Payroll Giving Donation Form

Employment Details

* All fields marked with * are required

* 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.

Do you work for one of our partner organisations? *

Employer Name *

Address *

Address Line 2 *

Address Line 3 *

Town *

Postcode *

Employers Contact Number

Employee / Payroll Number

National Insurance Number *

Disclosure Statement

Disclosure Statement January 2022:

Payroll Giving Plus t/a StC Payroll Giving company registration number: 04641570, is a professional fundraising organisation.

Our services to all involved in the setup and ongoing administration of your Payroll Giving donation are varied and far-reaching, however only if support is generated from our work, we are paid a one-off fee by the charities we represent. Please visit http://www.stcpayrollgiving.co.uk/charity-partners/ for the full list of charities we represent.

We estimate that our annual remuneration this year (2022) will be in the region of £350,000 for a projected income of £9,500,000, which will be proportionately shared (in accordance with donations made) by the circa 185 charities we are contracted to. The average life of a Payroll Giver is 8.5 years.

Complaints Procedure:

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 the 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 charity regardless of whether or not we represent that cause.

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(ies) 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) uses 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.

We will never share your details without consent.

I am happy for Alzheimer's Research UK Alzheimer's Research UK to contact me by:

SMS
Telephone
Post
Email

Our full Donor Privacy Policy is detailed at
www.stcpayrollgiving.co.uk/stc-payroll-giving-donor-privacy-notice/

I authorise my employer's payroll to deduct the amount stated from my pay until notice is received from me to cancel or alter the amount. 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.

I have read and understood the statement above.

Full name

Date

Click and drag to draw a signature in the box below

Your IP Address is 3.145.77.114 for security reasons this will be stored with this instruction.

FAQs

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 effective?

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
£7.50 per month	£6.00	£4.50	£4.13
£10.00 per month	£8.00	£6.00	£5.50
£15.00 per month	£12.00	£9.00	£8.25
£20.00 per month	£16.00	£12.00	£11.00

Q. What is the minimum or maximum payroll gift donation?

A. There’s no lower or upper limit.

Q. Can I change or stop my payroll gift?

A. Alzheimer's Research UK benefits from regular donations, as it helps plan for our future research. If you set up a regular payroll gift you can cancel your donation or change the amount by contacting your HR Department, who will be happy to make these amend for you.

Q. What happens if I change job?

A. When you leave a company, the payroll gift is automatically cancelled. Please complete this online Payroll Giving form with your new company information and let us know that this is a replacement for any previous donation on the tick box.

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. What if I have more questions about my donation?

A. Call our team on 01227 361 960 or email queries@stcpayrollgiving.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 https://www.stcpayrollgiving.co.uk/complaints-policy-of-stc-payroll-giving-stc/

The APGO
As referenced in our Complaints Procedure, we are members of the 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 can give to any UK charity regardless of whether or not we represent that cause.

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