New Starter Form

Are you filling this form out as a

Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Date of Birth

Date

Phone Number

Please enter a valid phone number.Format: 00000 000000.

Email

example@example.com

Can you confirm that non of your personal details such as Address, Bank Details, CSCS Card have changed since you last completed a Sparta Systems New Starter Form and that you are already setup on the Work Wallet system for clocking in and out?

Please note: Some of our sites now require users to accept an email invitation to Work Wallet before arriving at Site.

Nationality

What is your ethnic group?

If "other ethnic group" was selected please detail here

Next of Kin Name

First NameLast Name

Next of Kin Contact Number

Please enter a valid phone number.Format: 00000 000000.

Next of Kin relationship to operative

Name of the Agency or Sub Contracting (Limited) company you are working for, while on site with Sparta (not Sparta Systems)

Company Registration number (if applicable)

VAT number (if applicable)

HMRC UTR

National Insurance Number

Bank Details - Account Name

Bank Details - Sort Code

Bank Details - Account number

Public Liability Insurance Details

Public Liability Insurance Upload

P45 provided?

Please provide a copy of your P45

If no P45 provided: This is my first job since 6th April & I have not received benefits

Since 6th April I have had another job but I don't have a P45

Do you have another job?

Do you receive pension payments?

Do you have a student or post graduate loan that you are not paying directly from your bank?

Student Loan Plan

Site

Site Start Date

Date

How will you commute to site?

If you answered 'Other/Someone Else' to the question above please elaborate.

Hourly Rate / Salary

Trade

CSCS Card Colour

CSCS Card Number

CSCS Card Expiry Date

Date

CSCS Card Upload

Please include a photo of the front and back

Do you have a valid PASMA card

Do you have a valid IPAF card

PASMA / PAL Card upload

Please include an image of the front and back of each card

Do you have any other valid trade cards or certification?

If other please list

Please upload supporting documents for First Aid, Fire Marshal, SSSTS, SMSTS or any other relevant certification

Health (Medical conditions and / or disabilities)

Please list any disabilities or medical conditions / medications we should be aware of

I have been informed of the Sparta workplace pension

Will you be carrying out Firestopping

Firas Agreement

Sparta Systems contracts the subcontractor for the purpose of the installation of passive fire protection systems under the FIRAS Scheme.

The subcontractor agrees to comply with all relevant FIRAS requirements, and to ensure that the quality of the installation is not compromised by any actions for which they are responsible.

Sparta Systems is contractually responsible for the compliance of the completed installation to the specified standard. Inspection of the completed works will be undertaken by an appropriately nominated staff certified of the certificated company.

This agreement does not confer on the subcontractor the right to make any claims under the FIRAS scheme, nor use of the FIRAS logo.

FIRAS Agreement

I consent to being contacted by Sparta Systems

Signature

I sign the above as acceptance of the Contract for Services for the site previously named on this form.

Please verify that you are human