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Your Title and Address
Please complete the fields below with your information. Every field with a * is required in order to successfully submit the form. If you have any questions, please contact us.
Title*
Forenames*
0 of 100 max characters
Surname*
0 of 100 max characters
Address 1*
0 of 100 max characters
Address 2
0 of 100 max characters
Address 3
0 of 100 max characters
County
0 of 100 max characters
Post Code*
0 of 15 max characters
Country*
Home Telephone
Mobile Telephone*
Email*

Your Date of Birth and Nationality
Please complete the fields below with your information. Every field with a * is required in order to successfully submit the form. If you have any questions, please contact us.
Date of Birth*
DD slash MM slash YYYY
Nationality*
Passport/ID Number
Passport/ID Country of Issue*
National Insurance Number*
Student Loan Repayments?*
- Yes
- No
- Not Sure
Where did you find Umbrella Company UK?*
Please let us know the name of the contractor who referred you*
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Please specify:*
0 of 100 max characters

Terms of Service and Declaration
Please read the following thoroughly and click accept if you are happy to proceed.
Terms and Conditions of Service*
I accept the terms and conditions of service.
Your pay and your holiday pay will be determined in accordance to the National Minimum Wage and Working Time Directive.
Umbrella Company UK will deduct our margin from your pay as agreed and you are confirming you are happy for us to do this.
Umbrella Company UK must have confirmation of your working hours and rates, supported with a correctly signed timesheet before you receive your payments. We will not send you any funds until we have received your funds from your recruitment agency/end client.
Bank Holidays may affect you receiving your payments on schedule.
Umbrella Company UK run payroll daily (Monday to Friday) and will pay you in accordance to your agreed schedule when all the necessary processes from yourself have been completed and we have received your funds into our account. Umbrella Company UK will not negotiate changing your payment frequency and we do not hold onto your funds once we have received them. You must contact your recruitment agency to change your payment schedule.
By submitting this form, you are confirming that you have had no incidences that could bring Employers’ Liability or Public Liability insurance into effect since your first communication with Umbrella Company UK and the submission of this form. Any previous and current cases regarding possible insurance claims that you are involved in have been discussed with Umbrella Company UK prior to submitting this form.
Your Declaration*
I confirm I understand the information provided and I have completed this form accurately.
I understand how Umbrella Company UK works and have a full understanding of the processes involved.
When I am officially an employee of Umbrella Company UK, I understand my payments will be sent to my bank account from Umbrella Company UK (as my employer).
When I send this completed form to my recruitment agency or directly to Umbrella Company UK, I consent to Umbrella Company UK storing and using my personal and sensitive data. I also accept that my information may be passed on to third parties such as Trade Unions and providers of contractor insurances if required.
I confirm that I have completed this form accurately and have provided the correct information.
I have/will provide Umbrella Company UK with a photocopy of my passport and a contract of employment that I have read, understood and signed.
I confirm that Umbrella Company UK can contact my recruitment agency and/or end client and share information directly related to my assignment.
I understand that completing this form does not automatically make me an employee of Umbrella Company UK. I will only become an employee of Umbrella Company UK when both parties (Umbrella Company UK and myself) have signed a contract of employment.
I understand that by signing and submitting this document to my recruitment agency or directly to Umbrella Company UK that I accept the terms and conditions and the declaration.
Ongoing Communication*
I confirm I am happy to receive information from Umbrella Company UK about my payroll and updates to the service.
Umbrella Company UK is partnered with a Wealth Management Specialist. Please let us know if you’re interested in finding out how they can help you increase your wealth.*
- Yes – I want to find out more about how I can increase my wealth. Please pass on my contact details (phone and email) to a Financial Adviser.
- No – I am not interested in finding out more about how I can increase my wealth. Please do not pass on my contact details (phone and email) to a Financial Adviser.
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Name
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Step 1 of 5

Your Title and Address

Your Date of Birth and Nationality

Your Banking Information

Your Assignment Information

Terms of Service and Declaration