For completion by proof of right-to-work document-checker
I confirm that:
 I have had sight of the original document(s) and the individual.
 I have checked that the date of birth and photograph in document(s) correspond with the individuals
appearance.
 I have checked that the document(s) appears to be valid, genuine, not tampered with and belongs to the
individual.
 I am satisfied that the document(s) are sufficient proof of right-to-work for the work being undertaken.
Name:…………………………………………
Signature:……………………………………
Date:…………………………………………..
Time:………………………………………….
May 2015 DB/JSH
Place Passport / Biometric card roughly under this area to photocopy under the declaration
May 2015 DB/JSH