Written
Statement of employment particulars Notes
for completion of form
Insert:
P1 You
P1:
1 Name
of employee
began
employment with
2 Name
of employer
on
3 Date
employment started
P2 *a. Your
previous employment with
P2:
* delete (a) or (b) as appropriate
4 Name
of previous employer or employers
does
count as part of your period of continuous employment which
therefore began on
5 Date
period of continuous employment commenced
or
*b. Your
previous employment does not count as part of your
period of continuous employment
P3 a. You
are employed as
P3:
(complete (a) or (b), delete the other)
6 Job
title
or or
b. A
brief description of the work for which you are employed is:
7 Brief
work description
P4 a. Your
place of work is
P4:
(complete (a) or (b), delete the other)
8 Address
of workplace
b. You
are *required/permitted to work at the following places
or
* delete as appropriate
9 Give
details
and the
address of your employer is
10 Address
of employer
P5 Your
pay will be
P5:
11 Particulars
of scale or rate of renumeration, or of the method of calculating
remuneration
P6 You will
be paid
P6:
12 Particulars
of intervals at which remuneration is to be paid
P7 Your
hours of work are
P7:
13 Particulars
(see note above) - including details of any normal working
hours
P8 Your
holiday entitlement is
P8:
14 Particulars
(see note above) - including entitlement to holiday pay and
public holidays. You must give enough information to
enable entitlement, including accrued holiday pay on termination,
to be precisely calculated.
P9 a. In
case of incapacity to work
P9:
(complete (a) or (b), delete the other)
15 Terms
and conditions relating to sickness or injury and any provision
for sick pay
or b. Particulars
of any terms and conditions relating to incapacity to work
due to sickness or injury, including any provision for sick
pay, can be found in
or
16 Refer
to provisions of some other document which the employee has
reasonable opportunities of reading in the course of his or
her employment or which is made reasonably accessible to him
or her in some other way
P10 a. Particulars
of pensions and pension schemes are
P10:
(complete (a) or (b), delete the other)
17 Particulars
or b. Particulars
of terms and conditions relating to pensions and pension schemes,
can be found in
or
18 Refer
to provisions of some other document which the employee has
reasonable opportunities of reading in the course of his or
her employment or which is made reasonably accessible to him
or her in some other way
P11 a. The
amount of notice of termination of your employment you are
entitled to receive is
P11:
(complete (a) or (b), delete the other)
19 Period
of notice
The amount
of notice you are required to give is
20 Period
of notice
or b. Particulars
of the amount of notice of termination of your employment
you are entitled to receive and are required to give are given
in
or
21 Refer
to relevant legislation or the provisions of any collective
agreement directly affecting the terms and conditions of the
employment, which the employee has reasonable opportunities
of reading in the course of his or her employment or which
is made reasonably accessible to him or her in some other
way
P12 a. Your
employment is permanent - subject to 11 above, to general
rights of termination under the law and to the following
P12:
(complete (a) or (b), delete the other)
22 Details
of any other rights of termination
or b. Your
employment is for a fixed term and expires on
or
23 Date
or c. Your
employment is temporary and is expected to continue for
or
24 Period
of likely duration
This
should only be used as an indication of the likely duration
P13 The collective
agreements which directly affect the terms and conditions
of your employment are
P13:
25 Details
identifying the relevant agreements and indicating, where
the employer is not a party, the persons by whom they were
made
P14 *a. You
are not expected to work outside the UK (for more than one
month)
P14:
* delete (a) or (b) as appropriate
or *b. You
will be required to work in
or
27 Details
of work location outside the UK
for
28 Period
of work outside UK, where more than one month
You
will be paid in
29 Currency
and will
be entitled to
30 Details
of any additional remuneration payable to the employee, and
any benefits to be provided, because he/she is required to
work outside the UK
The terms
relating to your return to the UK are
31 Details
P15 a. The
disciplinary rules which apply to you are
P15:
(complete (a) or (b), delete the other)
32 An
explanation of the rules
or b. The
disciplinary rules which apply to you can be found in
or
33 Refer
to provisions of some other document which the employee has
reasonable opportunities of reading in the course of his or
her employment or which is made reasonably accessible to him
or her in some other way
P16 If you
are dissatisfied with any disciplinary decision which affects
you, you should apply in the first instance to
P16:
34 Name
of person application should be made to, or position held
(eg supervisor)
P17 You should
make your application by
P17:
35 Explain
how applications should be made
P18 If you
have a grievance about your employment you should apply in
the first instance to
P18:
36 Name
of person grievance should be raised with, or position held
(eg personnel officer)
P19 You should
make your application by
P19:
37 Explain
how grievances are to be raised
P20 a. Subsequent
steps in the firm's disciplinary and grievance procedures
are
P20:
(complete (a) or (b), delete the other)
38 An
explanation of the steps
or b. Subsequent
steps in the firm's disciplinary and grievance procedures
are set out in
or
39 Refer
to provisions of some other document which the employee has
reasonable opportunities of reading in the course of his or
her employment or which is made reasonably accessible to him
or her in some other way
P21 A contracting-out
certificate under the Pensions Schemes Act 1993 *is/is
not in force for the employment this statement is being
issued for
* delete
as appropriate
