Private and Confidentialvam Payroll

Private and ConfidentialVAM Payroll

DETAILS OF ENGAGEMENT – FOR COMPLETION BY DEPARTMENT

Department

Departmental

Contact

Telephone

Number

SECTION A

PLEASE NOTEALL SECTIONS OF THIS FORM MUST BE COMPLETED – all sections of the form must be sent together

Candidate Name

Surname (as official documents)

Forename (s) (as official documents)

Start datenote: the start date cannot be earlier than the Evidence of right to work

of Work formcheck date

D D M M Y Y

Please note: the start date cannot be earlier than the date right to worked is checked

Please tick one of the following statements

This individual will carry out work that is academic in nature. This includes any teaching,97 97 Professional Fee post

research,marking, demonstrating, invigilation, etc.eligible to be considered for USS

This individual will carry out work that is non-academic at FA level 5 and above 97 Professional Fee post

eligible to be considered for USS

This individual will not be undertaking any academic work and will solely be paid at98 98 Casual post – eligible to be

FA level 4, or below (i.e. payment rate will be less than £13.05 per hour)considered for UPS

SECTION B

Please complete evidence of right to work section and provide copies of evidence of right to work in the UK, all copies must be signed, dated and marked as original seen. Failure to do this will result in the form being return to the originating department.Please look at check list below to ensure all required documents are attached with this form.

Evidence of Copies of right Tier 4 student (for any Tier 4 student visa holder)

Right to work form to work documents declaration

HESA information Tier 2 or 5 Required when working under supplementary rules for T2 or T5 GAE visa holders

Supplementary form

I confirm that the above appointment information is accurate, all right to work documents have been checked prior tocommencement of any work and that the appropriatedocuments are attached to this form.Form verified as complete and accurate.

Signed PrintName

Date

EVIDENCE OF RIGHT TO WORK -FOR COMPLETION BY DEPARTMENT

University of Warwick – Prevention of Illegal working (from 29 February 2008) Immigration, Asylum and Nationality Act 2006.

This form must be completed for ALL offers of work.

Candidate Name

Surname (as official documents)

Forename (s) (as official documents)

Please indicate on the attached pages exactly which original documents have been presented.

Details of identification checker

NamePosition

Dept.Tel No

SignatureDate

The Evidence of right to work must be signed and copies of right to work documents must be signed, dated and marked as original seen. IMPORTANT - Please note this must be prior to the commencement of any work.

Is the work going to be undertaken in the UK YES NO

If no please specify where the work will be undertaken and provide evidence of right to work in that country (e.g. copy of a passport

Showing the individual is a national of that country)

Country of work

I confirm I have seen the original documents indicated prior to the commencement of any workand that to the best of my knowledge:

they relate to the candidate named above
any photo ID seems to match the physical identity of the candidate named above
names and dates of birth are consistent across documents
the original documents show no obvious signs of tampering or forgery
the relevant visa has been checked and copies attached
I have read the immigration information on the HR website re student tier 4 working hours (

Does this individual have a Tier 4 student Visa? Please tick the appropriate box: - Yes No

If yes please complete the following:

Undergraduate / Restricted to 20 hours work per week in term time, no restrictions on working hours in vacation. Undergraduate students must provide evidence of the dates of the academic terms for the duration of their studies for the period they intend to work
Masters / Restricted to 20 hours work per week
PhD / Restricted to 20 hours work per week
Completed Studies / Official confirmation of degree pass required – no restriction on working hours
The student must present either the original degree certificate or an official letter from the Graduate School which contains the wording 'officially conferred by Senate'

Tier 4 students must complete a student declaration form (refer to the last page of this form) confirming that they are employed under Tier 4 regulations, otherwise paperwork will be returned to the department.

If you have any queries on this documentation please contact either your link HR Administrator or Julia Foulks, HR Officer – Immigration on ext. 73161 or e-mail

Please indicate in one box from List A or List B to confirm which original document or combination of documents have been presented.

If any work is undertaken by a migrant worker under Tier 2 supplementary employment rules, please refer to the Tier 2 supplementary form on the payroll web pages. Attach the form and a copy of the Tier 2 visa to the Evidence of Right to Work Renewal form which is located at

Please note that you need to check the validity of the document and satisfy yourself that the prospective or existing worker is the person named in the documents they present.

