Professional contracting registration

Worker information

Title

Name*

First Last

Phone

Mobile phone*

Email*

Street address 1*

Street address 2*

Street address 3

County / region

Postcode*

Date of birth*

DD

MM

YYYY

Gender

Male
Female

Nationality*

Occupation*

Industry sector

NI Number*

Agency name*

Start Date

DD

MM

YYYY

Have you worked in the UK before?*

Yes

Please tick if you have no unspent convictions under the Rehabilitation of Offenders Act 1974

Agreed, I have no unspent convictions.

Please provide details of any offence(s)

If you do have unspent convictions, please provide details / dates here.

Holiday Pay*

Weekly Holiday Pay
Retained Holiday Pay

Weekly holiday pay is calculated and paid immediately, whereas retained holiday pay is calculated and retained. Please select your preference.

Bank information

Bank name*

Bank account name*

Bank account number*

Sort code*

Tax code

Roll number

P45 file upload

Drop files here or

Employee statement

Which of the following statements applies to you

A - This is my first job since last 6 April and I have not been receiving taxable Jobseeker's Allowance, Employment and Support Allowance, taxable Incapacity Benefit, State or Occupational Pension.
B - This is now my only job but since last 6 April I have had another job, or received taxable Jobseeker's Allowance, Employment and Support Allowance or taxable Incapacity Benefit. I do not receive a State or Occupational Pension.
C - As well as my new job, I have another job or receive a State or Occupational Pension.

P46 Information statement*

A
B
C

Please select Part A, B or C depending on which statement best describes you.

Student loans

Are you currently repaying your student loan?

Yes

Have you finished your studies?

Yes

Are you on Student Loan Plan 1?

Yes

Are you on Student Loan Plan 2?

Yes

ID upload

Please upload your identification here.

Please note that you will be unable to complete this form without valid ID.

ID upload

Drop files here or

Supported file types are: jpg, jpeg, gif, png, pdf, doc, docx,and the maximum file size is 2mb.

Declarations

QPS Terms and Conditions*

I agree to the QPS terms and conditions.

You can read Our Terms and Conditions HERE.

48 hours opt out

In accordance with working time regulations 1998, all employees are restricted to work no more than an average of 48 hours in a week during employment. If you wish to have the option to work more than the average 48 hours per week, please tick this box to opt out.

Privacy policy*

I agree to the privacy policy.

Accurate information*

I declare that the information I've submitted is accurate.

Communications and personal data

Communications consent

I agree to receive other communications from Quest Pay Solutions.

Quest Pay Solutions is committed to protecting and respecting your privacy, and we’ll only use your personal information to administer your account and to provide the products and services you requested from us. From time to time, we would like to contact you about our products and services, as well as other content that may be of interest to you. If you consent to us contacting you for this purpose, please tick this checkbox to accept these communications.

Personal data consent

I agree to allow Quest Pay Solutions to store and process my personal data.*

In order to provide you the content requested, we need to store and process your personal data. If you consent to us storing your personal data for this purpose, please tick this checkbox.

You can unsubscribe from these communications at any time. For more information on how to unsubscribe, our privacy practices, and how we are committed to protecting and respecting your privacy, please review our Privacy Policy.

Hidden mapping fields

intTaxBasis

intPayType

intPaymentBasis

intPaymentMethod

strMethodOfCommunication

Phone

This field is for validation purposes and should be left unchanged.