Temporary Booking Request

This form is to be used should you want to order an agency worker online. Please ensure you complete all the fields as necessary before you click on submit. Fields marked with * are mandatory.

Completion by the Client
Security Requirements
Requirements

^ For completion by the Client:

Unique reference Code:*

Government Department:

Section:

Invoice Address:*

Work Location:*(if different than invoice address)

Contact Name:*

Contact Position:*

Telephone Number:*

Fax Number:*

Email Address:*

Start Date:*

Hours:*

Duration of Assignment:* (if unknown please state the minimum duration expected)

Reason for Booking:

^ Security Requirements (including required clearances):

CRB : (Criminal Records Bureau)

CTC: (Counter Terrorist Clearance)

DV: (Developed Vetting)

BC / BCE / BSS: (Basic Clearance & BC Enhanced or Baseline Security Standards)

SC: (Security Clearance)

None Required:

^ Requirements (Please indicate the position and number of the Temporary Agency worker(s) required):

Support Workers, eg. Receptionist, Messenger, Telephonist:

Clerical / Administation Assistant:

Clerical / Administation Officer:

Executive Officer:

Higher Executive Officer:

Senior Executive Officer:

Data Processor:

Call Centre Worker:

Please state any special requirements not included in the standard specification for the post:

Are any qualifications or authorisations required by law?

If yes please provide details:

Are there any Health & Safety Risks?

What steps have been taken to help prevent and control these risks?

Do you include Health & Safety in your Induction process?

Does this position involve working with under 18's or any person with special needs?

If yes, is this direct contact - note details: