Transport – Standard PAYE Application Pack FORM Transport - Standard PAYE Application Pack Step 1 of 4 25% Your DetailsFull name* First Email* Mobile*Telephone*Nationality*National Insurance No.*Date of birth* Day Month Year Marital status*Select StatusSingleMarriedCivil PartneredWidowedDivorcedAre you male or female?*Select StatusMaleFemaleAddress* Street Address Address Line 2 City County / State / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzechiaDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussian FederationRwandaSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTürkiyeTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country ReferencesPlease provide contact details for at least two referees. If you do not have a phone number or email address for a referee, enter ‘X’ in the corresponding box.Reference Details*NameCompanyJob TitleContact NumberContact Email Next of Kin 1Name*Relationship*Address* Street Address Address Line 2 City County / State / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzechiaDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussian FederationRwandaSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTürkiyeTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Telephone*Mobile*Next of Kin 2Name*Relationship*Address* Street Address Address Line 2 City County / State / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzechiaDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussian FederationRwandaSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTürkiyeTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Telephone*Mobile*Accident DeclarationHow long have you held your driving licence?*Do you have any points or endorsements on your license? * No Yes If yes, how many? What are these for?Have you been involved in any accidents in the past 4 years?* No Yes If you answered yes to question 3, please provide full details below, including, dates, who was at fault and was there an insurance claim made?Driver Licence Checking and Data Sharing Consent FormPurpose of Data SharingAs part of our commitment to ensuring that workers who drive in connection with their role hold a valid driving licence and appropriate driving entitlements, we use the services of Safe2Drive Solutions Ltd, an independent driving licence verification provider. To enable Safe2Drive to contact you and complete the driving licence verification onboarding process, we may share the following personal information:• Full name • Date of birth • Email address • Driving licence information that you subsequently provide Safe2Drive will use this information solely for the purpose of driving licence verification and associated compliance activities. Worker DeclarationI acknowledge that:1. I have been informed that Igloo uses Safe2Drive Solutions Ltd to administer driving licence verification checks. 2. I understand that my personal information, including my name, date of birth and email address, may be shared with Safe2Drive Solutions Ltd for the purpose of initiating and administering the driving licence checking process. 3. I understand that I will be contacted directly by Safe2Drive Solutions Ltd and will be required to provide any further authorisation required to enable DVLA licence checks to be completed. 4. I understand that driving licence information obtained through this process will be used only for assessing my entitlement to drive in connection with my work and for compliance, insurance and road safety purposes. 5. I understand that my personal data will be processed in accordance with applicable UK data protection legislation and the Company’s Data Protection Policy. Consent I consent to Igloo sharing my personal data with Safe2Drive Solutions Ltd for the purposes outlined above.Select one of the following statements* A. This is my first job since 6 April and I've not been receiving taxable Jobseeker's Allowance, Employment and Support Allowance, taxable Incapacity Benefit, State or Occupational Pension. B. This is now my only job but since 6 April I've had another job, or received taxable Jobseeker's Allowance, Employment and Support Allowance or taxable Incapacity Benefit. I do not receive a State or Occupational Pension. C. As well as my new job, I have another job or receive a State or Occupational Pension. Student Loan1. Do you have one of the Student Loan Plans described below which is not fully repaid*N/AYesNoIf yes go to question 2, if no go to question 52. Did you complete or leave your studies before 6th April?N/AYesNoIf yes go to question 3, if no go to question 53. Are you repaying your Student Loan directly to the Student Loans Company by direct debitN/AYesNoIf yes go to question 5, if no go to question 44. What type of Student Loan do you have?N/APlan 1Plan 2Both (Plan 1 and Plan 2)STUDENT LOAN PLANS You'll have a Plan 1 Student Loan if: you lived in Scotland or Nothern Ireland when you started your course (undergraduate or postgraduate) you lived in England or Wales and started your undergraduate course before 1 September 2010 You'll have a Plan 2 Student Loan if: you lived in England or Wales and started your undergraduate course on or after 1 September 2012 your loan is a Part Time Maintenance loan your loan is a Advanced Leaner loan your loan is a Postgraduate Healthcare loan Postgraduate LoanFor more guidance about funding and repaying go to www.gov.uk/funding-for-postgraduate-study For more guidance for employers go to www.gov.uk/guidance/special-rules-for-student-loans 5. Do you have a Postgraduate Loan which is not fully repaid?