DERBYSHIRE COUNTY COUNCIL
In the interest of security if you wish to change your bank / building society details you can only do this by completing all of the details requested on this form. Please note that this change will take effect from the first available payday following receipt.
NAME _____________________________________________
EMPLOYEE / PENSION NO ______________________________________
DATE OF BIRTH ______________
OLD DETAILS: SORT CODE ___________ ACC NO __________________
BUILDING SOC REFERENCE_____________________________________
NEW DETAILS: NAME & ADDRESS OF YOUR BANK/BUILDING SOCIETY
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
SORT CODE ______________ ACC NO ____________________________
BUILDING SOC REFERENCE_____________________________________
SIGNATURE OF EMPLOYEE_______________________DATE__________
DAYTIME TELEPHONE NO _______________________________________
Please return form to SSC (HR & Payroll)
John Hadfield House
Dale Road
Matlock
Derbyshire
DE4 3RD
Old details verified & new details actioned (initials) __________
Date __________
CONTROLLED DERBYSHIRE DIGNITY AWARD INITIAL APPLICATION AND RENEWAL APPLICATION
CONTROLLED UPON COMPLETION DERBYSHIRE LA RECRUITMENT AND SELECTION POLICY
CROSSROADS DERBYSHIRE CHILDREN AND YOUNG PEOPLE’S OUTREACH SUPPORT WORKER
Tags: change of, this change, change, county, council, notification, derbyshire