Payroll Number Gender Male Female

Form 100 Agreement for Casual Workers This form should be used for casual workers for work up to 2 consecutive months duration. You should submit this form by the 3rd of the month for payment at the end of that month. This form is for payment of casual work only and cannot be used where an individual holds an employment contract with the University. All sections of this form must be completed fully. Incomplete forms will be returned. If filling out by hand please complete in capital letters using black ink. Personal Details (This page to be completed by the Casual Worker) Title Forename Surname/Family Name Home Address (not Work address) House No./Name Street name Address Line 3 Town County Post Code Payroll Number Gender Male Female Nationality DOB (DD/MM/YY) NI Number Email address Have you been previously employed by The University of Edinburgh? YES NO Are you a current student at the University of Edinburgh? YES NO Ethnic Origin (Please tick the box which describes your ethnic origin) White - British Other Black Mixed - White & Black Caribbean White - Scottish Asian/Asian British Indian Mixed - White & Black African White - Irish Asian/Asian British Pakistani Mixed - White Asian Other White Asian/Asian British Bangladeshi Other Mixed Background Black/Black British Caribbean Chinese Other Ethnic Background Black/Black British African Other Asian Prefer not to disclose Disability I consider myself disabled (please tick relevant box). YES NO If Yes please mark those disabilities relevant to you. Choose up to two options, numbered 1 for main disability and 2 for any additional disability. General Learning Disability (e.g. Downs syndrome) A social/communication impairment (e.g. Asperger s/other autistic spectrum disorder) Long-Standing Illness/Condition (e.g. Cancer, HIV, Diabetes, Chronic Heart Disease or Epilepsy) Mental Health Condition (e.g. depression, schizophrenia) Specific Learning Difficulty (e.g. dyslexia, dyspraxia) Deaf or serious hearing impairment Blind or serious visual impairment Prefer not to disclose this information Bank Mandate (failure to complete this section may result in late or non-payment) Bank Name Sort Code Bank Address Account Number By signing this document, I confirm I have the right to carry out the work in question, and will demonstrate this to the University prior to commencing this work (see appendix 1 and 2). Date / / Signature Please find P45 attached to this form OR I have completed the P46 form overleaf Form 100 - Page 1

Instructions for employees As a new employee your employer needs the information on this form before your first payday to tell HMRC about you and help them use the correct tax code. Fill in this form then give it to your employer. Do not send this form to HMRC. Employee s personal details Last name or family name First name(s) Are you male or female? Male Female Date of birth eg dd mm yyyy Home address Address line 1 Address line 2 Address line 3 Address line 4 Postcode (if your address is in the UK) National Insurance number Employee statement You need to tick only one of the statements A, B or C. A This is my first job since last 6 April and I have not been receiving taxable Jobseeker s Allowance, Employment and Support Allowance, taxable Incapacity Benefit, State Pension or Occupational Pension. B This is now my only job but since last 6 April I have had another job, or received taxable Jobseeker s Allowance, Employment and Support Allowance or taxable Incapacity Benefit. I do not receive a State Pension or Occupational Pension. C As well as my new job, I have another job or receive a State Pension or Occupational Pension. Have you left a course of UK higher education before last 6 April and received your first UK Student Loan instalment on or after 1 September 1998 and not fully repaid your Student Loan? Are you repaying your UK Student Loan by agreement with the UK Student Loans Company to make monthly payments through your bank or building society account? Yes Yes No No Form 100 - Page 2

Job Details To be completed by UoE (Administration) Job Title SOC Code (See Appendix 3) Grade Department Nature of Work Period of Engagement (dd/mm/yy) From: To: Total Hours Hourly Rate Holiday % (12.07%) Total Paid (inc. Holiday Allow) Costing Details Source of Funds % or Amount in Account Cost Centre Job Code Management Authorisation To be completed by UoE (HoS / DoPS / Director of Department) I confirm the Job Details noted above is correct and shall be applied for this payment. I confirm verified copy(s) of documentary evidence of eligibility to work in the UK has been identified and attached to this form, with a copy retained for our reference. (as per Appendix 2 List A and List B) Name Position Date Signature Right to Work Authorisation Enter details of person who performed Right to Work checks Name Department Contact Telephone Number Note: Please complete this form in full. Any forms which do not have the eligibility to work checklist completed will be returned, which may delay any payment due. HR Authorisation To be Completed by UoE (College HR / Support Groups HR). Form 100 - Page 3

