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CRM REGISTRATION FORM

Workplace Membership Registration Form

Disclaimer

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ERS Taxi Service Ltd provides transport coordination services for Deaf and disabled clients across the UK. We assist with arranging eligible journeys through third-party providers such as Uber and Addison Lee, including travel funded by Access to Work or Direct Payments.

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ERS Taxi Service Ltd is not a licensed transport operator. We do not own or operate vehicles. All transport is arranged via external providers, and we are not responsible for delays, cancellations, or conduct of third-party drivers.

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Register for ERS Taxi Service Ltd Please complete the registration form below to provide your contact details and authorise ERS Taxi Service Ltd to coordinate your transport and, where applicable, liaise with funders such as the DWP. Once submitted, you will be automatically directed to our booking page to schedule your initial Journey Planning Session.

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​Please note: You don’t need to pay anything yet. Once your booking form is completed, we will clarify how your journey will be funded. We look forward to helping with your travel.

 

Estimated time to complete: 5–7 minutes

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Who do you work for? Leave blank if self-employed as a sole trader.

Enter your current job title or role. If you're self-employed, you can enter 'Sole Trader' or your business function.

Title
Date of Birth
Day
Month
Year

We require your date of birth so we can communicate on your behalf with your signed consent letter, and to verify your identity in line with our GDPR obligations.

How do you intend to pay? (please select one):
What is your gender? (Optional — for registration purposes only)
What is your disability or condition?
I understand and accept that by submitting this form I am entering into a service agreement with ERS Taxi Service Ltd
I agree
I confirm that I have read and agree to the Privacy Policy and consent to the processing of my personal data as outlined below.
I agree
I understand that monthly invoices must be paid either personally or via Access to Work.
I agree

ERS Taxi Service Ltd is committed to protecting your personal data in accordance with the UK General Data Protection Regulation (UK GDPR) and the Data Protection Act 2018.


The information you provide will be used solely for advocacy purposes and will not be shared with any third party without your explicit consent, except where disclosure is required by law.


HOW WE USE YOUR DATA​​

  1. To assess and process your registration

  2. To contact you regarding your enquiry

  3. To provide advocacy services as requested

  4. To comply with legal and regulatory obligations

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IMPORTANT NOTICE

  1. Invoices are generated monthly.

  2. Accepted payment methods include Access to Work, Direct Payment, or Self-funding.

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