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.