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.
 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:
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
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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):
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:
(compulsory for all EU bank accounts)
Swift (or BIC) No.:
Bank address:
Bank country:
Bank currency:
Overseas bank account - intermediary details (if applicable) – see guidance note below
Name of bank:
Account number:
IBAN number:
(compulsory for all EU bank accounts)
Swift (or BIC) No.:
Guidance Note:
(i)
(ii)
beneficiary bank account – This is the bank account that will receive the payment. This must be a personal bank
account bearing your name.
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.
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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
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
Gypsy or Traveller
Black or Black British - Caribbean
Black or Black British - African
Other Black background
Asian or Asian British - Indian
Asian or Asian British - Pakistani
Asian or Asian British - Bangladeshi
Not Known
Do you consider yourself to be a disabled person?
Chinese
Other Asian background
Mixed - White and Black Caribbean
Mixed - White and Black African
Mixed - White and Asian
Other Mixed background
Arab
Other Ethnic background
Prefer not to say
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,
dyspraxia or AD(H)D
General learning disability (such as Down's
syndrome)
A social/communication impairment such as
Asperger's syndrome/other autistic spectrum disorder
A long standing illness or health condition such as
cancer, HIV, diabetes, chronic heart disease, or
epilepsy
A mental health condition, such as depression,
schizophrenia or anxiety disorder
A physical impairment or mobility issues, such as
difficulty using arms or using a wheelchair or crutches
Prefer not to say
Deaf or serious hearing impairment
A disability, impairment or medical condition that is
not listed above
Blind or a serious visual impairment uncorrected by
glasses
What is your religion?
Religion (mark one X)
No Religion
Buddhist
Christian
Hindu
Jewish
Muslim
Sikh
Spiritual
Any other religion or belief
Prefer not to say
What is your sexual orientation?
Sexual Orientation (mark one X)
Bisexual
Gay man
Gay woman/lesbian
Heterosexual
Other
Prefer not to say
Your Signature
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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
Signature:
Date (dd/mm/yy):
 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 documentation please visit the HR website
www.shef.ac.uk/hr/recruitment/guidance/eligibility/rec
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.
Signature :
Date (dd/mm/yy):
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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