Appendix 1 Eligibility to work in the UK Checklist Information for Authoriser Only What to complete: Either complete List A or List B List A For individuals with an on-going right to work in the UK (e.g. British Citizens, Individuals from EEA countries, and those who can stay indefinitely in the UK); or List B For individuals with a time limited right to work in the UK (e.g. Individuals on following visas: Student, Highly skilled migrant program, Working holiday, Ancestry, Spousal). It is expected that original documents will be presented, as set out below. Please tick the appropriate box and attach the copy of the document(s) to this form. You need to check that a) Photographs are consistent with the appearance of potential individual. b) Dates of birth listed are consistent with the appearance of potential individual. c) Expiry dates have not been passed, and d) UK Government stamps or endorsements do not restrict the individual from undertaking the work in question. e) If the individual is a University of Edinburgh Tier 4 student: Using EUCLID, print the information in the immigration overview tab. NOTE: EUCLID screen prints will only be valid as a right to work check for 28 days from the screen print date. After 28 days a new screen print will be required to confirm the individual is a matriculated student and is eligible to work. Check with Student Immigration Compliance Team if the student s: o matriculated status is anything other than fully matriculated or interrupted (thesis submitted). o record shows they are not currently sponsored. Check the student s visa to confirm the hours they are permitted to work per week. NOTE: the University s published semester/vacation dates should be used to determine when the student can work full-time (i.e. during vacations). Print the University semester dates from the University website. NOTE: This applies to all University of Edinburgh students, including post-graduates. f) If the individual is a non-university of Edinburgh Tier 4 Student, obtain written confirmation from their place of study (on headed paper or identifiable email address) to confirm: Student status; course/qualification and duration of course. Term/vacation dates (alternatively these can be printed from the HEI s website if accessible). Copies of passports must include: a) Outside Front cover (note: passports for nationals from some countries have the front cover on the back). b) All pages containing individual s personal details e.g. photograph, signature, date of birth, etc. c) All pages containing UK Government stamps or endorsements which allow the individual to do the type of work being offered. d) If the individual is a citizen of Croatia, a copy of the authorisation card/certificate should be included, unless the individual is exempt. For Tier 4 students, copies must include: If individual is a TIER 4 STUDENT studying at University of Edinburgh: a) Valid EUCLID screen print (i.e. at least 28 days remain since print date). b) Copy of correspondence from Student Immigration Compliance team, if appropriate. c) Print from University of Edinburgh website re semester dates. If individual is a TIER 4 STUDENT studying at another HEI: a) Written confirmation from place of study confirming the individual is a currently matriculated student. b) Written confirmation of the individual s term/vacation dates. For a list of EEA countries whose nationals are eligible to work in the UK and more detailed information on eligibility to work in the UK, see the University's website pages for Human Resources on eligibility and immigration. If the worker cannot present one of these documents, or the necessary combination please refer to your HR Team or the aforementioned web pages for further details. For information on Student Employment including National Insurance and Income tax, please refer to the University s website pages for Finance, Student Employment. Form 100 - Page 4

