details:

Additional Particulars for Worker

Name and address of employment business:

Date when period of continuous employment started:

Length of notice the agency worker must give and should receive to terminate the contract or assignment:

Any other remuneration (apart from pay):

Entitlement to sick leave and pay:

Maternity/paternity leave:

There is no other paid leave.

Any other benefits:

Any training (entitlements provided by employment business, requirements for the role, requirements at worker’s own cost):

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Any probation period including conditions and duration:

Pensions and pensions schemes such as automatic enrolment or contractual pensions schemes:

If you are eligible you will be enrolled automatically into the occupational pension scheme in accordance with our obligations under the Pensions Act 2008. Details of the scheme will be provided to you when you join the scheme.

Any collective agreements that apply to the agency worker:

Any information on disciplinary rules and grievance procedures:

If the agency worker works outside the U.K for more than a month, please confirm duration, currency of pay, any additional remuneration, benefits and terms and conditions to return to the UK.

Further notes:

Comments

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Details of the Agency Worker and Hirer:

Hirer’s Details:

Assignment Details:

Pay:

Period of Extended Hire:

Additional Particulars for Worker

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