Contents
Welcome from the Chief Executive Officer
Essential Documentation:
1.
DBS List of Documentation
2.
Right to Work List of acceptable documents
3.
Employee Information Questionnaire
4.
Health Declaration Form
5.
Bank, Tax and Essential Information Form
Dear Colleague,
Congratulations, and welcome to the Omega Multi Academy Trust!
We are delighted to confirm your appointment and look forward to working with you.
Please find enclosed all the relevant documentation you will need to complete prior to starting your new role
at Alsop High School.
Please refer to your offer letter for details on how to provide documents and your named HR Officer contact
for this appointment. If you have any questions, please contact them in the first instance.
I wish you every success in your new role with us here at the Trust.
Yours sincerely,
Jon Wright
Chief Executive Officer
Omega Multi-Academy Trust
Essential Documentation
The documents enclosed are as follows:
1. DBS List of Documentation – This is a list of all the acceptable documentation that you can
provide to complete your DBS check. As a Trust we aim to follow the DBS Route one, so please
can you try and provide documents from this route. If for any reason you are unable to do
this then please contact your named HR Officer for further advice.
2. Right to Work List of acceptable documents – This is a list of all the acceptable documentation
that you can provide to complete this check. If for any reason you are unable to do this then
please contact your named HR Officer for further advice.
3. Employee Personal Information Questionnaire – Please complete all this information.
4. Health Declaration Form – Please complete this form and provide as much information as you
can if you have a medical condition you need to inform us about.
5. Bank, Tax and Essential Information Form – Please complete this form. There must be an
original signature on this document, electronic signatures cannot be accepted.
1. DBS List of Documentation
In order to undertake this essential pre-employment check, it is necessary to see 3 original documents which prove your
identity and current home address.
The documents required depend on the route the application takes. You must always try to provide documents from
Route 1 first.
Route 1
You MUST be able to show:
1 document from Group 1, below
2 further documents from either Group 1, or Group2a, or 2b, below
At least one of the documents must show your FULL name and current address.
Where any documents are in a different name to your current name i.e. due to marriage, then a marriage certificate or
proof of name change deed MUST also be provided.
Route 2
If you don’t have any of the documents in Group 1, then you must be able to show:
1 document from Group 2a PLUS
2 further documents from either Group 2a or Group 2b
At least one of the documents must show the applicant's current address
You MUST inform the HR Officer ASAP if you are unable to provide the necessary documentation to fulfil Route 1 or
Route 2, prior to moving to Route 3.
Route 3
This Route will only be used in circumstances once it has been fully explored with you why your identity has not been
validated following either Route 1 or Route 2. This will include holding a probing discussion with you about the likely
reasons why your identity has not been validated.
For Route 3 you must be able to show:


-
A certified copy of a UK birth certificate; PLUS
4 further documents from Group 2 comprising of:
1 document from Group 2a; and
3 further documents from Group 2a or 2b; one of which must verify your current address
GROUP 1 – Primary Trusted Identity Credentials
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Valid Passport
Valid Current UK Photocard * Driving Licence (Full or Provisional)
UK or Channel Islands Birth Certificate (issued up to 12 months after birth)
Biometric Residence Permit (UK)
GROUP 2a – Trusted Government/State Issued Documents
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Valid Current UK Driving Licence, Old Paper Style
Current Non UK Photo Driving Licence (can be used up to 12 months from the date the applicant entered the UK.
Please note - This document may still be used to verify the identity for individuals prior to arriving in the UK)
UK or Channel Islands Birth Certificate (Issued 12 months or more after the Birth) by the General Register
Office/relevant authority, i.e. Registrars
Marriage / Civil Partnership Certificate (UK & Channel Islands)
Adoption Certificate (UK & Channel Islands)
HM Forces ID Card (UK)
Fire Arms Licence (UK & Channel Islands)
GROUP 2b – Financial/Social History Documents
(Following documentation should be less than 3 months old)
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Bank/Building Society Statement
Credit Card Statement
Utility Bill – electricity, gas, water & telephone (mobile telephone bill not included)
Benefit Statement – e.g. Child Allowance, Pension
A document from Central/ Local Government/Government Agency/ Local Authority giving entitlement (UK) e.g.
from the Department for Work and Pensions, the Employment Service, Customs & Revenue, Job Centre, Job
Centre Plus, Social Security
(Following documentation should be issued within the past 12 months)
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Mortgage Statement
Financial Statement e.g. pension, endowment
P45/P60 (UK & Channel Islands)
Council Tax Statement (UK & Channel Islands)
Following documentation can be more than 12 months old bust MUST still be valid
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EU National ID Card
Cards carrying the PASS accreditation logo (UK & Channel Islands)
Letter of Sponsorship from the future employment provider (Non-UK/Non-EEA only – valid only for applicants
residing outside of the UK at time of application)
Letter from the Head Teacher or College Principal (16/19 year olds in full time education) – only used in exceptional
circumstances when all other documents have been exhausted) must be UK only.
2. Right to Work List of Acceptable Documents
In order to undertake this essential pre-employment check, you must provide one of the documents or combinations of
documents in List A or List B below as proof that you are allowed to work in the UK.
Please note, we can only accept original documents, unless told otherwise in your offer letter.
Acceptable Documents List A
These documents show that the holder is not subject to immigration control, or has no restrictions on their stay, so
they have an ongoing right to work in the UK.

