Agency AWR Questionnaire

Agency Workers Regulations 2010 (‘AWR’)

Your details

Your name

First Last

Your email

Individual and Agency

Agency/Client Questionnaire regarding proposed assignment as follows

Individuals name(Required)

First Last

Agency / End-client(Required)

Does the End Client have any current employee (‘comparable employee’) engaged in the same or broadly similar work (having regard to whether they have a similar level of qualification and skills) at the same establishment/workplace?(Required)

Yes

Questionnaire

Salary of permanent counterpart(Required)

Gross taxable excluding holiday pay

Day worked per week(Required)

Standard working hours(Required)

Bonuses and any other Relevant Payments Awarded(Required)

Annual Leave Entitlement(Required)

Night work(Required)

Any information available

Rest Periods(Required)

Any information available

Rest Breaks(Required)

Any information available

Entitlement to Paid Time Off for Antenatal Appointments after a 12-week Qualifying Period(Required)

Agency AWR Questionnaire

Agency Workers Regulations 2010 (‘AWR’)

Your details

Individual and Agency

Questionnaire

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Contact information