Organisation Registration

Organisation Registration Form

Organisation Name*

Address*

Street Address

Street Address Line 2

City / TownCounty

Post CodeCountry

Website

Phone Number*

Area CodePhone Number

CQC Registration Number

CEO / Managing Director*

First NameLast Name

Administrator for Account*

First NameLast Name

Admin Email*

This is the email address you will initially need to access the organisation dashboard

Organisation size

This should primarily be the number of staff who would fall under regulation with the HPAC.

What is your declared Banding based on industry related turnover*

Band A (turnover up to £500k)Band B (turnover £500k - £2m)Band C (turnover £2m - £5m)Band D (turnover £5m plus)

Band	Turnover	Annual Access Fee	Monthly Access Fee
A	up to £500k	£585	£59.50
B	£500k – £2m	£995	£99.50
C	£2m – £5m	£1,760	£179.50
D	£5m plus	£2,930	£299.50

Band	Turnover	Annual Access Fee	Monthly Access Fee
A	up to £500k	£585	£59.50
B	£500k – £2m	£995	£99.50
C	£2m – £5m	£1,760	£179.50
D	£5m plus	£2,930	£299.50

Band	Turnover	Annual Access Fee	Monthly Access Fee
A	up to £500k	£585	£59.50
B	£500k – £2m	£995	£99.50
C	£2m – £5m	£1,760	£179.50
D	£5m plus	£2,930	£299.50

Band	Turnover	Annual Access Fee	Monthly Access Fee
A	up to £500k	£585	£59.50
B	£500k – £2m	£995	£99.50
C	£2m – £5m	£1,760	£179.50
D	£5m plus	£2,930	£299.50

Company Number

If registered with Companies House

How would you like to pay*

YearlyMonthly

Access is billed annually or *monthly based on your preference. You can cancel the renewal at any time before the billing date.

If you require any assistance please email org.registration@hpac-uk.org

* Monthly plans accrue higher costs over a 12-month period compared to annual plans

Would you like the link to download the HPAC logo for your website and/or other areas of use?*

YesNo

HPAC Registered