Change of Details - Salvere Support

Your Change of Details

Welcome to Salvere Support

Please use this form to tell Salvere Support that your details have changed. You will need to enter your authorisation code, which was issued to you at the start of your employment. This acts as your signature for security purposes.
If you have misplaced your authorisation code, please email ssl@salvere.co.uk before completing the form to let us know.

Authorisation Code *

Name *

First

Last

First, please enter the details we currently hold on our records for you:

Date of Birth *

DD/MM/YYYY

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Email *

Phone *

Your Updated Details

ONLY complete the sections where there has been a change:

Name Change

First

Last

Address Change

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Email Change

Phone Change

Next of Kin Name Change

First

Last

Next of Kin Email Change

Next of Kin Phone Change

GP Name / Surgery Change

First

Last

GP Address Change

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

GP Phone Change

Change of Bank Account Details

Please complete sections 1, 2 and 3

1. Bank or Building Society Name

2. Name on Account

First

Last

3. Account Details

First

Last

Any other changes? Please give details below:

PLEASE NOTE! If Salvere makes wage payments or reimbursements to you, the personal details provided here must match those held on your bank account. Should there be any discrepancies, we may be unable to process payments.

Confirmation *

I confirm that the above information is accurate and I give permission for Salvere to update my details accordingly.

Your Change of Details

Welcome to Salvere Support

Your Updated Details

Change of Bank Account Details

When you have completed the form, please click Submit below: