Skip to content

Forms and templates

Home - Company logo
Menu
Accessibility
  1. Site map
  2. Skip to content
  3. Cookie Policy
  4. Accessibility
  1. Contrast:
  1. Home
    1. Learning Disability and Neurodiversity
    2. Amputee Rehabilitation Centre (ARC) and lower limb prosthetics
    1. Acute Pain at Royal Derby Hospital
    2. 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…
    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) screening
    1. Clinical genetics
    2. Pain Management department
    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. New staff uniforms
      6. 'Virtual visiting' service
    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. Cancer of unknown primary (CUP)
      6. Familial cancer
      7. View all in this section…
    2. Emergency Departments
      1. About our emergency departments
      2. Blood borne virus (BBV) screening
      3. In an emergency
      4. Emergency department at Royal Derby Hospital
      5. Emergency department at Queen's Hospital Burton
      6. Childrens emergency department at Royal Derby Hospital
      7. View all in this section…
    1. Maternity
      1. Urgent maternity care
      2. Your pregnancy journey
      3. Choosing your place of birth and labour
      4. After baby is born
      5. Maternity patient information leaflets
      6. Badger Notes
    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 St Oswald's Hospital
      2. Getting to Long Eaton Health Centre
      3. Getting to Heanor Memorial Health Centre
      4. Getting to Ilkeston Community Hospital
      5. Getting to Ripley Community Hospital
  5. Work and learn
    1. Job opportunities at UHDB
      1. Dates for your diary
      2. Apply for a job at UHDB
      3. Recruitment process
      4. Temporary staffing (our bank)
      5. Volunteering
      6. Apprenticeships
      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 Trust
      1. Our organisation, strategy, and values
      2. Policies, procedures and clinical guidelines hub
      3. Trust reports
      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
    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. Privacy, Cookies and Disclaimer
      2. Declarations of Interest
      3. Inclusion and belonging
      4. Freedom of Information (FOI)
      5. Health records and subject access requests (SARs)
      6. Information Governance
    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 Relocation Expenses Claim Form [pdf] 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, host trusts, and workplace policies
    6. Additional payments
    7. Leave, relocation and claiming expenses
    8. Payroll cut off dates, accessing ESR, and the EASY expenses system
    9. Forms and templates
    10. Lead Employer - workplace policies
    11. Contact Lead Employer Radiology team

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 © 2025

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: