Request care staff

Tell us about the carers, support workers, nurses or social care staff you need, and we'll confirm availability and next steps quickly.

Organisation / Care provider name *

Contact name *

Job title

Email *

Phone *

Service address / postcode *

Setting type *

Role(s) required *

Number of staff *

Start date *

End date or ongoing

Shift pattern

Shift times

Requirements

Additional notes

Terms agreement *

I have read and agree to the KACD Limited (London Recruitment Agency) Terms of Business for the Supply of Temporary Workers

Signature (type your full name) *

Typing your full name here acts as your signature on this request.

Signed by (full name) *

Date signed *

GDPR consent *

I consent to London Recruitment Agency (KACD Limited) storing and processing the information in this form to handle my staff request, in line with the Data Protection & Privacy Statement.