Forms and templates

  1. Site map
  2. Skip to content
  3. Cookie Policy
  4. Accessibility
  1. Contrast:
Organisation's logo linking to the home page
  1. Home
    1. Learning Disability and Neurodiversity
    2. Acute Pain at Royal Derby Hospital
    1. Musculoskeletal Therapy
      1. Group Rehabilitation
      2. Spinal pain
      3. Lower Limb Therapy
      4. Upper Limb Therapy
      5. Hydrotherapy
      6. Facial palsy
      7. View all in this section…
    2. Renal research
      1. Renal Risk in Derby (RRID) Study
    1. Audiology
      1. Audiology at Royal Derby Hospital and Florence Nightingale Community Hospital
      2. Audiology at Queen's Hospital Burton
    2. Cardiology (heart)
      1. Cardiology (heart) at Queen's Hospital Burton
      2. Cardiology (heart) at Royal Derby Hospital
      3. Abdominal Aortic Aneurysm (AAA)
    1. Pain Management Department
    2. Clinical genetics
    3. All Home
  2. Patients and visitors
    1. Information for patients
      1. Coronavirus (Covid-19) recovery and advice for high risk and vulnerable patients
      2. Your appointment
      3. Staying in hospital
      4. Online Patient Portal - Patients Know Best
      5. Waiting times
      6. Video consultations
      7. View all in this section…
    2. Visiting our hospitals
      1. Information for visitors
      2. Getting to our hospitals
      3. Contact a ward
      4. Where to get urgent treatment for minor injuries and illnesses?
      5. 'Virtual visiting' service
      6. Contact us
    1. Information leaflets
      1. Adult leaflets
      2. Children's leaflets
      3. Join our Readers' Panel
    2. Advice and support
      1. Tell us about care you received
      2. Complaints
      3. Patient Advice and Liaison Service (PALS)
      4. Bereavement services
      5. Get involved
      6. Macmillan Cancer Information Centre
      7. View all in this section…
  3. Our services
    1. All services and wards
      1. A-Z of all services
      2. A-Z of all wards
      3. Consultant Directory
    2. Children's Services
      1. All children's services
      2. Contact a children's ward
      3. Transition from children to adult services
    1. Cancer
      1. Bowel cancer screening
      2. Cancer Specialist Outpatients
      3. Combined Triage Assessment Unit (CTAU)
      4. Combined Daycase Unit (CDU)
      5. Familial cancer
      6. Gynaecology Oncology
      7. View all in this section…
    2. Emergency Departments
      1. About our emergency departments
      2. In an emergency
      3. Emergency department at Royal Derby Hospital
      4. Emergency department at Queen's Hospital Burton
      5. Childrens emergency department at Royal Derby Hospital
      6. Patient Information Leaflets - Emergency
    1. Maternity
      1. Urgent maternity care
      2. Maternity Services post coronavirus pandemic
      3. Your pregnancy journey
      4. Choosing your place of birth and labour
      5. After baby is born
      6. Maternity patient information leaflets
      7. View all in this section…
    2. Trauma and Orthopaedics
      1. Foot and ankle
      2. Fracture clinic
      3. Hand and wrist
      4. Hip and knee
      5. Shoulder and elbow
      6. Spine
    1. Training and Education
  4. Find our hospitals
    1. Getting to Royal Derby Hospital
      1. About Royal Derby Hospital
      2. Contact Royal Derby Hospital
      3. Construction of new multi-storey car park at Royal Derby Hospital
      4. Parking at Royal Derby Hospital
      5. Ward information
      6. CQC rating
    2. Getting to Queen's Hospital Burton
      1. About Queen's Hospital Burton
      2. Contact Queen's Hospital Burton
      3. Ward information
      4. Parking at Queen's Hospital Burton
      5. CQC rating
      6. Maps of Queen's Hospital Burton
    1. Getting to Samuel Johnson Community Hospital
      1. About Samuel Johnson Community Hospital
      2. Contact Samuel Johnson Community Hospital
      3. CQC rating
      4. Ward information
      5. Parking at Samuel Johnson Community Hospital
      6. Maps of Samuel Johnson Community Hospital
    2. Getting to Florence Nightingale Community Hospital
      1. About Florence Nightingale Community Hospital
      2. Contact Florence Nightingale Community Hospital
      3. Ward information for Florence Nightingale Community Hospital
      4. Parking at Florence Nightingale Community Hospital
      5. CQC rating
      6. Maps of Florence Nightingale Community Hospital
    1. Getting to Sir Robert Peel Community Hospital
      1. About Sir Robert Peel Community Hospital
      2. Contact Sir Robert Peel Community Hospital
      3. Parking at Sir Robert Peel Community Hospital
      4. Ward information
      5. CQC rating
      6. Maps of Sir Robert Peel Community Hospital
    2. Other sites offering UHDB services
      1. Getting to Ilkeston Community Hospital
  5. Work and learn
    1. Job opportunities at UHDB
      1. Recruitment process
      2. Apply for a job at UHDB
      3. Temporary staffing (our bank)
      4. Volunteering
      5. Apprenticeships
      6. Return to practice
      7. View all in this section…
    2. Career pathways and clinical professions
      1. Allied health professionals (AHPs) and healthcare scientists (HCS)
      2. Healthcare support workers (HCSW)
      3. Nursing and midwifery pathways
      4. Jobs in Medicine
      5. Jobs in Women's and Children's services
      6. Jobs in Trustwide Services
      7. View all in this section…
    1. Working at UHDB
      1. How we say thank you
      2. UHDBe Valued - our staff benefits offer
      3. Living in Derbyshire and Staffordshire
      4. Training, education and development
      5. Wellbeing, health and fitness
    2. Training and education
      1. Admin and Clerical Course at UHDB
      2. Derby Endoscopic & Laparoscopic Training Centre (DELTA)
      3. Lead Employer Radiology
      4. UHDB Digital Champion and Digital Health Champion Programmes
      5. Library and Knowledge service
      6. Medical Education at UHDB
      7. View all in this section…
  6. Contact us
  7. About us
    1. Our organisation
      1. Our purpose, vision and values
      2. Trust reports
      3. Policies and procedures
      4. Achievements and accolades
      5. How we are managed, and the NHS constitution
      6. Quality, safety and experience
      7. View all in this section…
    2. Care Quality Commission (CQC)
    1. Council of Governors
      1. About our Council of Governors
      2. Become a Trust member
      3. Annual Members' Meeting
      4. Council of Governor Elections 2024
    2. Trust board members and board papers
      1. How we are improving our Maternity services
      2. Obstetrics and Gynaecology review
    1. Regulatory information and privacy
      1. Declarations of Interest
      2. Inclusion and belonging
      3. Freedom of Information (FOI)
      4. Health Records and Subject Access Requests
      5. Information Governance
      6. Privacy, Cookies and Disclaimer
    2. Our partners
      1. Armed Forces Network
      2. Air Arts
      3. Derby & Burton Hospitals Charity
      4. Information for health professionals
    1. Communications and media
      1. Latest news
      2. Information for journalists
  8. Research
    1. For researchers
      1. Innovation
      2. Funding and sponsorship
      3. Our studies
      4. Research groups
      5. Research training and resources
    2. Our research teams
    1. For patients
      1. How to take part in research
      2. Help us design a study
      3. Patient research FAQs
    2. For industry
      1. Commercially sponsored research
    1. Our clinical studies
    2. Derby Clinical Trials Support Unit (CTSU)
      1. About Derby CTSU
      2. What we offer
      3. DCTSU clinical trials
      4. Standard operating procedures (SOPs) and policies
      5. Testimonials
      6. Data privacy notice
    1. How we use your data
    2. Research news

