The following information has been submitted by from for confirming the assignment details for the candidates contained in this document, in accordance with the agreed terms.
Please note that the 'Further Details' apply to all workers submitted via this individual form.
Agency details
This information has been submitted by:
| Agency name |
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Agency's email address |
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Invoice intervals
The charges are invoiced on a weekly basis and are payable within the following days from the date of such invoice:
Candidate information
Number of candidates on this form:
Worker 1
- Name of agency worker:
- Job title:
- Email address:
- Agreed charge rate:
- Start date:
Will worker 1 have the right to, or be subject to supervision, direction or control whilst working on the assignment?
Worker 1 additional information
The Agency Worker(s) is/are engaged under a contract for services with Recruitment Funding Solutions Limited
Further details
These are optional fields that the agency may complete - and apply to all candidates submitted via this form. If the 'Further Details' are different for each candidate, a separate form will be generated and submitted for review.
| Likely duration of the assignment |
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| The type of work |
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| Location of work |
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| Hours of work |
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| The experience, training, qualifications and any authorisation necessary, or required by law or a professional body |
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| Any known health and safety risks and the steps the hirer has taken to reduce the risks |
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Umbrella details
| Is an Umbrella company being used with this candidate / these candidates? |
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| If yes, what's the Umbrella company name? |
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| If yes, what's the Umbrella company's email address? |
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Charges
| Are there any further agreed charges or payments to the candidate(s)? |
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| What, if any, expenses are payable to the candidate(s)? |
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| Number of additional unpaid annual leave days agreed |
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Notice period and transfer fee
| Has a period of extended hire and/or a transfer fee been agreed? |
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| What is the notice period required (to engage the candidate for a Period of Extended Hire)? |
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| Amount of transfer fee agreed |
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Agency Worker Regulations
| For the purposes of satisfying the Agency Workers Regulations, are there any equivalent employees working within this company whereby parity of pay and/or work conditions may need to be considered? |
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| Details of any collective facilities and amenities to which the Agency Worker will have access. |
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| The number of calendar weeks already worked |
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Customer details
| Name of the customer |
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Company name |
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| Customer email address |
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Contact name of who the workers need to report to on arrival |
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Confirmation and submission
Please sign and submit this document to generate a completed, time-stamped PDF copy of these assignment details. A copy will be automatically sent to you for your records.