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    NHS non-clinical agency assignment checklist template

    A non-clinical temporary worker assignment checklist is the form a supplier completes for every booking of an administrative, corporate, IT, legal, scientific or estates worker under the RM6277 Non-Clinical Temporary and Fixed Term Staff framework, which NHS, local government and central government buyers use. This Word template follows its structure in the agency's own brand: the Buyer's IR35 status determination statement; contractual details; the requirement (role, band or grade, working pattern, dates, reason for the booking); the worker; the hourly charge rate and supplier fee; the PAYE route; conflicts and other placements; the validated documents and checks; the DBS check; occupational health; the Buyer's additional requirements; the supplier declaration; and a Still needed list. Formatix fills it from the worker's CV, the booking and your compliance notes. Ticks, rates and dates appear only where those documents state them. It is a Formatix template, not an official form.

    The non-clinical checklist has the same shape as the clinical one, without the registration and training sections. It goes with every booking, and its facts come from the CV, the Buyer's order, the payroll arrangement and the compliance file. This template puts them on one form and lists what is still missing, so nothing is ticked on the strength of what is usual for the role.

    10 free credits, no card needed. One credit fills one document.

    Free account · 10 free CVs, no card

    See it in your firm's brand

    Create your free account and we read your website for your logo, colours and fonts, then open the NHS non-clinical agency assignment checklist in your brand, ready to change or save. Every other template follows in your brand too.

    Work email required; personal inboxes are not eligible. 10 free credits, no card. We read your public website once to find your brand.

    NHS non-clinical agency assignment checklist template, page 1: example in Formatix branding with fictional content
    NHS non-clinical agency assignment checklist, first page. Shown in Formatix branding with fictional example content; yours is built in your brand.

    What's in the template

    The temporary worker assignment checklist a supplier completes for every booking of an administrative, corporate, IT, legal, scientific or estates worker under the RM6277 Non-Clinical Staffing framework: the Buyer's IR35 status determination, contractual and booking details, the worker, charge rate and supplier fee, PAYE route, conflicts, validated documents, DBS, occupational health, the supplier declaration and what is still needed. Ticks only as the documents confirm. Structure based on the RM6277 assignment checklist (Open Government Licence v3.0). Not an official form.

    • The Buyer's IR35 status determination, only as stated
    • Contractual details and the requirement
    • Temporary worker details
    • Charge rate and supplier fee, PAYE route, conflicts and other placements
    • Validated documents, DBS and occupational health
    • Supplier declaration (signature left blank) and Still needed

    What it's for: Every non-clinical booking with a public sector buyer under RM6277.

    WordDelivered as an editable Word file, or saved as PDF.

    Who uses it

    • Office, admin and corporate staffing agencies

      A checklist per booking for medical secretaries, administrators and corporate roles.

    • IT, legal, scientific and estates suppliers

      The same form for every non-clinical lot, filled from the CV and your records.

    • Compliance teams

      The checks your records confirm, and a list of what to obtain before the booking starts.

    Every page of the example

    The example is in Formatix branding with fictional content. When you pick this template, it is rebuilt with your logo, colours and fonts before you use it.

    NHS non-clinical agency assignment checklist template, page 1: example in Formatix branding with fictional contentNHS non-clinical agency assignment checklist template, page 2: example in Formatix branding with fictional content

    How you use it

    1. 1

      Pick the template

      Open Formatix, choose this template in Studio, and give us your website. We pull your logo, colours and fonts and rebuild the template in your brand. You see a sample before you use it.

    2. 2

      Drop the CV and your records

      Upload the worker's CV with the Buyer's booking or order and your compliance notes: DBS and occupational health records, the agreed rates and the pay route. One credit fills one document.

    3. 3

      Check, chase and send

      The filled document appears beside the original for checking. Get the items on the Still needed list from the worker or the Buyer, remove that box, then download the Word file.

    Download or automate? The free download is a plain file you fill in by hand. In Formatix the template is rebuilt in your brand, with your logo, colours and fonts taken from your website, and filled from a CV or your notes in about a minute. What you keep is the finished document: an editable Word, PowerPoint or Excel file.

    Ask for changes in plain words, such as "move the photo to the right" or "add a Languages section", and the template is updated with the rest of its formatting kept. If you already have a document you send clients, upload that instead and Formatix turns it into a template. How Studio builds templates

    Questions about this template

    Is this the official RM6277 form?
    No. It is a Formatix template for suppliers submitting to public sector buyers under the RM6277 framework, and its footer says it is not an official form. The structure follows the RM6277 assignment checklist, published under the Open Government Licence v3.0. It carries no NHS, framework or government logo. Check the version your buyer asks for before you submit.
    How is it different from the clinical checklist?
    It has no professional registration, qualifications or mandatory training sections, which the clinical (RM6281) checklist adds. Everything else, from the IR35 determination to the supplier declaration, follows the same structure.
    Does Formatix decide the IR35 status?
    No. Inside or outside IR35 is ticked only when the Buyer's order or your notes state the Buyer's determination. It is never worked out from the pay route.
    Will it tick a check that is not in our records?
    No. A check is ticked Yes only when your notes confirm it was completed and the validated document is held. Anything not confirmed stays unticked and goes on the Still needed list.

    Use the nhs non-clinical agency assignment checklist in your brand

    Give us your website, and the template is rebuilt with your logo, colours and fonts. Your first ten documents are free, with no card, valid for 14 days.

    Formatix fills it from the CV for you: see our CV formatting software, or bulk CV formatting for a whole shortlist at once.