Forms

Forms

Membership application forms


Membership application form energy supply industry sector (subs from pay)   info

Membership application form Cymraeg/Welsh version   info

Membership application form   info

Membership application form (Isle of Man)   info

Direct debit mandate


Direct debit mandate form   info
Direct Debit Mandate form for Prospect members 2019 onwards - WordDoc.

Health and safety forms (some are for reps only)


Application form for funding for a training event   info
Application form for funding for a training event, updated December 2019

Asbestos registration form   info
The asbestos register collects details of members’ workplace exposure to asbestos. The register provides evidence in support of a members’ claim on their own behalf, and to help pursue claims on behalf of colleagues or former colleague’s.

Bectu compliments slip   info
Bectu compliments slip x£ on A4 in Word

Benevolent fund application form   info
All current or retired members of Prospect and their dependants are eligible to apply for financial assistance from the Prospect Benevolent Fund. This is the application form.

Blank (PDF) safety rep inspection form from Brown Book   info
HSE-approved safety rep form for use when recording an inspection. Download for completion by hand. Go to Word version for electronic completion https://library.prospect.org.uk//download/2015/01693

Blank (PDF) safety representatives report form from Brown Book   info
HSE-approved safety rep form for use when notifying employer of a H&S concern. Download for hand written completion or use the following Word version for electronic completion https://library.prospect.org.uk//download/2015/01693

Complaints Form   info
This form should be completed when members wish to make a formal complaint.

Direct debit mandate form   info
Direct Debit Mandate form for Prospect members 2019 onwards - WordDoc.

DPIA Procedure Template   info
This document is the risk assessment form for undertaking a data protection impact assessment.

GDPR photos and case studies permission form   info
GDPR consent form asking members for their permission to use their photographs or stories in Prospect publications and campaign materials, both in print and online. All members featured in any promotional materials or pictures must complete this form.

Members' expenses form to be paid by HQ - updated October 2020   info
Members' expenses form to be paid by HQ - updated October 2020

Membership application form   info
Prospect membership application form

Membership application form Cymraeg/Welsh version   info
Welsh language version of the direct debit membership application form, redesigned in 2017

Membership application form energy supply industry sector (subs from pay)   info
Use this form if you work in the energy supply sector and want your subscriptions to be taken directly from your pay.

Membership application form (Isle of Man)   info
PDF membership application form for use in the Isle of Man.

New Data Processing Referral Form   info
This form is for staff to complete when proposing to use member's personal data in a new process or in a new way. This is required so the Processing Log can be automatically up-dated.

Personal case pro-forma   info
This four-page pro-forma is for reps to use when dealing with a personal case. It prompts you to ask all the relevant questions and record the answers when a member approaches you for help.

Political Fund opt out form   info
Form for members who wish to opt out of contributing to the Prospect political fund (except Northern Ireland)

Prospect/Bectu photo and video GDPR form   info
For Prospect and Bectu staff to use to gain GDPR sign-off for photographs/videos of members

Prospect compliments slip   info
Prospect compliments slip x3 on A4 in Word

Expenses forms


Members' expenses form to be paid by HQ - updated October 2020   info
Members' expenses form to be paid by HQ - updated October 2020

Benevolent fund


Benevolent fund application form   info
All current or retired members of Prospect and their dependants are eligible to apply for financial assistance from the Prospect Benevolent Fund. This is the application form.

Personal case forms


Prospect/Bectu photo and video GDPR form   info
For Prospect and Bectu staff to use to gain GDPR sign-off for photographs/videos of members
ID: 2021/00774

DPIA Procedure Template   info
This document is the risk assessment form for undertaking a data protection impact assessment.
ID: 2021/00503

New Data Processing Referral Form   info
This form is for staff to complete when proposing to use member's personal data in a new process or in a new way. This is required so the Processing Log can be automatically up-dated.
ID: 2021/00502

Team Leader Activity Tracker   info
Team Leader Activity Tracker
ID: 2021/00125

Union Week Welsh language assets   info
Email banners, posters and Zoom background for Union Week (Welsh language)
ID: 2020/01133

Members' expenses form to be paid by HQ - updated October 2020   info
Members' expenses form to be paid by HQ - updated October 2020
ID: 2012/00799

Bectu compliments slip   info
Bectu compliments slip x£ on A4 in Word
ID: 2020/01018

Prospect compliments slip   info
Prospect compliments slip x3 on A4 in Word
ID: 2020/01017

Benevolent fund application form   info
All current or retired members of Prospect and their dependants are eligible to apply for financial assistance from the Prospect Benevolent Fund. This is the application form.
ID: 2009/00785

Asbestos registration form   info
The asbestos register collects details of members’ workplace exposure to asbestos. The register provides evidence in support of a members’ claim on their own behalf, and to help pursue claims on behalf of colleagues or former colleague’s.
ID: 2020/00131

Season Ticket Loan Form   info
Staff can use this form to apply for a Season Ticket loan
ID: 2019/00312

Personal case pro-forma   info
This four-page pro-forma is for reps to use when dealing with a personal case. It prompts you to ask all the relevant questions and record the answers when a member approaches you for help.
ID: 2008/00478

Application form for funding for a training event   info
Application form for funding for a training event, updated December 2019
ID: 2018/02152

GDPR photos and case studies permission form   info
GDPR consent form asking members for their permission to use their photographs or stories in Prospect publications and campaign materials, both in print and online. All members featured in any promotional materials or pictures must complete this form.
ID: 2018/01891

Respirable Crystalline Silica (RCS) Registration form   info
registration form
ID: 2017/01515

Political Fund opt out form   info
Form for members who wish to opt out of contributing to the Prospect political fund (except Northern Ireland)
ID: 2013/00351

Membership application form energy supply industry sector (subs from pay)   info
Use this form if you work in the energy supply sector and want your subscriptions to be taken directly from your pay.
ID: 2016/02215

Complaints Form   info
This form should be completed when members wish to make a formal complaint.
ID: 2016/01044

Blank (PDF) safety rep inspection form from Brown Book   info
HSE-approved safety rep form for use when recording an inspection. Download for completion by hand. Go to Word version for electronic completion https://library.prospect.org.uk//download/2015/01693
ID: 2015/01694

Blank (PDF) safety representatives report form from Brown Book   info
HSE-approved safety rep form for use when notifying employer of a H&S concern. Download for hand written completion or use the following Word version for electronic completion https://library.prospect.org.uk//download/2015/01693
ID: 2015/01692