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


BECTU sector direct debit mandate   info
Direct download link for BECTU sector direct debit mandate. For use in 'Switch to direct debit and save 25%' offer

Direct debit mandate form   info
If you don't already pay your Prospect subscriptions by direct debit, or if you need to change your existing direct debit mandate for any reason - for example if you move your bank account - use this PDF version of the mandate. If you currently pay by deduction from salary, the PDF includes an instruction to your employer to cease this.

Health and safety forms (some are for reps only)


2018 Salary Cessation Form   info
2018 Prospect Salary Cessation form without the attached direct debit mandate.

BECTU sector direct debit mandate   info
Direct download link for BECTU sector direct debit mandate. For use in 'Switch to direct debit and save 25%' offer

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
If you don't already pay your Prospect subscriptions by direct debit, or if you need to change your existing direct debit mandate for any reason - for example if you move your bank account - use this PDF version of the mandate. If you currently pay by deduction from salary, the PDF includes an instruction to your employer to cease this.

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   info
Expense form to be used by members from 25 May 2018, with a mileage rate of 33p per mile. Please complete if you are claiming expenses for attending centrally-funded meetings or branch expenses which are paid by HQ, ie NEC, NEC sub-committees, SESAC, RMG national and regional committees, Heritage Group, TUC, STUC, Blackworkers conference, BT committee, Scottish Power branch etc.

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.

Mentoring programme - Mentoring the Future form   info
Prospect/BECTU's mentoring programme for members in the creative, culture and communications sectors in England offers up to 10 hours of mentoring support over six months

Notification of safety rep appointment   info
Letter template for notifying employer of Prospect appointment of new safety rep

Personal case pro-forma   info
This is a four-page pro-forma 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 asbestos register form   info
If you've been exposed to asbestos at work, use this form to record the details. We'll add them to our asbestos register for use in any future compensation claims, either on your own behalf or your colleagues.

Prospect's flexible working time account calculator   info
This excel spreadsheet, updated annually, allows members to record their daily hours of work. It supports the union's Work Time Your Time campaign by giving members a useful tool to track their hours while also reminding them of the need to take their hours (or TOIL) back.

Respirable Crystalline Silica (RCS) Registration form   info
registration form

Expenses forms


Members' expenses form to be paid by HQ   info
Expense form to be used by members from 25 May 2018, with a mileage rate of 33p per mile. Please complete if you are claiming expenses for attending centrally-funded meetings or branch expenses which are paid by HQ, ie NEC, NEC sub-committees, SESAC, RMG national and regional committees, Heritage Group, TUC, STUC, Blackworkers conference, BT committee, Scottish Power branch etc.

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


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 is a four-page pro-forma 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

TUC Congress Awards 2019 - Health and Safety Rep Award - Application Form   info
Application form
ID: 2019/00827

Mentoring programme - Mentoring the Future form   info
Prospect/BECTU's mentoring programme for members in the creative, culture and communications sectors in England offers up to 10 hours of mentoring support over six months
ID: 2019/00809

BECTU sector direct debit mandate   info
Direct download link for BECTU sector direct debit mandate. For use in 'Switch to direct debit and save 25%' offer
ID: 2018/02028

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

Members' expenses form to be paid by HQ   info
Expense form to be used by members from 25 May 2018, with a mileage rate of 33p per mile. Please complete if you are claiming expenses for attending centrally-funded meetings or branch expenses which are paid by HQ, ie NEC, NEC sub-committees, SESAC, RMG national and regional committees, Heritage Group, TUC, STUC, Blackworkers conference, BT committee, Scottish Power branch etc.
ID: 2012/00799

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

2018 Salary Cessation Form   info
2018 Prospect Salary Cessation form without the attached direct debit mandate.
ID: 2016/00724

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

TUC/Unionlearn T&S funding application form   info
TUC/Unionlearn T&S funding application form
ID: 2013/00188

Membership application form Cymraeg/Welsh version   info
Welsh language version of the direct debit membership application form, redesigned in 2017
ID: 2015/00813

Membership application form   info
Prospect membership application form
ID: 2015/00812

Prospect asbestos register form   info
If you've been exposed to asbestos at work, use this form to record the details. We'll add them to our asbestos register for use in any future compensation claims, either on your own behalf or your colleagues.
ID: 2009/00095

Prospect's flexible working time account calculator   info
This excel spreadsheet, updated annually, allows members to record their daily hours of work. It supports the union's Work Time Your Time campaign by giving members a useful tool to track their hours while also reminding them of the need to take their hours (or TOIL) back.
ID: 2011/04158

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