Change of Details Form - v3

• Site conducted

• Employee Name

• Payroll No.

Change of Personal Details

• Title

  Mr

  Mrs

  Miss

  Ms

  Other

• First Name(s)

• Surname

• Address

• Postcode

• Telephone No.

• Email Address

Change of Bank Details

• Account No. (8 digits)

• Sort Code (6 digits)

• Roll No.

• Name of Account holder

• If this is not your account please complete Letter of Authorisation Form

• Name of Bank/Building Society

• Address of Bank/Building Society

Change of Contracted Hours / Pay Rate

• Client

• Site

• Position

• Rate of Pay

Shift times

• Please enter the shift times for each day in the following format hh:mm - hh:mm

• Monday

• Hours

• Tuesday

• Hours

• Wednesday

• Hours

• Thursday

• Hours

• Friday

• Hours

• Saturday

• Hours

• Sunday

• Hours

• Total weekly hours

• If the employee is replacing a previous employee at the same site, please provide the name of the employee being replaced

Authorisation

• Employee signature

  Signature

  Photo

• Signature

  Sign

• Photograph of signature

  Media

• Date

  Date

• Site Manager/Supervisor/Ops Manager

  Sign

• Additional Comments

• PLEASE FOLLOW THE INSTRUCTIONS ISSUED TO EMAIL THIS FORM TO PAYROLL UPON COMPLETION