A passport showing the holder is a British citizen or a citizen of the UK and colonies having the right of abode in
the UK.

A passport or national identity card showing that the holder is a national of an EEA country or Switzerland.

A residence permit, registration certificate or document certifying or indicating permanent residence issued by
the Home Office to a national of an EEA country or Switzerland.

A permanent residence card issued by the Home Office to a family member of a national of an EEA country or
Switzerland.

A Biometric Residence Permit issued by the Home Office to the holder indicating that they are allowed to stay
indefinitely in the UK or have no time limit on their stay in the UK.

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 have no time limit on their stay in the
UK.
If you do not have one of the above documents, one of the documents below can be accepted provided that it is
produced in combination with an official document issued by a government agency or a previous employer giving
your name and permanent national insurance number.

An Immigration Status Document issued by the Home Office to the holder with an endorsement indicating that
the person named in it is allowed to stay indefinitely in the UK or has no time limit on their stay in the UK.

A full birth or adoption certificate issued in the UK stating the name(s) of at least one of the holder’s parents.

A birth or adoption certificate issued in the Channel Islands, the Isle of Man or Ireland.

Certificate of registration or naturalisation as a British Citizen.

A letter issued to the holder by the Home Office indicating that the person is allowed to stay indefinitely in the
UK.
If you do not have any of the above documents, we can accept one of the documents from the list below.
Acceptable Documents List B
These documents show that the holder has been granted leave or to enter or to remain in the UK from a limited
period of time and, or, has restrictions on their right to work.

A passport or travel document endorsed to show that the holder is allowed to stay in the UK and is allowed to
do the work in question.

A Biometric Residence Permit issued by the Home Office to the holder indicating that they can stay in the UK
and are allowed to do the work offered.

A residence card or document issued by the Home Office to a family member of a national of an EEA country or
Switzerland.

A work permit or other approval to work issued by the Home Office together with either a passport or travel
document showing the holder is allowed to stay in the UK and to do work or a letter issued by the Home Office
confirming the same.

A Certificate of Application less than 6 months old issued by the Home Office to or for the family member of a
national of an EEA country or Switzerland stating that they are allowed to work together with a positive
verification letter from the Home Office’s Employer Checking Service.

An Application Registration Card issued by the Home Office indicating that they are allowed to work, together
with a positive verification letter from the Home Office’s Employer Checking Service.

