Keyworker Staff Supply

Client agreement ·

Hello ,

Please complete the details below, read our terms of business, and sign. Your answers form part of the agreement, so the rates and arrangements you enter here are what we will work to.

Step 1 of 3

Your organisation

Registered name

Trading name (if different)

Registered address

CQC registration number

Company number

Registered manager

Service address(es)

Invoicing

Invoice contact

Invoice email

Purchase order required? (and PO number if so)

Step 2 of 3

The work

Service areas / towns

Expected hours per week

Typical call pattern

Roles required

Any specific placement requirements and the service user need behind them

Where a placement is restricted in any way — for example to a carer of a particular sex, a non-smoker, or a driver — please tell us the service user need behind it, so we can both show the requirement is genuine and lawful.

Rates and payment

Charge rates include the worker's pay, holiday pay, employer's National Insurance, pension where applicable, and our margin. Rates are exclusive of VAT.

Choose the roles you will book and give us the weekday day rate for each. We work the other bands out from it and show you below.

Payment terms

Timesheets are submitted weekly on Monday. On 3-day terms payment is due by the Thursday of that week, so our staff are paid on the Friday. 30-day terms carry 3% and 60-day terms 5%, to cover the cost of financing that period.

Travel and fuel

Is mileage paid?

How is it worked out?

Rate per mile

Percentage of fuel receipt reimbursed

Added to the timesheet separately?

Paid by

Is travel time between calls paid?

HMRC's approved mileage allowance is 45p per business mile for the first 10,000 miles in a tax year, paid free of tax. We recommend a per-mile rate recorded on the timesheet rather than a share of fuel receipts, which is not an approved scheme.

Uniform

Whose uniform is worn?

Who supplies it, and at whose cost?

On site

Our workers work to your systems and alongside your staff. Please confirm you provide the following.

Personal protective equipment for every callA current care plan for each service user before the first callRisk assessment of each property, including lone workingInduction to the service and its systemsDay-to-day direction and on-site supervisionAn out-of-hours contact for urgent mattersMedication policy and instructions where our workers administer or promptEmployer's and public liability insurance covering workers on placement

Key contacts

Day-to-day booking contact

Telephone

Who authorises shifts

The person whose approval of a timesheet commits your organisation to pay for the hours worked. This may not be the person signing this agreement.

Name

Position

Telephone

Out-of-hours contact

Telephone

Step 3 of 3

Confirm and sign

Signing confirms the details above are correct. We will send our terms of business with your agreed rates for signature once we have reviewed this.

Your name

Your position

Your email address

Your signature

✍️ Draw

⌨️ Type

Anything you would like to tell us (optional) I have read the terms of business and I have authority to enter into this agreement on behalf of the organisation named above.

Nothing is binding until Keyworker Staff Supply has countersigned. We will confirm by email.

Keyworker Staff Supply Limited · Company number 13528495

Keyworker Staff Supply

Your organisation

Invoicing

The work

Rates and payment

Travel and fuel

Uniform

On site

Key contacts

Who authorises shifts

Our terms of business

Confirm and sign