Register Now

To register with Medic Umbrella, can you please provide us your personal information as per field provided below. It is Vital that you provide us all required requested below including your identification, proof of address and your National Insurance number. This information will help us to process your application faster.

Your details


Full name (as it appears on passport)*

House/flat number*



Post code*


Date of birth*


National Insurance number:

Personal email address*

Home Telephone Number

Mobile number*

Your bank or building society details

Bank/Building Society name*

Account name*

Account number*

Sort code*

Your agency or client (if direct) details

Agency/Client (if direct) company name:

Contact name:

Contact telephone number:

Contact email address*:

Other Information Required

I have enclosed following Document:


Proof of address:



Intended Start Date*:

Please provide any additional information here:

How did you hear about us*?

Initial Consultation was provided by:*

Documents Required

Please find below list of documents required to check your identification and your right to work in UK
• Copy of passport
• Proof of address (utility bill or bank statement)
• Clear Copy of Visa (if applicable)
We can process the payments once we have received and verified above documents
Under Money Laundering Regulations 2007, proceed of Crime Act 2002, The Terrorism Act 2007 and Immigration, Asylum and Nationality Act 2006 we are required to verify your identification documents from credit agencies how this should not affect your credit rating.

Terms & Conditions

Medic Umbrella will process my timesheets and process my payroll for the agreed fee in accordance with National Minimum wages and Working Time Directives.
I understand that I am responsible for the delivery of timesheets on time to the agency which represents me in accordance with their payment as well as a copy of the timesheet to be submitted to Medic Umbrella Limited.
I understand that Medic Umbrella ensures that my wages will be funded into my bank or building society account on time when Medic Umbrella receives the confirmation of my hours, rates and other appropriate funds from the agency to cover my wages.
I understand that Medic Umbrella pays my wages via Fast Pay and that it takes at least one working day to be transferred into my bank account. Payments dates will be affected by Bank Holidays.


I have read and acknowledge the terms above.
I acknowledge that I will receive payments from Medic Umbrella Limited as an agent for the company that will employ me.
I confirm that the information provided in this form is correct to the best of my knowledge.
I confirm that Medic Umbrella Limited will act as an intermediary between me and the agency.
I confirm that I enclose a certified copy of my passport, proof of address and a signed contract of employment.
Yes, All Accepted