Search the University Hospitals of Derby and Burton NHS website

Advanced options
  1. Now viewing:
  2. Home
  3. / Work and learn
  4. / Training and education
  5. / Lead Employer Radiology
  6. / Forms and templates

Forms and templates

Below are some useful forms that you can access;

  • Download additional payments sheet [xlsx] 540KB
  • Download deductions Spreadsheet.[xls] 28KB
  • Download LE Relocation Expenses Claim Form June 2021 [pdf] (opens in new window) 646KB

Related pages

  1. Lead Employer Radiology
    1. About Lead Employer Radiology
    2. How does the Lead Employer Model work?
    3. Welcome to the Lead Employer – New Starters
    4. Lead Employer – Host Trust Information
    5. Guidance for Trainees and Host Trusts & Workplace Policies
    6. Health and Wellbeing and Staff Benefits
    7. Leave, Relocation and Claiming Expenses
    8. Additional payments
    9. Changing base hospital
    10. Payroll cut off dates & accessing ESR & the EASY expenses system
    11. Encrypted emails
    12. Forms and templates
    13. Lead Employer - workplace policies
    14. Contact us

Join us on social media

 

  1. Facebook
  2. YouTube
  3. Twitter

 

 

University Hospitals of Derby and Burton NHS Foundation Trust

Uttoxeter Road
DERBY
DE22 3NE

Main switchboard: 01332 340 131

 

 

 

Quick links

  1. About us
  2. Accessibility statement
  3. Privacy, Cookies and Disclaimer
  4. Site map

UHDB NHS Foundation Trust © 2024

Powered by VerseOne Group Ltd

We have placed cookies on your computer to help make this website better. You can at any time read our cookie policy. Otherwise, we will assume that you're OK to continue.

Please choose a setting: