Registration Form – Payment of Casual Workers
This form should be used to register the details of University of Sheffield casual workers.
Please complete the form using clear, block capital letters.
Before you complete this form you must read the Registration Agreement for Casual Work
which is available from www.sheffield.ac.uk/hr/guidance/contracts/cwa. By completing this
form you accept that you have read and accepted all of the terms and conditions in the
Registration Agreement for Casual Work. Please note: if you are an existing employee of
the University of Sheffield the terms and conditions of engagement are those set out in
the Registration Agreement for Casual Work, and are therefore different to those of a
University employee.

Sections A – C
Once you have completed these sections you should sign, date and return the form to your
department for processing (either by hand or via email).

Section D
This section is to be completed by your department.
NOTE: All workers are required to provide evidence that they are eligible to work in the UK. If
this information is not provided Human Resources will be unable to register you for casual
work.
Section A – About You
Personal Details:
Title (Mr/Mrs/Miss/Ms):
First Name(s) (as shown on your passport):
Family Name:
Date of Birth (dd/mm/yy):
Gender (M/F):
Address (where we will send your payslips and P45/P60):
Post Code:
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Student Registration Number (if applicable):
National Insurance Number:
You will need a National Insurance Number (NINO) to work in the UK. If you do not already have a
NINO, please contact HMRC on 0845 600 0643 or visit their website: www.gov.uk/national-insurance
Contact Details:
Telephone Number:
Email:
You must provide your email address for pension auto-enrolment purposes. You will be automatically
enrolled into a pension scheme if your monthly earnings at the University are above £786.67 and you
are aged between 22 and 65 years. You can choose to opt out should you wish to do so. Please see the
Registration Agreement for Casual Work for further information
www.sheffield.ac.uk/hr/guidance/contracts/cwa)
Section B – Your Payment Details
In line with HMRC regulations, all earnings are taxed at source. In order for the correct Tax Code to be
applied to your earnings, please read and tick () one of the following:
1. 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.
2. 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.
3. I have another job or receive a state or occupational pension.
Please indicate the type of UK account in which you would like to paid ():
Current Account
Building Society
Account Holder(s):
Bank/Building Society Name:
Bank/Building Society Address (including post code):
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Sort Code:
Account Number:
Building Society Roll Number:
Overseas bank account - beneficiary details – see guidance note below
Account holder(s):
Name of bank:
Account number:
Bank code number:
(eg ABA routing code, Canadian transit, BSB)
IBAN number:
Swift (or BIC) No.:
(compulsory for all EU bank accounts)
Bank address:
Bank country:
Bank currency:
Overseas bank account - intermediary details (if applicable) – see guidance note below
Name of bank:
Account number:
IBAN number:
Swift (or BIC) No.:
(compulsory for all EU bank accounts)
Guidance Note:
(i)
beneficiary bank account – This is the bank account that will receive the payment. This must be a
personal bank account bearing your name.
(ii)
intermediary bank account – if the payment needs to go through another bank account before it
reaches the beneficiary bank account. This is usually required if your bank does not have the ability
to receive payments directly from a UK bank.
Section C – Equality Monitoring
To enable the University to meet its statutory reporting requirements to the Higher Education Statistics
Agency (HESA), it is necessary to record the following data for all those engaged in work at the
University.
Data is collected and stored in line with the Data Protection Act for further information see
www.shef.ac.uk/hr/equality/focus/monitoringfaqs
The following information is required from the individual, to be used for statistical analysis only and will
be treated in the strictest confidence
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Is your gender identity the same as the gender you were originally assigned at birth?
Yes/ No/Prefer Not to Say (please delete as appropriate)
What is your Nationality: __________________________________________
Ethnic Origin:
Ethnic Origin Category (mark one X)
White
Chinese
Gypsy or Traveller
Other Asian background
Black or Black British - Caribbean
Mixed - White and Black Caribbean
Black or Black British - African
Mixed - White and Black African
Other Black background
Mixed - White and Asian
Asian or Asian British - Indian
Other Mixed background
Asian or Asian British - Pakistani
Arab
Asian or Asian British - Bangladeshi
Other Ethnic background
Not Known
Prefer not to say
Do you consider yourself to be a disabled person?
