union for life

Forms

Forms

Membership application forms


Membership application form (subs from pay in the Energy Supply Sector)   info

Membership application form (CMD sector)   info

Membership application form (Welsh language)   info

Membership application form   info

Membership Application Form (Jersey)   info

Membership application form (Guernsey)   info

Membership application form (Isle of Man)   info

Personal case forms


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

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

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.

Direct debit mandate


Prospect direct debit form   info
A simple direct debit instruction form, for new joiners who are unable to complete an online direct debit mandate, or existing members who've changed their bank and need to set up a new mandate.

Expenses forms


Branch expenditure expenses to be paid by branch Treasurer   info
Reimbursement of branch related costs incurred by members to be paid by branch treasurer.

Members expenses form to be paid by HQ   info
Expense form to be used by members from 1 May 2014, 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.

Staff expenses form (Prospect Car) 33p mileage from 7/5/12   info
Expense form to be used by staff who are eligible for a Prospect car but choose to use their own. Mileage rate 33p per mile to be used from 7 May 2012

Health and safety forms (some are for reps only)


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

H&S Conference special requirements form   info
Request to delegates regarding special access or dietary needs.

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

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.

Safety Representatives REPORT template LONG HOURS   info
Written notice of unacceptable working hours leading to stress. Requires FTO support.

Safety Representatives REPORT template POORLY MANAGED ORGANISATIONAL CHANGE   info
Written notice of unacceptable management of organisational change leading to stress. Requires FTO support.

Special needs reply form   info
Special needs reply form

Special needs reply form   info
as above