Employment Form Employment Form First Name Last Name Contact Number Email Address Address Post Code ADDITIONAL INFORMATION TO ENSURE THE SAFETY OF OUR CLIENTS AND STAFF WE MAY CARRY OUT A DBS CHECK ON NEW EMPLOYEES. IF NECESSARY, THE FEE FOR THIS WILL BE CHARGED TO THE EMPLOYEE FROM THEIR FIRST MONTHS WAGE AND REFUNDED AFTER 6 MONTHS SUCCESSFUL EMPLOYMENT. PLEASE TICK THE BOX THAT YOU AGREE TO THE ABOVE: Please Tick Do you already have a valid DBS check? Yes No DBS Certificate Number DBS Issue Check Are you allowed to work in the United Kingdom? Yes No I agree that D&S Fire and Security Ltd can create and maintain computer and paper records of my personal data and this will be processed and stored in accordance with the Data Protection Act 1998. Agree Disagree I confirm that all the information provided by myself on this form is correct and accurate to the best of my knowledge. If any information is later found to be false or misleading, any offer of employment will be withdrawn or employment terminated. Agree Disagree We need your bank details for salary payments: Please fill in the form below. Account Name: Account Number: Sort Code: I have a P45 Yes No Please email a copy/scan of your P45 to info@mercoservices.com or bring a copy into the office with you and hand to Abigail. Your present circumstances: Read all the following statements carefully and select one box that 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 or taxable Incapacity Benefit or a state or occupational pension. B – This is now my only job, but since last 6 April I have had another job, or have received taxable Jobseeker's Allowance, Employment and Support Allowance or taxable Incapacity Benefit. I do not receive a state or occupational pension. C – I have another job or receive a state or occupational pension. Do you want to opt-in to the D&S Pension Scheme? Yes No National Insurance Number Date of Birth If you have no DBS form then please can you complete this DBS application online form by clicking here and please email us back when you have done so. Organisation Reference (*): MERCOSERVICES Organisation Code: MERCOSERVICES Text Text Text Paragraph Radio Buttons Option 1 Option 2 Radio Buttons Option 1 Option 2 Radio Buttons Option 1 Option 2 Text Text Text Radio Buttons Option 1 Option 2 Submit