List A
1. A passport showing the holder, or a person named in the passport as the child of the holder, is a British citizen or a citizen of the UK and Colonies having the right of abode in the UK.
2. A passport or national identity card showing the holder, or a person named in the passport as the child of the holder, is a national of a European Economic Area country or Switzerland.
3. A Registration Certificate or Document Certifying Permanent Residence issued by the Home Office to a national of a European Economic Area country or Switzerland.
4. A Permanent Residence Card issued by the Home Office, to the family member of a national of a European Economic Area country or Switzerland.
5. A current Biometric Immigration Document (Biometric Residence Permit) issued by the Home Office to the holder indicating that the person named is allowed to stay indefinitely in the UK, or has no time limit on their stay in the UK.
6. A current passport endorsed to show that the holder is exempt from immigration control, is allowed to stay indefinitely in the UK, has the right of abode in the UK, or has no time limit on their stay in the UK.
7. A current Immigration Status Document issued by the Home Office to the holder with an endorsement indicating that the named person is allowed to stay indefinitely in the UK or has no time limit on their stay in the UK, together with an official document giving the person’s permanent National Insurance number and their name issued by a Government agency or a previous employer.
8. A full birth or adoption certificate issued in the UK which includes the name(s) of at least one of the holder’s parents or adoptive parents, together with an official document giving the person’s permanent National Insurance number and their name issued by a Government agency or a previous employer.
9. A birth or adoption certificate issued in the Channel Islands, the Isle of Man or Ireland, together with an official document giving the person’s permanent National Insurance number and their name issued by a Government agency or a previous employer.
10. A certificate of registration or naturalisation as a British citizen, together with an official document giving the person’s permanent National Insurance number and their name issued by a Government agency or a previous employer.
List B Group 1
1. A current passport endorsed to show that the holder is allowed to stay in the UK and is currently allowed to do the type of work in question.
2. A current Biometric Immigration Document (Biometric Residence Permit) issued by the Home Office
3. A current Residence Card (including an Accession Residence Card or a Derivative Residence Card) issued by the Home Office to the holder which indicates that the named person can currently stay in the UK and is allowed to do the work in question.
4. A current Immigration Status Document containing a photograph issued by the Home Office to the holder with a valid endorsement indicating that the named person may stay in the UK, and is allowed to do the type of work in question, together with an official document giving the person’s permanent National Insurance number and their name issued by a Government agency or a previous employer.
List B Group 2
1. A Certificate of Application issued by the Home Office under regulation 17(3) or 18A (2) of the Immigration (European Economic Area) Regulations 2006, to a family member of a national of a European Economic Area country or Switzerland stating that the holder is permitted to undertake work which is less than 6 months old together with a Positive Verification Notice from the Home Office Employer Checking Service.
2. An Application Registration Card issued by the Home Office stating that the holder is permitted to take the work in question, together with a Positive Verification Notice from the Home Office Employer Checking Service.
3. A Positive Verification Notice issued by the Home Office Employer Checking Service to the University, which indicates that the named person may stay in the UK and is permitted to do the work in question.
1. List A You have a continuous statutory excuse for the full duration of the person’s work with you. You are not required to carry out any repeat right to work checks on this person.
2. List B: Group 1 You have a time-limited statutory excuse which expires when the person’s permission to be in the UK and undertake the work in question expires. You should carry out a follow-up check when the document evidencing their permission to work expires.
3. List B: Group 2 You have a time-limited statutory excuse which expires 6 months from the date specified in your Positive Verification Notice. This means that you should carry out a follow-up check when this notice expires.

Documents that do not provide proof of permission to work in the UK

a Home Office Standard Acknowledgement Letter or Immigration Service Letter (IS96W) which states that an asylum seeker can work in the UK. If you are presented with these documents then you should advise the applicant to call the Border and Immigration Agency on 0151 237 6375 for information about how they can apply for an Application Registration Card;
a temporary National Insurance Number beginning with TN, or any number which ends with the letters from E to Z inclusive;
a permanent National Insurance number when presented in isolation;
a driving licence issued by the Driver and Vehicle Licensing Agency;
a bill issued by a financial institution or a utility company;
a passport describing the holder as a British Dependent Territories Citizen which states that the holder has a connection with Gibraltar;
a short (abbreviated) birth certificate issued in the UK which does not have details of at least one of the holder’s parents;
a licence provided by the Security Industry Authority;
a document check by the Criminal Records Bureau;
a card or certificate issued by the Inland Revenue under the Construction Industry Scheme.

VAM PERSONAL RECORD FORM

FOR COMPLETION BY WORKER

Please note it will not be possible to process payments without this form. Please complete ALL sections in BLOCK CAPITALS.On completion of this form you will be have a record on the variable payroll and therefore be subject to tax and National Insurance at source.

Payroll Number Department

(Will be set up by

Payroll)

Title Surname (as official documents)

Forename (s) (as

official documents)

Preferred Forename

Home Address

Please note your address

May be passed onto your

Department for their records

Post Code

Telephone NoMobile No

National

Date of Birth Insurance No

D D M M Y Y A A N N N N N N A

Gender

Start Date of paidderIf UOW Student

Work with the Please advise Student No

University D D M M Y Y (please tick as appropriate)

Payment Details – All payments are made by BACS

For overseas accounts please use the Foreign Bank details form available on the Payroll website. Submit this form with your personal record form

Sort Code - - Name of Bank

______

Account NumberBank Branch

______

Account NameBank Address

______

Building Society

Roll Number

Emergency Contact Details (Please provide details to be used in case of emergency)

Contact Name

Telephone No Mobile No

Please note this information may be passed to your department but will only be used in the event of an emergency

I confirm that the personal information given on this form is correct. I also agree that in the event of overpayment of any salary or other remuneration, the University is entitled to make the relevant deduction from any subsequent payment(s). The University will let you know and agree in advance the relevant deduction, but its failure to do so will not affect its right to reclaim the overpayment.

