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

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

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

Application form for funding for a training event

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

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

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

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

Expense form to be used by members from 28 November 2019, 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

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.

Mentoring programme - Mentoring the Future form

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

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

Personal case pro-forma

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

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

Prospect asbestos register form

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

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

registration form

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Expenses forms

Members' expenses form to be paid by HQ

Expense form to be used by members from 28 November 2019, 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

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

Members' expenses form to be paid by HQ

Expense form to be used by members from 28 November 2019, 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

Season Ticket Loan Form

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

Personal case pro-forma

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

Mentoring programme - Mentoring the Future form

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

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

2018 Salary Cessation Form

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

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

TUC/Unionlearn T&S funding application form

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

Membership application form Cymraeg/Welsh version

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

Membership application form

Prospect membership application form
ID: 2015/00812

Prospect asbestos register form

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

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

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

Direct debit mandate form

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.
ID: 2009/00784