Renal Transplant Unit - Royal Liverpool and Broadgreen University

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About the Accommodation
High quality accommodation in a residential area of the city.
Located close to the M62 and approx. 20 minute’s drive to the city
Centre.
There is a good shopping area close by in Old Swan, with bars and
Restaurants about three miles away in the Allerton/Lark Lane area.
Broadgreen is a quiet area in which to live but with the whole of
The city centre facilities and night life only 20 minutes away.
There is a courier mini bus for staff, for work purposes, between
the two sites and which runs on the half hour from 7.00am to
5.30pm Monday to Friday.
The accommodation is bright and modern with double glazing, central heating and is
furnished to a high standard.
• The flats consist of three or four single bedrooms, a comprehensively equipped kitchen
which includes a washer/dryer and a lounge area with a TV/DVD player. The bedrooms
are either en-suite or contain a vanity unit with wash basin, and the bathroom is shared by
no more than two people.
• We also have one and two bedroom self-contained flats, six month contracts only.
• No children are allowed on site or in accommodation.
• All bedrooms have a telephone, several power points, TV aerial connection and facilities
for IT/Internet access.
• Insurance must be taken out for personal belongings as the Trust/Pierhead Housing are
not liable.
• It is the responsibility of residents to comply with TV licensing legislation.
• Rents vary accordingly to the type of accommodation and the equivalent of one month
rent is payable as deposit. Rent review 1 August (dates may vary).
• Car parking must be arranged through Vinci Car parking on 0151 228 4502
• Contracts are usually for a minimum of six months. If you would like to book a room
please complete the enclosed forms and return to: - Accommodation Services
Department, Thingwall House, Broadgreen Hospital, Thomas Drive, Liverpool L14 3LB, or
Email ursula.irving@rlbuht.nhs.uk or telephone Ursula on 0151 282 6353.
Email collette.tate@rlbuht.nhs.uk or telephone Collette 0151 706 4800.
Pierhead Housing Association Limited
Nomination Form
Section A - Demised Premises
Demised premises address
Demised premises type
Type of tenancy
Licence / Assured shorthold (delete as
appropriate)
Length of tenancy
Start date of tenancy
End date of tenancy
To be entered on car park space waiting list
Yes / No (delete as appropriate)
Section B - Nominated tenant
Title
Dr / Mr / Mrs / Miss (delete as appropriate)
First name(s)
Surname
Sex
Male / Female (delete as appropriate)
Date of Birth
Current / contact address
Telephone number (work)
Telephone number (home)
Telephone number (mobile)
Email address
Please give details of everyone else living in the Demised premises
First name
Surname
Date of birth
Sex (M/F)
Relationship to you
Section C - Employment details
Name of employer
Address of employer
Job title
Employee/Payroll number
National insurance number
Applicant’s signature................................................... Date....................................
If your circumstances change, please let us know immediately. In future, if you wish to
check the information you have given on this form, please contact our office. You have a
right to see the information you have given on this application.
All information given will be treated in the strictest confidence
Pierhead Housing Association Limited
Accommodation Management Office
Authority to deduct rent and
deposit direct from salary
ONLY FOR R.L.B.U.H.T Staff who are paid by the Trust
To:
Tenant name ...............................................................................
Tenant address ............................................................................
....................................................................................................
....................................................................................................
Tenant reference number ............................................................
Tenancy agreement .....................................................................
Employee payroll number ............................................................
I / We ..........................................................................................
1. Agree for my/our rent under the tenancy agreement referred
to above to be deducted directly from my/our salary by the
Employer and paid to Pierhead Housing Associated Limited;
2. Authorised the Employer to provide details to Pierhead Housing
Associate Limited on my/our forwarding address given to the
employer on my/our leaving the Demised premises referred to
above the purposes of forwarding post and similar purposes;
and
3. Agree to give the Employer not less than seven (7) day’s notice
if I/we wish to terminate the authority given to the Employer
by this form.
Applicant’s signature ...................................................................
Date ...................................................
Payment Methods
Via RLBUHT payroll
If paid by RLBUHT payroll for the length of tenancy then the deduction of rent will be
made from salary. If individual doesn’t want to pay via salary, then they must pay by
standing order, fulfilling requirements as stated below.
Via standing order/Bank to bank transfer
If not paid by RLBUHT for length of tenancy, then payment is required by standing order.
When using this method of payment a month’s rent is required in advance.
If individual does not have a UK bank account then 2 months’ rent is required in advance
to allow time to set up a bank account and standing order.
If individual will not have a UK bank account at all then they must arrange, in advance, to
pay by bank transfer - see financial section for details on how to do this.
Advanced Payments
Prospective tenants should ring the cash office on 0151 706 2790 to make payment by
visa card, the amount will be advised by Accommodation Department. Foreign payments
by bank transfer. Cash payments made directly to cash office.
Overseas Personnel (special note)
For overseas personnel who are to be funded by an external organisation, the Trust
requires a payment equal to the full value of the accommodation plus deposit in advance
of their arrival.
For overseas personnel who are to take up a temporary position:
Three months or less - the full value of accommodation plus deposit is payable.
Over three months - two months plus deposit is payable, plus a standing order set up a
month in advance.
Arrangements should be made to transfer the initial payment (as noted above) directly into
the Trust’s bank account. The person should in the first instance contact the Treasury
section on 0151 706 3114 at which point the details of the transfer can be finalised.
Deposit is required if length of stay is over 3 months
An advance deposit, equivalent to one month’s rent is required. The payment can be
made by Visa debit/Credit card, cash or cheque. Cheques should be made payable to
‘The Deposit Protection Service’.
