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Application Form

Your Details

You can apply online by filling in the form below and we will then be in touch. You can call us on 01624 819003 if you have questions or need help.

We will require proof of your identity and address to become registered with us. For identity purposes we can accept a passport or driving licence, and for address confirmation require a document no older than 3 months old (e.g. utility bill, bank statement, or credit card statement, or a Council Tax bill).

Title

First name

Last name

Street Address

City

Upload utility bill / Bank statement

Upload File

No older than 3 months.

Street Address Line 2

Postal / Zip code

Date of Birth required

Email

Phone

Source of funds (e.g. Earnings from employment)

Occupation

Source of wealth other

Your Signature

Passport / Id

Upload File

Upload supported file (Max 15MB)

Introduce a Friend...

Click below to fill out the referral form.

Do you work with other contractors that could benefit from using Island Payroll Solutions?

Island Payroll Solutions is currently offering £50.00 in cash or vouchers for each friend you refer to the service.*

*Terms and conditions apply.

Referral Application Form

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