*N/AYesNoIf yes go to question 6, if no go to question 8You'll have a Postgraduate Loan if: you lived in England and started your Postgraduate Master's course on or after 1 August 2016 you lived in Wales and started your Postgraduate Master's course on or after 1 August 2017 you lived in England or Wales and started your Postgraduate Doctoral course on or after 1 August 2018 6. Did you complete or leave your Postgraduate studies before 6th AprilN/AYesNoIf yes go to question 7, if no go to question 87. Are you repaying your Postgraduate loan direct to the Student Loans Company by direct debit?N/AYesNoDisclosure of Criminal Records & HistoryHave you any unspent convictions? In accordance with the rehabilitation of Offenders Act 1974* Yes no If yes, please give details of offences, penalties and datesEmployment date start Day Month Year Igloo site of work (if known)Type of work*DrivingBank DetailsBanks or Building Society nameBank or Building Society address Street Address Address Line 2 City County / State / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzechiaDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussian FederationRwandaSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTürkiyeTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Sort code*Account number*Building Society referenceAccount holders name*Bank Details Check Please tick to confirm you have checked the above bank details are correct Documentation and Qualification ChecksDriving Licence No.*Please indicate the categories of licence that you hold by indicating the number of years you have held the entitlementBB+EC1C1+ECC+EDD+ED1D1+EFGHKHave you been convicted of any motoring offence in the last 5 years?* Yes No Have you had your licence suspended in the last 10 years?* Yes No At the time of signing this form is there any prosecutions pending, or has anything occurred which may result in any future prosecution?* Yes No Have you to your knowledge any physical or mental defect or infirmity or do you suffer from diabetes, heart complaint or any other disease which may impair your driving efficiency?* Yes No Drivers Competency Test1. On UK journeys, the total time spent driving each day must not normally exceed:* a) 8 Hours b) 9 Hours c) 10 Hours d) 11 Hours 2. However, on two days in the week you may extend that and drive for up to:*3. You must take a statutory rest period after a period of accumulated driving of:*4. After the period of accumulated driving you have given in question 'three', the statutory break must be at least:*4a. Related to question 'four' you can split the break time into two shorter periods the first being:*and second being:*5. The daily rest between periods of duty must not normally be less than:*6. However, on three days a week (non consecutive) this may be reduced to:*7. The limit for the number of hours you can spend driving in any fortnightly period is:* a) 86 hours b) 90 hours c) 94 hours 8. The normal weekly rest period should be a minimum of at least:*8a. Related to question 8 how many hours can this be reduced to:*9. The standard fixed week for European Tachograph regulations apply runs from 00:01 hours on a:*to 23.59 hours on a:*10. A driver drives for 2.5 hours, places the tachograph mode to "other work" for 1 hour and then drives for a further 2 hours. What break does the driver then need to take?*11. For how long can a driver drive a digital operated vehicle if the driver's tachograph card malfunctions?*12. If a driver removes their digital tachograph card at 9:00hrs, but does not actually finish the duty until 09:30hrs, what should the driver do when he next inserts his tachograph card on the next shift they work?* a) Start the vehicle b) Make a manual entry c) Do a print out d) Check the time 13. When driving a vehicle fitted with a digital tachograph, what must the driver ensure they have in their possession before commencing any journey?*14. What button on the digital tachograph unit confirms any procedure performed on the unit?*15. How often should the digital tachograph unit be calibrated?*16. Under WTD rules, what is the maximum amount of hours a driver can work without taking a break?*17. What break must be taken after 9 hours duty but before the end of the shift?*18. What break does a driver have to take after 6 hours duty but before 4 half hours collective driving time?*19. Where will you find the tachograph inspection certificate for a digital tachograph?* Highway Code TestPlease state what each sign represents********************Please upload a copy of your Passport, Birth Certificate or National ID Card* Drop files here or Select files Accepted file types: pdf, doc, jpg, jpeg, png, gif, Max. file size: 100 MB, Max. files: 4. If you are not a British citizen please provide your right to work share code below:Please upload copies of the FRONT and BACK of your Driving Licence, Driver Qualification Card, Driver Card and any other relevant licences.* Drop files here or Select files Accepted file types: pdf, doc, jpg, jpeg, png, gif, Max. file size: 256 MB, Max. files: 12. Please provide your DVLA share code below, please ensure you type this as it appears on the website as this is case sensitive*Please upload a copy of your proof of National Insurance Number* Drop files here or Select files Accepted file types: pdf, doc, jpg, jpeg, png, gif, Max. file size: 100 MB, Max. files: 2. Please upload a copy of your proof of Address* Drop files here or Select files Accepted file types: pdf, doc, jpg, jpeg, png, gif, Max. file size: 100 MB, Max. files: 2. TO CONTINUE PLEASE CLICK SUBMIT AND READ THROUGH THE DOCUMENT THEN SIGN AT THE BOTTOM. CLICK AGREE AND SIGN THIS WILL SEND THE DOCUMENT BACK TO IGLOO