An Immigration Status Document issued by the Home Office indicating that they can stay in the UK and are
allowed to do the type of work together with an official document issued by a previous employer or
Government agency with the name and National Insurance number.
3. Employee Personal Information Questionnaire
If you consider any question to be not applicable or inappropriate to you then simply leave it blank.
Your name
Forename:
Middle Name(s):
Surname:
SAM
RORY GRAHAM
RICHMOND
If you use a preferred name (a name by which you are normally known that is not shown above) then please write this
here.
Preferred Name:
If you have ever changed your name either by marriage or for another reason, then please write your maiden name or
previous name(s) here.
Previous name(s):
Your Address
Please write your full, correct postal address here:
11 Poplar street
SK4 3DG
Stockport
Your Phone Numbers
Home Phone Number:
Mobile Number:
N/A
07419311220
Personal Email Address
Your personal email address will only be used in exceptional circumstances, when all other methods of contact have
been exhausted.
Personal Email Address:
samrichmond11061997@gmail.com
Equality Information
The Equality Information supplied on this form will be processed in accordance with the requirements of the Data
Protection Act 2018.
Under the Trust’s commitment to promote equality of opportunity the information you provide us with, including your
identity where necessary, may be linked to other data we collect in order for the results to be analysed.
At all times, it will be treated as confidential and used only for the purpose of Equality Monitoring.
What is your Gender?
Male
What is your ethnic group?
Please put a cross next to the correct selection form the list below.
White, British
White, Irish
Asian or Asian British,
Bangladeshi
Asian or Asian British, Any other
Asian background
Chinese
Asian or Asian British, Indian
White, any other White
Background
Asian or Asian British, Pakistani
Black or Black British, African
Black or Black British, Caribbean
Mixed White and Asian
Mixed, White and Black African
Mixed, White and Black
Caribbean
Mixed, any other mixed
background
Any other ethnic background
Your Next of Kin / Emergency Contact
Forename:
Harriet
Surname:
Challis
Address:
11 Poplar street SK43DG
What is their relationship to you?
Partner
Home Phone number:
Work Phone number:
Mobile Phone number:
07703354604
Membership of Professional Bodies
If you are a member of a Professional Body or organisation that is related to your trade or profession then please
complete this section. Such an organisation might, for example, set, promote, and maintain professional standards
within a particular industry or profession. Generally, you will have completed training or obtained a formal qualification
in order to become a member of such an organisation.
Name of the Professional Body or Trade Organisation and level of membership:
Declaration
The information which you have supplied will be processed in accordance with the relevant provisions of the Data
Protection Act 2018 to enable the Trust to fulfill its lawful/statutory functions and for pursuing the legitimate interests
of the Trust for the purposes of employment related matters and the provision of workforce monitoring statistics.
Please sign and date below to confirm.
I acknowledge that the information which I have provided to the School will be used for the purposes stated and give
my consent to such use.
Signed:
Sam Richmond
Date:
17/04/2021
4. Health Declaration Form
The purpose of this form is to see whether you have any health problems that could affect your ability to undertake the
duties of the post you have been offered, or place you at any risk in the workplace. The company’s occupational health
advice (OHS) can then advise management how to adjust your work and/or work environment accordingly.
Please put a cross next to the statement A or B that you think applies to you and sign and date the declaration.
Either:
A. I am not aware of any health condition or disability, which might impair my ability to undertake effectively the
essential functions of the position which I have been offered.
Xx
Or:
xx
xx
B. I do have a health condition or disability, which might affect my work and which might require special
adjustments to my work and/or my work environment.
Declaration:
I consent to providing this information and declare to the best of my knowledge and belief that the answers to the
questions above are complete and accurate.
Signed:
Date:
Sam Richmond
17/04/2021
If you ticked A
HR will keep this form on file and no referral to Occupational Health will be necessary.
If you ticked B
You may be referred to Occupational Health for a consultation so that HR can establish if any adjustments need to be
made to your work and/or working environment. A member of HR will be in contact with you with regards to this.
5. Bank, Tax and Essential Information
Please complete in Block Capitals. This must be printed and signed, electronic signatures will not be accepted. This is to
be detached by HR and passed onto payroll for payment.
Part 1 – Personal Details
Surname
RICHMOND
Forename SAM
NI Number
PC095680A
Job Title
LUNCH DUTY
Date of birth
11/06/1997
School
GREAT SANKEY HIGH SCHOOL
Part 2 – Bank/Building Society Details
Branch Sort Code (6 digits)
Account Number (8 digits)
Building Society Roll Number (max. 18 digits)
Bank/Building Society Name
0
6
1
1
0
6
9
8
6
1
9
2
6
9
Natwest
Please pay my net pay into my bank/building society account as detailed above.
Signed:
Date:
All salaries are paid via BACS transfer. Failure to provide valid bank details will delay payment of your salary.
Part 3 – Student Loans
Please tick the appropriate box if you left a course of Higher Education before last 6 April and received your first Student
Loan instalment on or after September 1998 and you have not fully repaid your Student Loan. If you are required to
repay your Student Loan through your bank or building society, do not tick any box.
Loan taken out before September 2012
Loan taken out after September 2012
Continued overleaf
X
Part 4 – P45/46 Details
This section must be completed in order for you to be taxed correctly.
Question 1
Are you in receipt of a P45 from your previous employer?
Yes
No
If ‘Yes’, attach Parts 2 and 3 of the P45 to this form. DO NOT answer Questions 2 or 3.
X
If ‘No’, please answer both Question 2 and 3
Question 2
Will you be providing a P45 within the next few weeks?
Yes
No
If ‘Yes’, send Parts 2 and 3 of the P45 to HR upon receipt. Answer Question 3.
X
If ‘No’, please Question 3
Question 3
Of the 3 statements below, please tick the ONE that applies to you
This is my first job since 6 April and I have not received taxable Jobseeker's Allowance, Employment and Support
Allowance, Incapacity Benefit, or a State Pension or workplace pension.
X
X
Or
X
X
This is now my only job, but since 6 April I have had another job, or I have received taxable Jobseeker's Allowance,
Employment and Support Allowance or Incapacity Benefit. I do not receive a State Pension or workplace pension.
Or
I have another job or receive a State Pension or workplace pension.
Part 5 – Emergency Contact
Forename:
Harriet
Surname:
Address:
Challis
11 Poplar street SK4 3DG
What is their relationship to you?
Partner
Home Phone number:
Work Phone number:
Mobile Phone number:
07703354604
Part 6 – Additional Information
Gender (Please tick as appropriate)
Male
Female
x
Other
Prefer not to say
Marital Status (Please tick as appropriate)
Single
x Separated
Married
Widowed
Divorced
Civil Partnership
Prefer not to say
Sexual Orientation (Please tick as appropriate)
Heterosexual/straight
x Bisexual
Gay woman/lesbian
Other
Gay man
Prefer not to say
Ethnicity (Please tick as appropriate)
White British
x White Gypsy
White/Black African
White Irish
White/Back Asian
African
Pakistani
Caribbean
Other White Background
Other Mixed Background
Other Black Background
Prefer not to say
Nationality (Please tick as appropriate)
British
x Indian
Chinese
Iranian
Georgian
Irish
White/Black Caribbean
Bangladeshi
Chinese
Indian
Other Asian Background
Pakistani
Polish
Other
Religion (Please tick as appropriate)
Christian
Hindu
Muslim
Buddhist
Jewish
Sikh
Other
No Religion
Employee Services use only
Form actioned by:
Date:
Tax code applied:
Bank details confirmed and added:
x