Bought-in services declaration

Bought-in service declaration

Please complete this declaration when claiming for bought-in services from third-party suppliers, confirming you have considered any real/perceived conflicts of interest and documented how these will be managed.Read guidance on this requirement.

A ‘bought-in service’ is any organisation or individual that you contract to supply services to your team such as communications or media development, admin support or professional consultancy work.

A ‘conflict of interest’ occurs where your personal or financial interests could compromise your decision-making about how you use IPSA funding.

Before you start, please read and carefully consider how your planned spending meets our regulatory principles.

Your details
Constituency*
Constituency Autofill
Name of MP*
Email address for receipt of this form*
Service provider details

Please provide details about the company providing the service.
Bought-in service category*
Select the category the service falls into
Start date of service provision*

DayMonthYear
Date
Is the provider an individual or company/organisation?*
Service provider name*
Name of the company providing the service
Address*

Street address

Street address line 2

Town/cityCounty

Post codeCountry
Company VAT number (if applicable)*
Company registration number*
Use the link below to perform a Companies House search:
https://find-and-update.company-information.service.gov.uk/
Service provider website address
Please provide supplier's main website address
Description of services being provided*
Are there any conflicts of Interest?*
Please provide details*
Declaration

Please confirm each statement by ticking the boxes provided and sign in the box below.

If you need any further guidance on Bought-in Services, please download and open the Scheme
I confirm that

The work produced by this service has a parliamentary purpose, as described by the Scheme.
The cost of this service offers good value for money and is affordable within my IPSA budget.
The service I am buying is not a replacement for employing staff within my staffing budget.
My decision to enter into this agreement is not influenced by any real and/or perceived conflicts of interest.
Signature*

Clear
Date Signed*

DayMonthYear
Should be Empty: