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Registration Form

PERSONAL DETAILS

Bank Details:

  • Yes No
  • Faints, fits or blackouts
  • Back injury
  • Mental or nervous disorders
  • High or low blood pressure
  • Insulin treated diabetes
  • Heart disease
  • Arthritis
  • Asthma
Medical Attention
  • Yes No
  • Yes No
  • Yes No
QUESTIONS IN RELATION TO WORKING 'NIGHTS'
  • Yes No
  • Yes No
  • Yes No
  • Yes No
  • Yes No
  • Yes No
  • Yes No

CRIMINAL DECLARATION

  • Yes No

WORKERS DECLARATION

  • Yes No
  • I agree that I have read and understood the Information contained within this registration pack.

REFERENCES

  • I agree that I have given the correct information for my references and I give permission for UTrust Recruitment to contact all above references:

GDPR

In order to allow us to do this as quickly as possible and to minimise disruption for yourself and any potential referees it would be of assistance if you would sign the authority below.

I (full name) hereby grant permission to UTrust Recruitment Ltd to provide work finding services on my behalf. I permit for any information required, including details of my current and/or previous employment and/or academic history from, where applicable, my previous and or current employers including, if applicable, Jobcentre Plus, Department for Work and Pensions, School or College.

Any such information obtained will be used strictly in accordance with the requirements of the ICO and the GDPR. For information on how we process your data please refer to your nearest branch.

I confirm that the information I have provided to the above questions are correct and understand my obligations.

WORKER HOLIDAY PAY DECLARATION

I (full name) understand and confirm that when registering as a new agency worker with UTrust Recruitment, I was provided with, and had explained to me, two options on how to receive my holiday pay:

Option 1: To accrue holiday pay on my hours worked and to have this paid out to me when I take my annual leave. This accrual is based on a 52-week average at 12.07% in line with government directives

Option 2: To receive my holiday pay included with my hourly rate and for my holiday pay therefore to be paid out to me each week. My normal hourly rate without Holiday Pay will always be NMW or higher.

I have been informed and understand that option 1 detailed in this declaration is in line with the Working Time Regulations as a form of legal protection for me the agency worker, to ensure I take time off work.

Therefore, if I choose to receive my holiday pay in the form of option 2 outlined above, I will endeavour to, and take reasonable action to, ensure I utilise the money paid out to me each week to fund any annual leave taken, and I will make sure that I take adequate annual leave as I am entitled to.

Further to this, by signing this declaration I understand and have been made aware that should I receive my holiday pay included in my hourly rate, my holiday pay will still be shown on a separate line on my payslip to confirm that I have received my holiday pay entitlement.

I confirm that UTrust Recruitment had no invested interest in my decision to choose one holiday pay method above the other, these options have only been made available to me based on historical agency worker preferences and demand.

I confirm that the information I have provided to the above questions are correct and understand my obligations.

UTRUST RECRUITMENT LTD HEALTH & SAFETY POLICIES AND WORKING PROCEDURES

Pension

The Company will comply with the employer pension duties concerning pension’s auto-enrolment in accordance with Part 1 of the Pensions Act 2008. You will be automatically enrolled into National Employment Savings Trust (“NEST”) scheme. If you do not opt-out of auto-enrolment, you will be required to make pension contributions at the level set out in the relevant legislation and you agree to the Employer deducting such contributions from your payments. Further information about your pension choices will be provided at the appropriate time.

Timesheets

Please be aware that it is your responsibility to ensure that your time sheet is completed in full, signed by the client, and reaches the branch by 10am Monday to enable payment on the Friday of the same week. NB: Please use your consultants email address for timesheets and then call the branch to confirm receipt.

Health & Safety

This section details the rules and standards which relate to all employees at work. It is the responsibility of all to follow these rules and to behave in a safe manner. Deliberate contravention of these rules will be considered a breach of contract and, at the discretion of the management, can lead to summary dismissal.

Health & Safety Welfare

To help you understand some of the main Health, Safety & Welfare matters on site, please familiarize yourself with the common terms listed below.

C.O.S.H.H.

Control of Substances Hazardous to Health. In terms you should make yourself aware of the risks that could cause you injury from the materials you are using from such things as fumes, burns etc and what equipment you should be issues with and wear when carrying out the work. Information should be provided by the client or marked on the product.

R.I.D.D.O.R.

Reporting of Injuries, Diseases and Dangerous Occurrences Regulations. In terms you are responsible to report any accidents that cause injuries or diseases or any dangerous occurrences, which could have led to injuries or diseases immediately to the client for recording in the site register, you must also report to your branch office.

Risk Assessments

Under the latest regulations the client is required to have evaluated the risks or hazards appertaining to the work you are carrying out. This information should be made available to you. You are also required to have evaluated all risk or hazards and to take all precautions possible to reduce or eliminate the risks or hazards involved.

Method Statements

Where identifiable risks or hazards exist in carrying out works then the client should issue a method statement as to how sections of work must be carried out (you should also satisfy yourself as to the accuracy of the statements. They will not eliminate you from your duties of responsibilities to carry out your work in a safe manner).

Manual Handling Regulations

Under the latest regulation’s guidance lines have been put in to reduce the number of injuries caused by lifting too heavy materials improperly. You should avoid lifting materials where there is a risk of injury. Additional help or mechanical assistance should be asked for. Think before you lift!

Holiday (applies to all operatives)

Please inform your local branch about any period of holiday you require so we can agree and organize the dates with our clients.