Signed______Date______

(Please note a typed signature is not valid)

TAXATION STATUS / STUDENT LOAN/ PENSION INFORMATION/ MARITAL STATUS

FOR COMPLETION BY WORKER

Surname (as official documents)

Forename (s) (as official documents)

Taxation Status – Do not leave this section blank.

Please confirm your current circumstances

Please read all of the statements carefully. You must enter X in the ONEbox that applies to you.

AThis is my first job since last 6 April and Ihavenot been receiving taxable Job Seekers Allowance, Incapacity Benefit, Employment and Support Allowance Benefit or a state or occupational pension.

BI have received taxable Job Seekers Allowance, IncapacityBenefit, Employment and Support Allowance or this is not my first job in the current tax year(6 April onwards). However, this is now my only job or main (highest earning) job. I do not receive a state or occupational pension.

C This is a secondary position (i.e. I work for another organisation excluding Unitemps) or I am in receipt of a state or occupational pension.

D I have been working for Unitemps in the current tax year (6 April onwards). If you have ticked this box you MUST tick ONEadditional statement below.

I no longer wish to work for Unitemps. (NB Your Unitemps role will be closed and your P45 will be transferred to your new University post.) (Payroll – adviseUnitemps agency worker made to leave.)

I am still engaged with Unitempsand I wish Unitemps to be my main source of income.

I am still engaged with Unitemps and I wish the University to be my main source of income. NB you will need to contact HMRC to change your tax code tel.0300 200 3300. UOW tax reference – 190/U50, Unitemps tax reference 120/ZA76059. Until confirmation is received you will be taxed at basic rate, currently 20%, with no allowance.

If no statements apply then tax will be deducted on code 0T month 1

Student Loan – Please confirm your current circumstances

Please read the following statements carefully and enter an X in each box which applies to you

Statement 1I have a Student Loan which is not fully repaid. (If you answer yes to statement 1 please go to statement 2)

Statement 2 I am repaying my Student Loan direct to the Student Loan Company by agreed monthly payments and the University shouldn’t deduct loan repayments from my pay. (If you answer yes to statement 2 then you do not need to answer statements 3 or 4)

Statement 3I have a Plan 1 student loan

You have a plan 1 student loan if you lived in Scotland or Northern Ireland when you started your course or you lived in England and Wales and started your course before 1st September 2012

Statement 4I have a plan 2 student loan

You will have a plan 2 student loan if you lived in England or Wales and started your course after 1st September 2012

Statement 5I finished my studies before the last 6th April

PENSION

With effect from 1 March 2013 the University of Warwick is required to comply with government legislation to automatically enrol eligible workers into an occupational pension scheme. This process is called auto enrolment. An assessment will be made to determine your status within the legislative rules at the time of your first payment and on an on-going basis thereafter. We will write to you at that time to confirm your position. If you are automatically enrolled into a pension scheme you will have the right to subsequently opt out. The details of the opt-out process including getting a refund, will be explained in your letter.

MARITAL STATUS

Should you be auto enrolled and wish to remain in the scheme, please indicate your marital status by ticking one of the following boxes:-

Married / Civil Partnership Widow/Widower DivorcedSeparated

Single Prefer Not to Say

Signed______ (Please note a typed signature is not valid)Date______

EQUALITY AND DIVERSITYFOR COMLETION BY WORKER

Surname (as official documents)

Forename (s) (as official documents)

The University is required to collate and report on equality and diversity information.

Ethnicity

In order for us to comply with this requirement could you choose the entry that best describes your ethnicity?

White / 10 / Asian/Asian British-Pakistan / 32 / Mixed-White and Asian / 43
Gypsy or Traveller / 15 / Asian/Asian British-Bangladesh / 33 / Other Mixed Background / 49
Black/Black British-Caribbean / 21 / Chinese / 34 / Arab / 50
Black/Black British-Africa / 22 / Other Asian Background / 39 / Other Ethnic Background / 80
Other Black Background / 29 / Mixed-White and Black Caribbean / 41 / Prefer Not to Say / 98
Asian/Asian British-India / 31 / Mixed-White and Black African / 42
Please enter your nationality

Religion

What is your religion?

No religion / Buddhist / Christian / Hindu
Jewish / Muslim / Sikh / Spiritual
Any other religion or belief / Prefer not to say

Sexual Orientation

What is your sexual orientation?

Bisexual / Gay man / Gay woman/lesbian / Heterosexual/straight
Other / Prefer not to say

Disability

The Equality Act 2010 states that a disabled person is someone who has a physical or mental impairment which has a substantial, adverse and long-term (usually 12 months or greater) effect on their ability to carry out their day to day duties. If your impairment would have a substantial effect on you without medication then this part of the definition would be satisfied (this excludes glasses or contact lenses). Please note that cancer, HIV, multiple sclerosis, are automatically classed as a disability from the day of diagnosis.