Agency Worker Regulation Request

We are required to ensure equal treatment entitlements for staff who have worked longer than 12 weeks. The following questions are in relation to pay and other basic working conditions. Can you please complete:

Organisation(Required)

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Job title of an equivalent employee?(Required)

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What is the standard hourly rate of pay of an equivalent employee?(Required)

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Do you pay an overtime rate?(Required)

Yes

No

If yes, please confirm the rate(Required)

Do you pay an uplift for shift/unsocial hours allowances, risk payments for hazardous duties?(Required)

Yes

No

If yes, please detail these(Required)

Do you pay additional annual leave (any entitlement above the statutory minimum of 5.6 weeks ?)(Required)

Yes

No

If yes, please detail these(Required)

Do you pay bonus or commission payments ?(Required)

Yes

No

If yes, please detail these(Required)

What is the standard annual leave package of an equivalent employee?(Required)

About The Person Completing This Form

Full Name(Required)

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Job Title(Required)