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    Meet Disability Positive

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This field is for validation purposes and should be left unchanged.
Are you completing this form(Required)
This form is to be completed by the legal employer – this may be the individual with care and support needs or a suitable person. Please refer to your signed Direct Payments Agreement with your Council or Clinical Commissioning Group. If you are unsure or ask your local Direct Payment Support Service.
Have you ever employed staff before or used another payroll service?(Required)
If yes, please provide your PAYE reference number and ACCOUNT OFFICE reference number (supplied by HMRC) below. We require this to transfer your information to our service.
Have you opted for a prepayment card?(Required)
Have you opted to use a Supported Banking Service?
If yes, please select your provider from one of the following:

Employer and Service User Details

Name of Employer:(Required)
Employer’s or Service User’s Address:(Required)
IMPORTANT INFORMATION: EMAIL ADDRESS IS REQUIRED TO SEND PAYSLIPS
Name of Service User:(Required)
Service User’s Date of Birth:(Required)

EMPLOYEE INFORMATION

To be completed and signed by the employer, these must match your details on file.
Name of employee:(Required)
Employee Start Date:(Required)
Pay Frequency:
  • 4-Weekly (13 pay periods per year)
  • or
  • Monthly (1st to end of month – 12 pay periods)
(Weekend, Nights, etc)
Have you conducted a right to work check?
If you require assistance with the Right to Work check, please contact your Direct Payment Support Service.
Please Note:
  • Please allow 48 Hours for processing after receipt of these documents.
  • Please contact us 5 working days before your employee’s first pay date.
  • We will then discuss with you your first and future payslip requirements at this time.
Your (Client) Responsibilities(Required)
You hereby confirm you have read, understood and accept Your (Client) Responsibilities available here
Our (Disability Positives) responsibilities to you The Employer(Required)
You hereby confirm you have read, understood and accept Our (Disability Positives) responsibilities to you The Employer available here

Declaration

I declare that the information given above is true and accurate:
Clear Signature
Date(Required)

Home / Services / PROTOTYPE PAYROLL FORM

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Meet Disability Positive

  • About Us
  • Our Vision and Mission
  • Our Strategy
  • Our Impact

For adults

  • Direct Payments
  • Personal Health Budget (PHB)
  • Advocacy
  • Good Company Social Group
  • Tarporley Social Circle
  • Payroll Services
  • Supported Banking
  • Learning Service

For children

  • Advocacy
  • Direct Payments
  • Personal Health Budget (PHB)
  • Community Connections
  • The Buzz Group

For business

  • Disability Equality Training
  • Customer Experience Audits
  • Disability Confident
  • Keynote Speakers
  • Become a Corporate Donor
  • Charity of the Year

For individuals

  • Donate
  • Volunteering
Contact Us
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Our Office Number

01606 331 853

Email Us

info@disabilitypositive.org

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