Proxy Payment Card Request

Applying for a proxy payment card

Thank you for applying for a proxy payment card, which we hope supports with the smooth running of your MP’s office.

Before you proceed with your application please carefully read and accept the conditions associated with having a proxy payment card.

We will also direct you to a web page where, if you have not done so already, you can book onto one of the training sessions that are a mandatory requirement for having the payment card. The training is designed to support you in your role as proxy, to ensure strict adherence to our regulations and, importantly, help safeguard your member against the avoidable adverse public scrutiny that is often a consequence of mistakes.

You will be asked to provide a number of personal details which will be shared with Barclaycard (the card supplier) in order to provide the service.

The form will then need to be signed and submitted electronically, which will then go to your Member for their approval.

Conditions for holding an IPSA payment card

The conditions of entitlement to a payment card are:
- The card must only be used to pay for costs which are allowed under the Scheme.
- The card must not be used for personal expenditure or for costs which are not allowed under the Scheme.
- Expenditure must be fully accounted-for promptly, by submitting evidence and making any repayments to IPSA by the deadline (the eighth of the month after the transactions are uploaded for reconciliation).
- The cardholder must not owe IPSA any money for payment card spending. If an MP’s office has payment card debt owed to IPSA (relating to the MP or proxy’s card) access to both payment cards may be suspended until the debt has been fully recovered or until a repayment plan via salary deductions has been agreed with the MP.
- The card must be kept safe and secure, and any potential fraud reported to Barclaycard immediately on 0800 008 008.
- The cardholder must sign an indemnity form agreeing to the conditions of use.
- An expenses proxy (A or B) must be registered with IPSA, have a contract of employment with the MP and paid via the IPSA payroll and the MP must authorise the proxy’s application for a payment card by signing the indemnity form.
- If the cardholder is a proxy, they must attend the Payment Card Policy webinar prior to applying for a payment card.
It is the MP’s responsibility that cardholders in their office meet these conditions. The MP will be liable for any money owed to IPSA originating from payment card use by cardholders in their office.
I understand and agree with Payment card conditions and wish to proceed

Agreed
I confirm I have completed the mandatory training

YesNo
Please note that you can still complete this form but we will only order you a payment card once we confirm you have attended the webinar.

Please book yourself onto the Proxy Payment Card webinar and complete this form once you have attended.

Title*
First name*
Middle names
Last name*
Resource ID*
This is the 6-digit number from IPSA Online
Date of birth*

DayMonthYear
You must be over 18
The resource ID is the 6-digit number from IPSA Online that starts with a 3.
Nationality*
Gender*
Mobile phone number*
Contact email address*
This should be your parliamentary email address where possible
Address line 1*
Town or city*
Post code*
Country*
Name of MP*
Please provide their full name
Constituency*
Autofill from dropdown
Please ensure you select your constituency from the list.
Cost_Centre
MP_Email_Address
example@example.com
Please digitally sign and select Submit form.
Signature*

Clear
Should be Empty:

Please digitally sign and select Submit form.