VERIFICATION OF PERMISSION TO WORK IN THE UK – to be completed by

all staff
Do you have any of the documents listed below Yes

LIST 1 – Any One of the following documents:

A. A passport or ID card issued under the ID Cards Act 2006 showing that you are
a British Citizen, or have the right of abode in the UK
B. A national passport or national identity card or ID Card issued under the ID
Cards Act 2006 showing that you are a national of an EEA country or Switzerland
C. A residence permit, registration certificate or document certifying or indicating
permanent residence issued by the Home Office or the UK Border Agency to a national of
an EEA country or Switzerland.
D. A permanent residence card issued by the Home Office or the UK Border
Agency to the family member of a national of an EEA country or Switzerland.
E. A Biometric Immigration Document issued by the UK Border Agency to the
holder that indicates that the person named in it is allowed to stay indefinitely in the UK, or
has no time limit on his or her stay in the UK.
F.A passport or other travel document endorsed to show that the holder is exempt from
immigration control, is allowed to stay indefinitely in the UK, has the right of abode in the
UK, or has no time limit on his or her stay in the UK.
G. A full birth certificate issued in the UK which includes the names of at least one
of the holder’s parents and a document giving a permanent National Insurance Number,
e.g. P45, P46, NI card or a letter from a government agency.
H. A full birth certificate issued in the Channel Islands, the Isle of Man or Ireland,
which includes the names of at least one of the holder’s parents and a document giving a
permanent National Insurance Number, e.g. P45, P46, NI card or a letter from a
government agency or previous employer;
I. A certificate of registration or naturalisation stating that the holder is a British Citizen
and a document giving a permanent National Insurance Number, e.g. P45, P46, NI card
or a letter from a government agency or previous employer;
J. A full adoption certificate issued in the UK, Channel Islands, the Isle of Man or Ireland
that includes the name(s) of at least one of the holder's adoptive parents when produced
in combination with an official document giving the person's permanent national insurance
number and his or her name issued by a government agency or a previous employer.

The EEA includes: Austria, Belgium, Cyprus, Czech Republic, Denmark, Estonia, Finland,
France, Germany, Greece, Hungary, Iceland, Ireland, Italy, Latvia, Liechtenstein, Lithuania,
Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Slovakia, Slovenia, Spain, Sweden
and the United Kingdom.

If NO we will need to see documents from List 2.

If YES then you only need to complete the declaration.

LIST 2 – A combination of documents under this section is required. It must be a combination

First List
A. A document giving your permanent National Insurance (NI) Number and name e.g. a
P45, P60, NI number card, or a letter from a Government agency.

Do you have the above document Yes p No p

If you have answered NO to both the above you will need to contact the Home Office and/or the
Department of Employment for advice and seek permission to work in the UK. If you have
answered YES please continue.

Plus one from this Second List: -

February 2010
 A. A Biometric Immigration Document issued by the UK Border Agency to the holder that
indicates that the person named in it can stay in the UK and is allowed to do the work in
question.
B. A work permit or other approval to take employment issued by the Home Office or the
UK Border Agency when produced in combination with either a passport or another
travel document endorsed to show the holder is allowed to stay in the UK and is allowed
to do the work in question, or a letter issued by the Home Office or the UK Border
Agency to the holder or the employer or prospective employer confirming the same.
C. A certificate of application issued by the Home Office or the UK Border Agency to or for
a family member of a national of an EEA country or Switzerland stating that the holder
is permitted to take employment that is less than six months old when produced in
combination with evidence of verification by the UK Border Agency Employer Checking
Service.
D. A residence card or document issued by the Home Office or the UK Border Agency to a
family member of a national of an EEA country or Switzerland.
E. An Application Registration Card issued by the Home Office or the UK Border Agency
stating that the holder is permitted to take employment, when produced in combination
with evidence of verification by the UK Border Agency Employer Checking Service.
F. An Immigration Status Document issued by the Home Office or the UK Border Agency
to the holder with an endorsement indicating that the person named in it can stay in the
UK, and is allowed to do the type of work in question, when produced in combination
with an official document giving the person's permanent national insurance number and
his or her name issued by a government agency or a previous employer.
G. A letter issued by the Home Office or the UK Border Agency to the holder or the
employer or prospective employer that indicates that the person named in it can stay in
the UK and is allowed to do the work in question when produced in combination with an
official document giving the person's permanent national insurance number and his or
her name issued by a government agency or a previous employer.

Do you have any of the above documents Yes p No p if Yes state which category __

-------------------------------------------------------------------------------------------------------------------------------
DECLARATION BY APPLICANT

I confirm that I am legally resident in the U.K. and have permission to work.

My National Insurance Number is:

Signed N.Gomersall Date 12/07/10

NAME (Please Print) NATALIE GOMERSALL

DECLARATION BY RECRUITING MANAGER

I have seen the documents as required in the above schedules.

Applicant’s date of birth: __________________ Document(s) used to verify: _____________

Signed: ______________________________ Date: ___________________________

Please ensure you copy, sign, date and file the documents you have used to verify. If
documents from List 2 have been used these must be checked on a 12 monthly basis. People
from Czech Republic, Estonia, Hungary, Latvia, Lithuania, Poland, Slovakia or Slovenia need to
register with the UK Borders Agency under the Workers Registration Scheme if they have less
than 12 months continuous service working in the UK (see Right to Work in the UK Procedure
for details)

(Copies of passports must include the front cover, personal details page and any immigration
stamps / work permits. Passports and other identity documents must be valid)

February 2010