UPS Bolton

Form 3 of 3

Next Step (Form 3)
Assignment Details Form
Details of the Employee and Hirer
Forename(s)*
Surname*
Address
Street Address Line 2 City / Town County Postcode Country
Name of the Hirer*
Nature of the Hirer’s business*
Name of Hirer’s contact to report to on arrival*
Report to on-site manager and you will be introduced to the appropriate client manager
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*
13:00-21:00 / 19:00-03:00 / 20:30 – 04:30
The experience, training, qualifications and any authorisation necessary or required by law or a professional body*
None
Any known health and safety risks and the steps the hirer has taken to reduce the risks*
None known after risk assessments have been taken for all tasks. PPE must be worn on entering the warehouse, safety boots and hi viz vest
Collective Facilities
Hirer’s collective facilities available*
On site rest area, toilets, lockers
Pay
Any expenses payable*
Actual Rate of Pay*
PM - £11.33, Nights - £12.38
Intervals of Payment*
Annual Leave
Number of additional [paid/unpaid] annual leave days payable on completion of QP*
Contacts
Your Recruitment Consultant contact details*
Kara Hilton - 07733292366
Signature*
Forename(s)*
Surname*
Date*
DD slash MM slash YYYY
Hidden
Sharepoint Email
Hidden
Branch Number
Hidden
Client/Site Name

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Assignment Details Form