1 DPF2-1
BBPS use only (DPF1-2)
Payroll Service Application
Tick to indicate
Personal Direct Payment
(BBPS will only process payroll. Paying wages/HMRC to be processed by yourself)
Council Supported Direct Payment
(Council will direct necessary payments to BBPS on service user behalf)
Managed Account
(BBPS to pay wages and/or PAYE on service user behalf)
Fill out all the information required. Do not detach any of the pages. Return the whole booklet to Barrie Bookkeeping & Payroll
Solutions with a photocopy of your I.D.
www.barriebookkeeping.co.uk
Service Users Name
Enter full name of proposed service userRoyal Borough of Kensington & Chelsea
London Borough of
Hammersmith & Fulham
London Borough of Camden
City of Westminster Fife Council Norfolk County Council
2 DPF2-1
Payroll Service APPLICATION – To be completed in ALL cases
Service Commencement Date _ _ / _ _ / _ _ _ _
Support Hours per Week
THE SERVICE USER – Must be completed in ALL cases
Surname Title Mr/Mrs/Ms/Miss
Forename(s) Address:
Post Code Tel No
Date of Birth _ _ / _ _ / _ _ _ _ Gender Male / Female
Child/Adult
NI
number
(1) Are you already registered as an employer with
HMRC? YES / NO
If yes,
Please provide your PAYE Ref NO:
________________________________________________ Please provide your Accounts Office Ref NO:
_______________________________________ Current payroll provider:
3 DPF2-1
NOMINATED CONTACT – To be completed ONLY if the Service User
above is a child or an adult to administer their affairs
Surname Title Mr/Mrs/Ms/Miss Forename Address:
Post Code Tel No
Date of Birth _ _ / _ _ / _ _ _ _ numberNI
Relationship to the Service User Spouse Husband Wife Sibling Brother Sister Child Son Daughter Parent Father Mother Other
4 DPF2-1
PAYROLL SERVICE AGREEMENT BETWEEN – Must be signed in ALL cases
(1) Barrie Bookkeeping & Payroll Solutions Ltd, 14 Hanover Court, Glenrothes, Fife, KY6 5SB
AND (2) The Service User (named on page 1)
From the date of signing, the Service User appoints BBPS to provide all payroll services. This agreement starts on the date of signing and will continue for a minimum of one month. Either party may terminate this agreement by giving no less than One months notice.
The service user agrees to provide BBPS with all necessary information to enable BBPS to supply the payroll services and to make payment to BBPS within 30 days of receipt of monthly invoices.
Signed by for and on behalf of Barrie Bookkeeping & Payroll Solutions Ltd
Signature
Printed Name Ross Barrie
Date D D / M M / Y Y Y Y
5 DPF2-1
Invoices
You will be invoiced on or around the 12th of every month. Please confirm: (circle where appropriate)
Invoices to be posted direct to Service User Yes / No
OR
Invoices to be emailed direct to Service User Yes / No
If yes, please provide e-mail address: ____________________________
OR
Invoices to be posted to another person? If yes, please provide name and address:
Yes / No
Wages/PAYE
Barrie Bookkeeping & Payroll Solutions can pay wages to your PA & PAYE to HMRC on your behalf, if requested. Please confirm: (Circle where appropriate)
I would like Barrie Bookkeeping & Payroll Solutions to pay wages to my
PA & all payments to HMRC on my behalf. Yes/No OR
I would like Barrie Bookkeeping & Payroll Solutions to pay only the payments to HMRC on my behalf, and I will pay wages to my carer myself. Yes/No
OR
I would like to make all payments to my PA
and/or HMRC myself Yes/No
6 DPF2-1
Personal Assistant Number 1 – Starter Form
Service Users Name PA start date Surname Title Forename Address 1 Address 2 City Postcode
Date of Birth Gender MALE/FEMALE Tel Number Landline Mobile
NI Number A B 1 2 3 4 5 6 C
Passport/Driving Licence number
Nationality Bank Name Bank Branch Sort Code Account Number Account Name
ID type enclosed ID enclosed
Marital Status
2. Hours to be worked – if the same
Day Mon Tue Wed Thur Fri Sat Sun Total Hours
3. Payment Frequency as agreed by the employer – please tick.
7 DPF2-1
4. Payment Rate as agreed by the Employer Standard Rate Weekend Rate
(if applicable) Evening Rate (if applicable) Holiday Rate (if applicable) £ £ £ £
First Payment Date:
The Service User authorises BBPS to add the above person to their payroll and make payments to them in accordance with hours notified by myself.
Signed (PA) Date
8 DPF2-1
PA Number 1 – Tax Statement concerning This Employment
TICK ONE that applies to you and follow the instruction given in the response.
This will help us to tax you correctly.