Yes/No (please delete as appropriate)
If yes, please indicate the type of disability or disabilities:
Disability (mark those that apply X)
A specific learning difficulty such as dyslexia,
A social/communication impairment such as
dyspraxia or AD(H)D
Asperger's syndrome/other autistic spectrum
disorder
General learning disability (such as Down's
A long standing illness or health condition
syndrome)
such as cancer, HIV, diabetes, chronic heart
disease, or epilepsy
Deaf or serious hearing impairment
A mental health condition, such as depression,
schizophrenia or anxiety disorder
A disability, impairment or medical condition
A physical impairment or mobility issues, such
that is not listed above
as difficulty using arms or using a wheelchair
or crutches
Blind or a serious visual impairment
Prefer not to say
uncorrected by glasses
What is your religion?
Religion (mark one X)
No Religion
Muslim
Buddhist
Sikh
Christian
Spiritual
Hindu
Any other religion or belief
Jewish
Prefer not to say
What is your sexual orientation?
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Sexual Orientation (mark one X)
Bisexual
Heterosexual
Gay man
Other
Gay woman/lesbian
Prefer not to say
Your Signature
I confirm that the information provided in Sections A, B and C is correct, and that I have
supplied original documentation for the University’s Eligibility to Work check.
I have read, understood and accept the Terms and Conditions stated in the Registration
Agreement for Casual Workers www.sheffield.ac.uk/hr/guidance/contracts/cwa
Date (dd/mm/yy):
Signature:
 The University recognises four campus trade unions to collectively represent staff. If you would like to be contacted
by the trade unions regarding membership please confirm your consent to the University to provide your personal
data, including email address, to the recognised trade unions so they may contact you directly by ticking the box.
Section D – For Departmental Use Only
Please mark to describe nature of work being undertaken:
Type of work
Teachers/Lecturers/ Demonstrators
Porters/Security
Technicians
Cleaners
Researcher
Bar & Catering Assistants
Invigilators/Markers
Bar & Catering Managers/Chefs
Researchers/MDH Professionals
Fitness Instructors/Coaches
Secretarial/Clerical
Lifeguards
Events/Marketing
other (please give details below)
Administrative
If other, provide details in the box provided
Please
give
the
grade
and
point
of
the
proposed
work:
Grade:
Point:
please see the following link for further information:
www.shef.ac.uk.eresources.shef.ac.uk/hr/guidance/contracts/relationships/payrates
To comply with the Immigration, Asylum and Nationality Act 2006 you should ask all workers
to provide documentation to confirm their eligibility to work (ETW) in your department at
interview, or prior to commencing work. For further guidance on suitable forms of
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documentation
please
visit
the
HR
website
www.shef.ac.uk/hr/recruitment/guidance/eligibility/rec
If you are engaging a casual worker with a Tier 4 student visa please provide a screen
shot
of
the
semester
dates
for
their
period
of
study.
http://www.sheffield.ac.uk/about/dates
PLEASE NOTE: Human Resources will not be able to process this form until clear, relevant
ETW documentation is received.
Authorised Signatory
I confirm that the requirements of the Immigration, Asylum and Nationality Act 2006 have
been met, and that the claimant is eligible to work. I have attached the evidence required for
registration. I have also attached a scanned copy of the original documentation, on which I
have signed and printed my name and dated.
I confirm that I have discussed the Registration Agreement for Casual Work with the Worker
and that they understand their responsibilities as set out in this document.
I confirm that the claimant has informed me that they have read and accept the terms and
conditions in the Registration Agreement for Casual Workers.
Date (dd/mm/yy):
Signature :
Print Name:
Department:
Faculty:
Completed forms should be emailed directly to HR hr-registration@sheffield.ac.uk. You may
also choose to keep a copy for your own records.
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