An official independent document linking you and/or you housekeeper to the declared address and issued/dated within the last six months or the current charging period (if annual), such as: House insurance policy UK Bank/Mortgage statement* HMRC statement Car insurance policy UK Building society statement* Tax Document, e.g. Life assurance statement Credit / debit card statement* Notice of coding Investment or pension statement Credit union statement* Tax assessment Current TV Licence Utility bill*, e.g. Council tenancy agreement Current UK Full driving licence Gas Housing Association tenancy Copy of electoral roll Electric agreement Council tax bill Water Notification of Benefits from a Government Agency, e.g. DWP, Landline phone JobCentre Plus, Local Authority * NOTE if multiple bank or payment statements, or utility bills are used, then they must be from different companies/suppliers. I.e. multiple bills for one person from the same company/supplier do not count as separate proofs of address. A document that shows both names (e.g. a house insurance policy) may be used as proof for both the employee and the housekeeper. There must still be 3 separate proofs of address in total for each person. What kind of documents are NOT acceptable? Examples only (not a complete list): Passport Medical appointment letter/card Store card account statement Payslips Mobile phone statement Membership statement e.g. library, gym P45 / P60 Broadband supply statement Court summons Junk mail Anything without an address on it SWEARING THE OATH: Who can witness this form? This form must be witnessed by, declared in front of and counter-signed by one of the following: A solicitor authorised to act as a Commissioner for Oaths and regulated by the Law Society A Notary Public (listed by the Notaries Society) A Magistrate A Commissioner for Oaths Any fees incurred in the creation of this Declaration must be by the Employee. This may include translation fees to satisfy the counter-signatory.
An official independent document linking you and/or you housekeeper to the declared address and issued/dated within the last six months or the current charging period (if annual), such as: House insurance policy Car insurance policy Life assurance statement Investment or pension statement Current TV Licence Current UK Full driving licence Copy of electoral roll Council tax bill UK Bank/Mortgage statement* UK Building society statement* Credit / debit card statement* Credit union statement* Utility bill*, e.g. Gas Electric Water Landline phone HMRC statement Tax Document, e.g. Notice of coding Tax assessment Council tenancy agreement Housing Association tenancy agreement Notification of Benefits from a Government Agency, e.g. DWP, JobCentre Plus, Local Authority * NOTE if multiple bank or payment statements, or utility bills are used, then they must be from different companies/suppliers. I.e. multiple bills for one person from the same company/supplier do not count as separate proofs of address. A document that shows both names (e.g. a house insurance policy) may be used as proof for both the employee and the housekeeper. There must still be 3 separate proofs of address in total for each person. What kind of documents are NOT acceptable? Examples only (not a complete list): Passport Payslips P45 / P60 Junk mail Medical appointment letter/card Mobile phone statement Broadband supply statement Store card account statement Membership statement e.g. library, gym Court summons Anything without an address on it SWEARING THE OATH: Who can witness this form? This form must be witnessed by, declared in front of and counter-signed by one of the following: A solicitor authorised to act as a Commissioner for Oaths and regulated by the Law Society A Notary Public (listed by the Notaries Society) A Magistrate A Commissioner for Oaths Any fees incurred in the creation of this Declaration must be by the Employee. This may include translation fees to satisfy the counter-signatory.
RST_XX06_Housekeeper.docx