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The Official Bit – Worker Declaration Form

James Mawby

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The Official Bit – Worker Declaration Form

 

At the AA we are really passionate about providing the best service we can for our customers and members. We are regulated by the Financial Services Authority (FSA) and this means that we need to check your criminal and financial history.
We need to conduct credit checks and DBS (Disclosure Barring Service formerly the Criminal Records Agency) checks. Please be honest in your answers to the questions below as if you fail to declare something to us at this stage it could mean that you won’t be able to work on behalf of us. If you are not sure about whether you should or shouldn't declare something please do give us a call. You can speak in confidence to one of our HR team by calling 0800 5877 877. This website contains useful information too http://www.justice.gov.uk/offenders/rehabilitation-of-offenders-act.
Some motoring offences will appear on a DBS check so please be honest when answering the questions below.
If the answer is ‘yes’ to any of these questions then it is important that you also provide additional information in the box below.

Have you ever been convicted of a criminal or motoring offence that is not spent under the Rehabilitation of Offenders Act 1974?

Have you ever been cautioned for a criminal offence?

Have you any court hearings pending?

Have you been, or are you currently, the subject of any civil proceedings that may lead to County Court Judgements (CCJ) or other judgement debts?



Are you, or have you ever been, the subject of any bankruptcy proceedings?



Have you ever entered into an Individual Voluntary Arrangement (IVA) in favour of your creditors or are you planning to do so?



Additional Information
If you have answered ‘yes’ to any of the questions above, or there is any other information you wish to give, please provide details below. Relevant documents must be provided such as evidence of the settlement of County Court Judgements.

I confirm that the information I have completed is accurate to the best of my knowledge and belief.

I authorise the AA to make any enquiries / seek further information as necessary to verify the information given in this form during the job application stage and at any time throughout my assignment with the Company.

Full Name:

Date of Birth:

Current Address:

Please note that if we discover that you have knowingly declared false information in this form, we reserve the right to terminate your assignment.

Please Review & Sign This Document

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The Official Bit – Worker Declaration Form

James Mawby

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