New Agency Form – Workr Group

Workr Contact Person*

Agency details

Agency name*

Agency details

Agency address*

Street Address City ZIP / Postal Code Country

Agency phone*

Key contacts

To ensure we can manage the working relationship effectively please confirm the key contacts in your organisation so we can ensure a smooth and effective transition for your business and contractors alike.

Senior contact*

First Last

Payroll phone number*

Payroll manager*

First Last

Payroll email address*

Candidate support manager*

First Last

Support phone number*

Support email address*

Who will be responsible for sending the assignment schedule relating to the contractor to us?*

Billing information

So we can ensure we have the correct information set up ready for making payments please tell us how you wish to work with us to process payments for contractors.

Will you require invoices or use Self-Billing options?*

Invoices
Self-billing optons

Invoices sent to

Name*

First Last

Invoices sent to

Email*

Invoices sent to

Invoices deadline

Pay frequency*

Weekly
Fortnightly
Monthly

Pay schedule*

Pay off remit
Received funds
Free faster pay

Agency payroll day*

Workr receive funds*

Notes

Please include any specific notes, reduced fees or agreements.