PAYE Umbrella – Simplify

Personal Details

Title*

Forenames*

Surname*

Address Line 1*

Address Line 2

Address Line 3

Town

Postal Code*

Date of Birth*

Day

Month

Year

Mobile Telephone*

Home Telephone

Email Address*

Confirm Email Address*

NI Number*

Gender*

Nationality*

Contract Details

Job Title*

Rate

Employment Agency (if applicable)

Contact Name

Contact Telephone Number

Contact Email Address

End Client

Site / Address

P45/P46 and Identification Details

You will need to submit the following documents to Simplify Business. You can submit details online, or print off documentation, complete, and post to us if you prefer (if you wish to post, please indicate by ticking the appropriate box in each instance).

Primary Identification consists of either a copy of your Passport, or a copy of your Birth Certificate together with confirmation of your National Insurance number.

Proof of ID *
(Allowed File-format : pdf, txt, doc, docx, jpg, jpeg, png, gif, xls, xlsx, csv)

I shall return this via post

Eligibility to work in the UK*

Upload ETW document*

Will return by post

Do you have a P45*

Upload P45

Will return by post

Bank Details

Are you the account holder*

Name of Bank*

Bank Sort Code*

Name as it appears on the bank account*

Bank Account Number*

Email Address of the bank account holder(note. this should not be your email address).

You have indicated that the above bank details are in the name of a third party (e.g. the bank details are not in your name).We are required by law to ascertain that the appropriate consent to hold or process data is done so with the individual's explicit consent.

Please tick here to confirm that you have received explicit consent from the individual that their details will be held by Simplify and that data processing inline with our privacy policy will be conducted.

Source of Referral

How did you hear about Simplify

Name of Contractor

Name of Agency

Confirmation

By providing my details to you I confirm and acknowledge:
That it is my intention to use Simplify as my Umbrella company for more than one assignment; I believe that the assignments will be temporary in nature, each lasting less than 24 months, and I will inform Simplify immediately should my expectation become that an assignment will be extended past the 24 month point.
That it is a requirement to supply Simplify with a valid copy of my ID, and where appropriate, Eligibility to Work documents, and that failure to do so will result in non-payment.

That I understand my prospective payment method including any tax and NI deductions where applicable.
That I understand that I will be required to sign a Simplify Contract and that failure to do so will result in non-payment.
That all information provided is true and accurate and is being provided with my full consent.

I accept

You agree to Simplify holding your personal data. If you do not wish for us to hold or process your data, then we are unable to process the information within this form

Signed (please enter your name)

If you require assistance completing any part of this form, please contact 0114 478 0559.