Managed Bank Account Agreement

/ Email: / Tel: 0845 340277 or 01606 331853

Supported Banking Service Agreement - Lancashire Clients

Thank you for choosing to use Cheshire Centre for Independent Living (CCIL) to open and operate a bank account on your behalf.

This form is your request and authorisation for CCIL to open and operate a bank account on your behalf. The form must be completed and signed to show your agreement to the terms and conditions stated.

The information you provide will be shared with our bank who require it to open the account.

Please read the whole of this document and ensure you have full understanding of the agreement before signing it. Should you require any help with or further information about the form, please contact the Supported Banking Department on 01606 331853.

Definition of Terms

Account Holder / The person who signed the Direct Payments Agreement with the Local Authority. This may be the client or his/her representative. The account is opened in this person’s name and, ifthe Account Holder is a representative, it will be ‘on behalf’ of the client
SBS / The Supported Banking Service. SBS is the part of CCIL that will operate the account
Representative / A person authorised to act on behalf of the client. Where such a person has been appointed, this will be the person who signed the Direct Payments Agreement and will be the Account Holder on behalf of the client
Employer / In the context of this agreement, ‘employer’ refers to a client who employs a P.A. As an employer, the client is responsible for all legal and regulatory aspects of that employment. Under no circumstances is CCILliable for tax, national insurance or any other statutory deductions
Care Agency / Any organisation that employs Personal Assistants and provides them to clients as a service
Payroll Agency / Any organisation that processes payroll as a service for clients
CCIL Payroll / The payroll service offered by CCIL

Authorisation to Open and Operate Account

This agreement is between:

Cheshire Centre for Independent Living

Sension House, Denton Drive

Northwich, Cheshire

CW9 7LU

andthe Account Holder (pleaseuse capital letters)

Title: Mr/Mrs/Ms/Other
First Name(s):
Surname:
Date of Birth: / Nationality:
Address:
Postcode:
Telephone – Home: / Mobile:
eMail:

Name and Telephone of Social Worker or Clinical CommissioningNurse:

Tick as appropriate:

I am the person in receipt of a Direct Payment

I am the authorised representative of the Direct Payment recipient

Relationship to Direct Payment recipient:

If you are representing the Direct Payment recipient, please enter his/her details below:

Title: Mr/Mrs/Ms/Other
First Name(s):
Surname:
Date of Birth: / Nationality:
Address:
Postcode:
Telephone – Home: / Mobile:
eMail:

Additional Information:

Preferred method of contact:

I require monthly balance updatesYes  No 

email address for Monthly Balances:

Account Funding:

This account will receive funds from Lancashire County Council.

If any other funds will be paid into the account, e.g. personal contributions, please provide details below:

......

Authorising a Nominee

If you wish to give CCIL permission to speak to and take instruction from a nominated person on your behalf, please give details of your nominee below.Should you wish to withdraw your permission in the future, please confirm this in writing.

Title: Mr/Mrs/Ms/Other
Name of Nominee:
Address:
Postcode:
Telephone – Home: / Mobile:
eMail:
Relationship to Account Holder:

Please note that you are giving permission for the above named person to give instructions regarding payments or changes to the account.

Terms of this Agreement:

Cheshire Centre for Independent Living will:

Open and operate a bank account (‘the account’) on behalf of the Account Holder
Issue the Account Holder with a welcome letter detailing account information
Only use the money in the account as instructed by the Account Holder
Where there are sufficient funds in the account, pay any invoices/payslips received bearing the names associated with this account within 7 working days from receipt
Maintain a record of the monies credited and debited tothe account for audit purposes
Contact the Account Holderto inform them of any issues concerning the account
Ensure that all information relating to the account is stored and used in compliance with prevailing data protection law andguidelines. Data may be shared with the funding Local Authority and Clinical Commissioning Groups
Not be liable for any payments from the account where the Account Holderhas authorised such payment
Ensure compliance with laws relating to money-laundering
Deduct the prevailing service charge for the Supported Banking Service each calendar month from the account. The charge is effective from the date that the signed agreement is received by SBS
Cancel this agreement by giving 30 days notice in writing if:

Our authority or ability to provide services is withdrawn for any reason
False, inaccurate or misleading information is provided or the contract is breached in any other way
CCILemployees are subjected to abusive, rude or threatening behaviour from anyone with authority on this account

I, the Account Holder,agree to:

Cheshire Centre for Independent Living opening and operating a bank account on my behalf
Fully completing and returning any necessary documentation/paperwork issued regarding the account in a timely manner
Provide SBS with instructionsconcerning payments to be made from my account, in line with my care and support needs as identified in my support plan
Acknowledge that, where I use Personal Assistants other than Care Agency staff, I am their employerand fully accept all liabilities that arise as such(should you need clarification regarding your responsibilities, please contact your Independent Living Advisor and/or speak to your chosen payroll provider)
If I am not using a Payroll Service, inform SBSby email/in writing of thehourly rate of pay to be paid to my Personal Assistant(s)
To inform CCILin writingof any changes to the people I employ or the agencies/providersused where these are associated with this account
CCIL to hold, store, use andshareaccountinformation with the relevant Local Authority, Clinical Commissioning Groups and/or your appointed Brokerage Service in compliance with data protection laws and guidelines
To pay into the account any personal contribution as detailed in my support plan
Thededuction ofthe prevailing service feeeach calendar month from the account, effective from the date thissigned agreement is received by CCIL
To inform CCIL, with a minimum of 30 days’ notice, if I wish to terminate this agreement
To take full ownership and responsibility for the money held in the bank account
To acknowledge that CCIL act as the Supported Bank Account provider and that they take direction from the Account Holderonly as to how the funds should be allocated/spent. To acknowledge that under no circumstance is CCIL responsible for making decisions as to the appropriate use of the funds in the account
To ensure that there are sufficient funds inthe accountto honour monies due for payment from the account
Respond promptly to any contact from CCIL regarding this account
Submit a completed, checked and signed timesheet on the same day that I inform my payroll provider of my employee’s hours worked

Declaration:

I, the Account Holder,have read and hereby agree to the Terms of the Agreement above:

Account Holder Name:
Signature: / Date:

Payments for Personal Assistants

The following information is required to set up payments to your Personal Assistant(s).

Payroll Service Users

Are you using a Payroll Service:Yes  No 

Payroll Provider:
If CCIL, please provide your Payroll Reference Number:

Please note that,where CCIL is the payroll provider, payslips will be sent to the Account Holder unless SBS receives a written instruction from the Account Holder to send them to the Personal Assistant(s). Payments will not be made unless a completed, checked and signed timesheet has been received.

Payments will be made directly into your employee’s account on your behalf.

Running your Own Payroll

Do you employ a Personal Assistant without a Payroll Service? Yes  No 

Personal Assistant Hourly Rate (at time of Agreement): / £ / . / p

Please inform the Supported Banking Service by email/in writing if this rate changes.

Note that if you are employing a Personal Assistant but not using the Payroll Service, any liabilities for Income Tax or National Insurance are your responsibility.

You must submit your employee’s hours worked by email/in writing. Before payment can be made.

Care Agency Users

Are you using an Agency?Yes  No 

Agency Name:

Please note all payments against Agency invoices are sent to the Agency and not the Account Holder.

CCIL – SBS Client Agreement Lancashire V8 Jan 2018Jan / Page 1 of 7