Secondment In/External
For ESS/MSS Purposes Only
ESS_MSS 562 - V3 Nov 2019
Page 1 of 1
Revised 08/11/2019
ESS_MSS 562
This form is to be used to set up External Managers on SAP for ESS/MSS approval ONLY.
Please complete On Line, Print off, Sign and Scan to npr.hbs@hse.ie
1. Personal Information
Title Mr Mrs Ms Dr Prof.
Surname
First Name
Known as
Initials
Street Address
Town/City
County
Eircode
Country
Phone No
Mobile Phone No
Email address for ESS/MSS purposes* (Mandatory)
Former Name
Nationality
Gender Male Female
Date
of Birth
D
D
M
Y
Y
Y
Y
Civil Status Single Married Civil Partnership Widowed Divorced Separated Co-Habiting
PPS
Number
2. Declaration
I declare that the above information is accurate and correct on the date below. I undertake to notify the HSE of any changes to this information by
completing and submitting the appropriate form.
Signature
Date
D
D
M
M
Y
Y
Y
Y
Section 3 - 4 should be completed by Hiring Manager/Delegated Officer
3. Appointment Details Please select reason for Appointment
Employee Group: 5 - External
Employee Sub Group: 62 - Manager Self Service
Payroll Area: 99 (Non Payroll Relevant)
Contract: External
Position Number
Position Name
Personnel Area
Org Unit No.
4. Hiring Manager/Delegated Officer Declaration
I declare that the above information is accurate and correct. I confirm that the above employee commenced employment on the date stated above and
approve set up for ESS/MSS.
Signature
Date
D
D
M
M
Y
Y
Y
Y
Name (Print)
Grade
Contact Tel No
Decision Number (if applicable)
E-Mail Address
Start Date
D D M M Y Y Y Y
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