TWC

Form 3 of 3

Next Step (Form 3)
Assignment Details Form
Details of the Employee
Forename(s)*
Surname*
Address
Street Address Line 2 City / Town County Postcode Country
Details of the Hirer
Name of the Hirer*
Nature of the Hirer’s business*
Name of Hirer’s contact to report to on arrival*
Georgia Dearing, Benno Bechtle, Todd Bakogeorge
Assignment Details
Likely duration of the Assignment*
Calendar weeks already accrued towards the Qualifying Period for the purposes of Regulations 7 and 8 of the Agency Workers Regulations 2010*
The type of work*
Location of work*
Hours of work*
06:00-14:00, 14:00-22:00, plus 2 hour Flex up or down working any 5 days from 7 at short notice. We can request this any time during your shift on the day.(hours can be changed without prior notice and subject to the needs of the business). Siamo may use 10AM back up shifts. On the day of that planned. If you are on the back upshift you must check with Siamo to see if you are needed. We will contact you in the first instance to confirm your attendance.
The experience, training, qualifications and any authorisation necessary or required by law or a professional body*
Any known health and safety risks and the steps the hirer has taken to reduce the risks*
Collective Facilities
Hirer’s collective facilities available*
Canteen, Lockers, Car Park, Internet Access
Pay
Any expenses payable*
Actual Rate of Pay*
AM Pre parity £10.60 OT £15.90 Post parity £11.20 OT £16.80 PM Pre-Parity £12.01 ( £10.60 from 2-8pm, £15.90 from 8-10pm) OT £17.88 Post Parity £12.69. ( £11.20 from 2-8pm, £16.80 from 8-10pm) OT £18.9 Nights Pre parity £12.10 OT £18.23 post parity £14.56 OT £21.84 All breaks are for 30 mins unpaid, times vary depending on skill set and department assigned to
Intervals of Payment*
Pension Information
Auto-enrolment
Contribution Method
More Information
Annual Leave
Entitlement at appointment
Number of additional [paid/unpaid] annual leave days payable on completion of QP
Contacts

Your Recruitment Consultant contact details:
Recruitment Consultant Contact Details*
Signature*
Forename(s)*
Surname*
Date*
Sharepoint Email
Branch Number
Client/Site Name

Need assistance?
Call 0116 233 4404

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TWC

Assignment Details Form

Details of the Employee

Details of the Hirer

Assignment Details

Collective Facilities

Pay

Pension Information

Annual Leave

Contacts

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