Casual Worker Declaration

Secure Information Gateway

CASUAL WORKER DECLARATION

Governing Data Exchange

Reference / Works No. (If unknown, leave blank)

Title *

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Phone *

Email *

Date of Birth *//

National Insurance Number *

Employer - Company Name *

Job Title

Employment Status *

Casual Worker (non contract status)

I understand that by ticking the above box, all work carried out is on a variable basis.

Tax Status *

My annual earnings are within the current tax year, tax free allowance theshold.

I understand that by ticking the above box, I am confirming my annual earnings from all current employments are not liable to taxation as they are below the current UK tax threshold.

As per GDPR regulations, I understand that by ticking the box below, I am providing consent to allow my information to be held on file *

I provide consent

Signature *

Any Additional Information

Comment

Secure Information Gateway

CASUAL WORKER DECLARATION

Lets get connected . . . . .