Forms

Membership application forms

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

Membership application form Cymraeg/Welsh version

Membership application form

Membership application form (Isle of Man)

Direct debit mandate

Direct debit mandate form

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

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

Asbestos registration form

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

Bectu compliments slip x£ on A4 in Word

Benevolent Fund application form

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

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

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

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

Direct debit mandate form

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

DPIA Procedure Template

This document is the risk assessment form for undertaking a data protection impact assessment.

GDPR photos and case studies permission form

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 March 2022

Membership application form

Prospect membership application form

Membership application form Cymraeg/Welsh version

Welsh language version of the direct debit membership application form, redesigned in 2017

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

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)

PDF membership application form for use in the Isle of Man.

New Data Processing Referral Form

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.

Performance Development Review Form (PDR)

The form used to annually record the discussion between and line manager and jobholder regarding performance development

Personal case pro-forma

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

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

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

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Expenses forms

Members' expenses form to be paid by HQ - updated March 2022

Benevolent fund

Benevolent Fund application form

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

Performance Development Review Form (PDR)

The form used to annually record the discussion between and line manager and jobholder regarding performance development
ID: 2009/01369

Prospect/Bectu photo and video GDPR form

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

DPIA Procedure Template

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

New Data Processing Referral Form

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

Union Week Welsh language assets

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

Members' expenses form to be paid by HQ - updated March 2022

Members' expenses form to be paid by HQ - updated March 2022
ID: 2012/00799

Bectu compliments slip

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

Prospect compliments slip

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

Benevolent Fund application form

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

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

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

Personal case pro-forma

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

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

GDPR photos and case studies permission form

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

registration form
ID: 2017/01515

Political Fund opt out form

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)

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

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

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

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