I have a P45 from a previous employer and have enclosed it with this form
Response – we will apply the code on your P45 to your record
I will have a P45 from a previous employer and will send it on when I receive it
Response – complete the starter statement below. Send the P45 to us when you receive it
I do not have a P45
Response – complete the starter statement below
I am a student working ONLY in the holidays (Summer, Christmas, Easter)
Response – complete the starter statement below
I am a student working during term time and holidays
Response – complete the starter statement below
Starter Statement (substitute P46/P45)
Your present circumstances. Please read all the following statements (A, B and C) and enter ‘X’ in the ONE box that applies to you.
A – This is my first job since 6th April last and I HAVE NOT been
receiving taxable Jobseekers Allowance, Employment and Support Allowance or taxable Incapacity Benefit or a state or occupational pension.
B – This is now my only job, but since 6th April last I HAVE had
another job, or have received taxable Jobseekers Allowance,
Employment and Support Allowance or taxable Incapacity Benefit. I do not receive a state or occupational pension.
9 DPF2-1
C – I have another job or receive a state or occupational pension. Please also consider the following statement
If this applies to you then enter ‘X’ in the box
D – Student Loans (advanced in the UK). If you left a course of UK
Higher Education before last 6th April and received your first UK
Student Loan instalment on or after 1st September 1998 and you have not fully repaid your Student Loan enter ‘X’ in the
Box. Do not enter ‘X’ if you are repaying your UK Student Loan by agreement with the UK Student Loans Company to make monthly payments through your bank or building society account.
I confirm the information I have put an X against is correct.
Name (print)
10 DPF2-1
Personal Assistant Number 2 – Starter Form
Service Users Name PA start date Surname Title Forename Address 1 Address 2 City Postcode
Date of Birth Gender MALE/FEMALE Tel Number Landline Mobile
NI Number A B 1 2 3 4 5 6 C
Passport/Driving Licence number
Nationality Bank Name Bank Branch Sort Code Account Number Account Name
ID type enclosed ID enclosed
Marital Status
2. Hours to be worked – if the same
Day Mon Tue Wed Thur Fri Sat Sun Total Hours
3. Payment Frequency as agreed by the employer – please tick.
11 DPF2-1
4. Payment Rate as agreed by the Employer Standard Rate Weekend Rate
(if applicable) Evening Rate (if applicable) Holiday Rate (if applicable) £ £ £ £
First Payment Date:
The Service User authorises BBPS to add the above person to their payroll and make payments to them in accordance with hours notified by myself.
Signed (PA) Date
12 DPF2-1
PA Number 2 – Tax Statement concerning This Employment
TICK ONE that applies to you and follow the instruction given in the response.
This will help us to tax you correctly.
I have a P45 from a previous employer and have enclosed it with this form
Response – we will apply the code on your P45 to your record
I will have a P45 from a previous employer and will send it on when I receive it
Response – complete the starter statement below. Send the P45 to us when you receive it
I do not have a P45
Response – complete the starter statement below
I am a student working ONLY in the holidays (Summer, Christmas, Easter)
Response – complete the starter statement below
I am a student working during term time and holidays
Response – complete the starter statement below
Starter Statement (substitute P46/P45)
Your present circumstances. Please read all the following statements (A, B and C) and enter ‘X’ in the ONE box that applies to you.
A – This is my first job since 6th April last and I HAVE NOT been
receiving taxable Jobseekers Allowance, Employment and Support Allowance or taxable Incapacity Benefit or a state or occupational pension.
B – This is now my only job, but since 6th April last I HAVE had
another job, or have received taxable Jobseekers Allowance,
Employment and Support Allowance or taxable Incapacity Benefit. I do not receive a state or occupational pension.
13 DPF2-1
C – I have another job or receive a state or occupational pension. Please also consider the following statement
If this applies to you then enter ‘X’ in the box
D – Student Loans (advanced in the UK). If you left a course of UK
Higher Education before last 6th April and received your first UK
Student Loan instalment on or after 1st September 1998 and you have not fully repaid your Student Loan enter ‘X’ in the
Box. Do not enter ‘X’ if you are repaying your UK Student Loan by agreement with the UK Student Loans Company to make monthly payments through your bank or building society account.
I confirm the information I have put an X against is correct.
Name (print)
14 DPF2-1
Barrie Bookkeeping and Payroll Solutions Ltd, 14 Hanover Court, North Street, Glenrothes, Fife, KY7 5SB
FREEPHONE: 0800 599 9353
Tel: 01592 759001 OR 01592 328386 Fax: 01592 759669
E-mail: [email protected]
Checklist – All items (except where marked *) must be completed as ‘Yes’ for Barrie Bookkeeping & Payroll
Solutions to process this payroll service application.
Item Account Page Completed
Type Number
Payroll Service Application ALL 2-3 Yes / No Signed Agreement ALL 4 Yes / No Completed Details for PA 1 plus tax
statement ALL 6-9 Yes / No Completed Details for PA 2 plus tax
statement (If Applicable) ALL 10-13 Yes / No ID for all PAs included ALL Yes / No