CIS Application Form – Pinnacle Payroll Service LTD

About You

Sex

Male Female

If you are a NON-UK National, in addition to the usual documentation we require a SHARE CODE available at this link

If you are a UK National, we require Passport, Proof of National Insurance (last payslip/P45/P60 etc) and Proof of address.

Attach your certificates here

Mailing Address

Payment Details

Please check the details above before submitting your application as Pinnacle Payroll cannot be held responsible for monies released to incorrect bank details.

CIS Status & UTR Details

Are You VAT Registered

Yes No

Agency Details

About the Assignment

Is the Assignment

UK Based Abroad Offshore

How would you classify the assignment

Trade Technical Professional Rail

Security Information

To ensure that your financial and personal details are only discussed with yourself, we require security information. We will request this each time you contact us.

How did you hear about us?

Next of Kin Details

To ensure that your financial and personal details are only discussed with yourself, we require security information. We will request this each time you contact us.

Next of Kin Contact Permission

Please tick this box if you would like to nominate your next of kin to be able to speak on your behalf at times regarding personal information such as your payments.

Yes No

Have you ever been convicted of a criminal offence?

Yes No

Contract for Employment

Please read the contract for employment. Complete and sign both copies and return one copy with your registration.

Data Protection

All data we hold about you and how we process and use it complies with the data protection act.
From time to time, we may offer services or products which we feel may benefit you through carefully selected third parties e.g. accountancy services or mortgage advice.

Would you be entitled to Holiday pay, sick pay, a company pension scheme or other such benefits?

Yes No

Are you responsible to complete, either yourself or via an accountant, an annual self-assessment tax return?

Yes No

Are you under any obligation to accept or receive future assignments from the Client or the Agency?

Yes No

Are you responsible for all your own expenses in relation to travelling to/from site and/or overnight accommodation?

Yes No

Do you understand that a suitably qualified alternative contractor can be supplied as a substitute to complete a task that you

Yes No

Do you provide your own tools, equipment and/or PPE to carry out your assignments?*

Yes No

Do you have the freedom to contract on more than one assignment at any one time and choose the hours you work taking into acc

Yes No

Once given basic instructions of what to do for your day, will anyone else advise you how to complete these tasks?

Yes No

Do you receive training with the exception of H&S training from anyone you currently provide services to?

Yes No

Will you be under constant supervision by anyone whilst undertaking your role?

Yes No

Declaration

“I declare that the information I have provided is correct and I understand that it is my responsibility to inform Pinnacle Payroll Umbrella of any changes to my job title, personal, bank or agency details as soon as possible. Providing incorrect or false information on this application form may result in the company invoking disciplinary procedures that may end in dismissal. I also confirm that it is my intention to undertake multiple assignments and will inform Pinnacle Payroll Umbrella should my intentions change. I also agree to the terms and conditions set in the contract of employment”.

I Agree

Yes No

Self Employed (CIS) Application & Assesment

Please check the details above before submitting your application as Pinnacle Payroll cannot be held responsible for monies released to incorrect bank details.

To ensure that your financial and personal details are only discussed with yourself, we require security information. We will request this each time you contact us.

Next of Kin Contact Permission

Have you ever been convicted of a criminal offence?

Contract for Employment

Data Protection

I Agree

Register Now