Payroll Giving Donation Form

To set up a donation from your pay to your chosen charity/ies, complete this form and press the submit button. All of the information is required to successfully process your request. If you do not provide all the correct information then there may be delays in your donation.

FAQs Show

Q. What makes Payroll Giving so easy?

A. You only need to complete a single form to start your donation; everything else is done for you.

Q. Is Payroll Giving tax efficient?

A. Yes, your donation comes straight from your pay before income tax, which means the charity gets the benefit of the tax straight away. Example of how much a donation actually costs you:

Employee Pledges	Cost to Standard Rate Taxpayer	Cost to Higher Rate Taxpayer	Cost to Super Rate Taxpayer
£5.00 per month	£4.00	£3.00	£2.75
£8.00 per month	£6.40	£4.80	£4.40
£10.00 per month	£8.00	£6.00	£5.50
£15.00 per month	£12.00	£9.00	£8.25

Q. Can I give to more than one charity?

A. Yes, you can add several charities to this form and you can always complete a second form should you need to.

Q. What happens next?

A. Once deducted from your salary, your donation will be passed in full to the HM Revenue & Customs approved agency your employer is contracted with who is responsible for disbursing monies to the relevant beneficiaries per your instructions. At this stage, there is a small fee payable dependent on the agency (the agency receives this, not StC Payroll Giving - details available on request). In many cases your employer will cover the cost.

Q. Is it easy to cancel my donation?

A. Yes, just contact your payroll department and they will be happy to stop the deductions.

Q. What if I have more questions about my donation?

A. Call our team on 01732 364 736 or email info@belldm.co.uk

Q. What if I have a complaint?

A. You will find full details of our Complaints Procedure, escalation of complaints and how to complain on our website http://www.stcpayrollgiving.co.uk/downloads/Complaints_Policy.pdf
The APGO
As referenced in our Complaints Procedure, we are members of self-regulatory body called The Association of Payroll Giving Organisations (The APGO) and as such, we follow a strictly enforced code of conduct that, above all, ensures that employees are able to give to any UK charity regardless of whether or not we represent that cause.

1. Personal Details

Title:

First Name: *

Last Name: *

Address: *

Town:

County:

Country:

Postcode: *

Email: *

Telephone: *

Date of Birth:

2. Employment Details

Employer's Name: *

Address

Town:

County:

Country:

Postcode:

Employers Contact Number:

Employee / Payroll Number:

National Insurance Number: *

*To process your donation you must provide details of how to contact your employer and also either a Payroll Number OR a National Insurance Number. If you are able to provide both then there is less chance that your donation will be delayed.

3. Donation Details

This form is to be treated as:

A new donation

An additional request to any previous donation

A replacement of any previous donation

A one off donation

You are paid:

Weekly

Bi-Weekly

4-Weekly

Monthly

Charity 1

£ (before tax)

Charity 2

£ (before tax)

Charity 3

£ (before tax)

Charity 4

£ (before tax)

Add Extra Charity

Total

£ (before tax)

Cost to you at 20% Income Tax

£

Cost to you at 40% Income Tax

£

Cost to you at 45% Income Tax

£

Safeguarding your personal data The personal data supplied on this form will be used to enable your donation to reach your chosen charity/charities. Your personal data will be shared with your chosen charity(s) to the extent necessary to allow them to match your donation with the personal data held about you. Your personal data will also be shared with your employer (and their payroll/flexible benefits agents, if any) and the relevant Payroll Giving Agency in order to facilitate your donation. You may be contacted in the event of a specific query needed to resolve the processing of your data for these purposes. Some charities use a Third Party for support services, with whom they are contracted, and with whom they may share your data for processing purposes. To view your chosen charity’s privacy statement, please visit their website.

Opting in to receive charity marketing communications means you can see how your chosen charity(ies) use your donations to help provide their services. “Marketing” consists of any communication which promotes a charity or its values, so could be anything from a newsletter to a specific appeal.

Using the boxes below, please indicate which channels your charity may use to send you marketing.

Ticking as many boxes as possible gives your charity the option of choosing which way works best for them.

Please note that you can change your contact preferences at any time by contacting the charity.

SMS:
Telephone:
Post:
Email:

Our full Donor Privacy Policy is detailed at
www.belldm.co.uk/privacy-notice/

4. DECLARATION:

I understand that by clicking submit below I am confirming the terms of the declaration.

DECLARATION: I declare that my payroll giving donation will not be used in payment of a covenant or gift aid.

Your IP Address is 54.167.18.170 for security reasons this will be stored with this instruction