Appendix 2 Information for Authoriser and Worker List A : On-going right to work in the UK (Complete group 1) Check Group 1: Acceptable documents to establish a continuous statutory excuse A passport showing the holder, or a person named in the passport as the child of the holder, is a British citizen or a citizen of the UK and Colonies having the right of abode in the UK. A passport or national identity card showing the holder, or a person named in the passport as the child of the holder, is a national of a European Economic Area country or Switzerland. (See note re. citizens from Croatia 1 ) A Registration Certificate or Document Certifying Permanent Residence issued by the Home Office, to a national of a European Economic Area country or Switzerland. A Permanent Residence Card issued by the Home Office, to the family member of a national of a European Economic Area country or Switzerland. A current Biometric Immigration Document (Biometric Residence Permit) issued by the Home Office to the holder indicating that the person named is allowed to stay indefinitely in the UK, or has no time limit on their stay in the UK. A current passport endorsed to show that the holder is exempt from immigration control, is allowed to stay indefinitely in the UK, has the right of abode in the UK, or has no time limit on their stay in the UK. A current Immigration Status Document issued by the Home Office to the holder with an endorsement indicating that the named person is allowed to stay indefinitely in the UK or has no time limit on their stay in the UK, together with an official document giving the person s permanent National Insurance number and their name issued by a Government agency or a previous employer. A full birth or adoption certificate issued in the UK which includes the name(s) of at least one of the holder s parents or adoptive parents, together with an official document giving the person s permanent National Insurance number and their name issued by a Government agency or a previous employer. A birth or adoption certificate issued in the Channel Islands, the Isle of Man or Ireland, together with an official document giving the person s permanent National Insurance number and their name issued by a Government agency or a previous employer. A certificate of registration or naturalisation as a British citizen, together with an official document giving the person s permanent National Insurance number and their name issued by a Government agency or a previous employer. 1 Note re. citizens from Croatia: Citizens of Croatia are permitted to work as members of the EEA but require advance authorisation from the UK Border Agency. You must have SIGHT OF and copy the individual s accession worker authorisation or certificate in advance of him/her commencing employment, unless they are exempt. List B : Time Limited right to work in the UK (Complete group 1 or group 2) Check Group 1: Documents where a time-limited statutory excuse lasts until the expiry date of leave A current passport endorsed to show that the holder is allowed to stay in the UK and is currently allowed to do the type of work in question. A current Biometric Immigration Document (Biometric Residence Permit) issued by the Home Office to the holder which indicates that the named person can currently stay in the UK and is allowed to do the work in question. A current Residence Card (including an Accession Residence Card or a Derivative Residence Card) issued by the Home Office to a non-european Economic Area national who is a family member of a national of a European Economic Area country or Switzerland or who has a derivative right of residence. A current Immigration Status Document containing a photograph issued by the Home Office to the holder with a valid endorsement indicating that the named person may stay in the UK, and is allowed to do the type of work in question, together with an official document giving the person s permanent National Insurance number and their name issued by a Government agency or a previous employer. Check Group 2: Documents where a time-limited statutory excuse lasts for 6 months A Certificate of Application issued by the Home Office under regulation 17(3) or 18A(2) of the Immigration (European Economic Area) Regulations 2006 to a family member of a national of a European Economic Area country or Switzerland stating that the holder is permitted to take employment which is less than 6 months old together with a Positive Verification Notice 2 from the Home Office Employer Checking Service. An Application Registration Card issued by the Home Office stating that the holder is permitted to take the employment in question, together with a Positive Verification Notice from the Home Office Employer Checking Service. A Positive Verification Notice issued by the Home Office Employer Checking Service to the employer or prospective employer which indicates that the named person may stay in the UK and is permitted to do the work in question. 2 A Positive Verification Notice is official correspondence from the Home Office Employer Checking Service which confirms that a named person has permission to undertake the work in question. Form 100 - Page 5

Appendix 3 SOC Codes 221 Health Professionals 532 Building Finishing Trades 222 Therapy Professionals 542 Printing Trades 223 Nursing and Midwifery Professionals 543 Food Preparation and Hospitality Trades 231 Teaching and Educational Professionals 544 Other Skilled Trades 242 Business, Research and Administrative Professionals 612 Childcare and Related Personal Services 244 Welfare Professionals 613 Animal Care and Control Services 245 Librarians and Related Professionals 614 Caring Personal Services 311 Science, Engineering and Production Technicians 622 Hairdressers and Related Services 313 Information Technology Technicians 623 Housekeeping and Related Services 331 Protective Service Occupations 721 Customer Service Occupations 342 Design Occupations 822 Mobile Machine Drivers and Operatives 344 Sports and Fitness Occupations 823 Other Drivers and Transport Operatives 412 Administrative Occupations: Finance 911 Elementary Agricultural Occupations 413 Administrative Occupations: Records 921 Elementary Administration Occupations 415 Other Administrative Occupations 923 Elementary Cleaning Occupations 421 Secretarial and Related Occupations 924 Elementary Security Occupations 511 Agricultural and Related Trades 925 Elementary Sales Occupations 523 Vehicle Trades 926 Elementary Storage Occupations 531 Construction and Building Trades 927 Other Elementary Services Occupations Form 100 - Page 6