EmailMe Form - CREATE AN ACCOUNT: Mayflower Disclosure Services

Company/Organisation Name *

Company/Organisation Address: *

Invoice Address (if different):

Company/Organisation Telephone

Primary Application Manager Name *

This is the main person that will manage the account. You will be able to add more Users/Application Managers once your account is set-up.

Primary Application Manager's Job Title/Position *

Primary Application Manager's Email *

Account set-up information will be sent to this email.

Confirm email

Invoice Email (if different)

Invoices will be emailed to this address

Website address (if you have one)

Type of work your organisation does *

Service that you require *

Basic DBS or Basic Disclosure Scotland Checks

Basic AccessNI Checks

Standard or Enhanced DBS Checks

Standard or Enhanced AccessNI Checks

Employee Credit Checks

External ID Validation Checks

You can choose one or more service from the list above, depending on your requirements

Reason why Standard or Enhanced DBS / AccessNI checks required (provide as much detail as possible) *

Type "N/A" above if you have NOT selected Standard/Enhanced DBS or AccessNI Checks

Who will you require checks for? *

People who are Paid in their roles

People who are Not Paid in their roles (volunteers)

Both paid people & volunteers

Not Applicable (we are registering for External ID validation Checks only)

Not Applicable (we are registering for Employee Credit Checks only)

No. of expected applications per year: *

This will assist us with planning for future volumes.

If you only need 1 x DBS check click here
Are you a BUPA Practitioner? If so, click here

Agree to the Terms of Business & Privacy Policy of Mayflower Disclosure Services Ltd? *

Yes, I have read and agree to the Terms of Business & Privacy Policy.

Available to view/download here: Terms of Business & Privacy Policy

*

Yes, I understand that these can be changed at any time and that I should check the Terms of Business available on the website of Mayflower Disclosure Services Ltd periodically for changes.

By using our Services, you agree to accept those changes, whether or not you have reviewed them.

Agree to the Mayflower Declaration? *

Yes, I have read and agree to the Mayflower Declaration.

Available to view/download here: Mayflower Declaration

I am authorised on behalf of the above-named organisation to register with Mayflower for the service chosen above. *

Yes, I am authorised.

Today's Date: *

DD / MM / YYYY

Where did you hear about us? *

Promotion/Discount Code

If you have a promotion or discount code, please enter it here.

Further Comments/Questions

Use this space to add additional information, ask questions etc.