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. Your form is instantly sent to our dedicated processing team, where specialists will validate your information and work with your payroll department to ensure your deduction starts as soon as possible.You will receive an email confirming we have processed your instruction.

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

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

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

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

Data Protection

The data supplied on this form will be used to enable your donation to reach your chosen charity/charities.
In order that your instructions can be acted on, your details will be passed to Her Majesty’s Revenue & Customs registered Agency, with whom your employer has contracted, who will forward your donation to your chosen charity/ies, your payroll department and your chosen charity/ies.

Your chosen charity/ies may send you a thank you letter acknowledging your donation.

If you wish to receive acknowledgement and/or communications from your charity please tick here. By not selecting this you can only be contacted in the event of a specific query needed to resolve the processing of your data for the purposes of these instructions.

Our full Privacy Policy is detailed here

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 54.196.223.42 for security reasons this will be stored with this instruction