Bookings will not proceed unless payment method is in place and deposit has been paid
CAR PARK PERMIT APPLICATION FORM -
LHCH & RLBUHT
BROADGREEN HOSPITAL - THOMAS DRIVE LIVERPOOL L14
Please complete clearly in ink and block capitals ensuring that all
required information is provided. Delays will result if ALL details are not provided : IMPORTANT NOTES OVERLEAF
SECTION 1 : PERSONAL DETAILS
TITLE
(tick)
Dr
Surname
Mr
First Names
Mrs
Home Address
Miss
Post Code
Ms
Job Title
Prof
Department
Other (state)
Directorate
Tel on site
Hospital Base
Employer
Disabled Blue Badge Holder
YES
No
SECTION 2 : VEHICLE DETAILS
First Vehicle
Second Vehicle
Registration
Registration
Make
Make
Colour
Colour
Petrol
Diesel
Petrol
SECTION 3 : WORK PATTERN DETAILS
Do you have on call commitments
Yes
No
Do you work Part-time
Yes
No
Do you work Full-time
Yes
No
Do you work shifts
Yes
Mon
Tue
Diesel
Total Hours worked
each week
No
Wed
Thu
Fri
Sat
Sun
Start/Finish Times
SECTION 4 : RESIDENT DETAILS
Are you a resident on site
YES
NO
Tenancy end date
SECTION 5 : HOSPITAL CRECHE
Do you have a child in the creche at Broadgreen Hospital?
Yes
Name of child/children
No
SECTION 6 : PAYMENT DETAILS (all boxes must be completed)
I AUTHORISE RLBUHT/LHCH NHS TRUST TO DEDUCT THE APPROPRIATE MONTHLY CAR PARK CHARGE FROM MY SALARY
Please tick
R LB UH T - C urre nt A pplic a ble R a t e
LH C H - A s P E R S C A LE
PLEASE NOTE THERE ARE NO PART MONTHLY PAYMENTS
Name (please print)
Payroll No.
Pay Point No.
Personnel No.
NEW STARTER START DATE
Signature
SECTION 7 : NON TRUST EMPLOYEE PAYMENT DETAILS
I PROMISE TO PAY VINCI Park Services CAR PARK MONTHLY CHARGES ONE MONTH IN ADVANCE
THE FIRST MONTHS PAYMENT MUST BE SUBMITTED TO VPS WITH THIS APPLICATION FORM
FAILURE TO MAKE A PAYMENT ON TIME WILL RESULT IN THE CAR PARK PERMIT BEING WITHDRAWN
Name (print)
Signature
SECTION 8 : SUBMISSION
PLEASE NOTE: APPLICATIONS WILL NOT BE PROCESSED WITHOUT THE TRUST AUTHORISATION
Date of Application
LHCH EMPLOYEES RETURN THE COMPLETED FORM
TO THE HR DEPARTMENT
RLBUHT EMPLOYEES RETURN THE COMPLETED FORM TO
SECTION 8, RLBUHTCAR PARKING MANAGER, SECURITY ADMINISTRATION
RLBUHT
SECTION 9 : OFFICE USE ONLY
Date received by LHCH
LHCH STAMP
Date received by RLBUHT
RLBUHT STAMP
Issue Permit
Issue Permit
Waiting List
Waiting List
RLBUHT Signature
LHCH Signature
Important Notes - please read carefully
1
Please ensure that all required information is provided and authorised; incomplete or
illegible application forms will no be processed
2
The submission of an application for parking constitutes an acceptance of the
Terms & Conditions of use
3
The issuing of a Permit is not a guarantee of a parking place
4
Permits are only valid for the areas for which they are issued, if the vehicle is parked in
other areas a Civil Parking Notice will be issued
5
6
You must display the permit in the protective cover provided so that all the details on the
face of the permit may readily be seen from the front nearside of the vehicle (on the top
right hand corner of the windscreen above the Tax disc) Failure to display correctly will
result in a Civil Parking Notice being issued
A permit is not transferrable and is valid if and only if the vehicle registration mark(s)
printed on the front of the permit match that of the vehicle on which it is displayed, the
expiry date shown on the face of the permit has not passed and it is displayed as
required above. a Civil Parking Notice will be issued if any of these requirements are not
met
7
The VINCI Park office at Broadgreen must be informed of any changes to vehicle details
before a different vehicle can be used
8
An administration fee of £10 will be charged for ALL replacement permits including
change of vehicle details and passcards.
9
If your permit is stolen a Police Crime Reference Number will be required to be able to
issue a replacement, the administration fee is applicable.
10
There are no part month payments. You may continue to be charged if you do not return
your permit and barrier card when leaving trust employment.You must inform your H.R
when leaving to stop salary deductions.There are no refunds from Vinci on permits for
whatever reason.
11
Permits will be valid from the time of issue, submitting an application does not mean that
a permit is issued.
12
Whilst waiting for your permit to be issued you cannot park your vehicle in the
staff parking areas or you will be issued with a Civil Parking Notice which must
be paid before the permit will be issued. You may park in the main Patient &
Visitor car park but you must pay the Patient & Visitor tariff.
13
FAILURE TO COMPLY WITH ANY OF THE TERMS & CONDITIONS WILL RESULT IN
THE PERMIT BEING REVOKED IMMEDIATELY WITH NO REFUND.
Please Note:
Breach of Parking Regulation Codes:
01 The vehicle was parked on a verge or pavement
02 The vehicle was parked failing to display a valid permit correctly
03 The vehicle was parked in an unauthorised area
04 The vehicle was parked on yellow lines or cross hatched area
05 The vehicle was parked so as to cause obstruction or inconvenience
06 The vehicle was parked in a disabled persons bay without displaying a valid disabled persons badge
07 The vehicle was not parked correctly within a marked parking bay.
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