A template for a worker's 'written statement of employment particulars'. Free to use.
You can adapt this template, although certain details must be included.
Find out what a written statement must include
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You can also copy and paste the template text below into an email or document.
If you need the template in a different format, email digital@acas.org.uk
Template
This statement lists the terms and conditions ('particulars') of your employment with us as of [date] which are required to be given to you under the Employment Rights Act 1996.
1. Names of the worker and employer and the start date
You [name of worker] began working for [name of employer] on [date employment started].
2. Job title of a brief description of the job
[Use either job title or brief description of the job]
Job title
You'll be employed as [job title].
Brief description of the job
[Use either A or B]
A. A brief description of your work is [give details].
B. Your responsibilities are set out in the job description attached to this statement.
[Optional] Your job description may be amended by us and, in addition to duties set out in the job description, you may be required to undertake additional or other reasonable duties as necessary to meet the needs of our business.
3. Pay
Your pay will be [give terms of scale or rate of pay, or of the method of calculating pay].
You'll be paid [for example, daily, weekly, monthly].
4. Place of work
[Use either or both options]
A. Your normal place of work is [address].
B. You may be required to work at [details or address of other workplace].
[Optional] Working abroad
You may be required to travel outside of the UK for a total of up to [number of months] in any 12-month period.
[Note: if a worker may be required to travel abroad for longer than 1 month, use the relevant following options]
A. You'll be paid in [currency] while you're working outside the UK.
B. While you're working outside the UK, in addition to your pay, you'll be paid [give details of any additional pay or payments].
C. While you're working outside the UK, you'll be entitled to [give details of any additional benefits, for example use of a company vehicle].
D. The terms and conditions relating to your return to the UK are [terms and conditions].
5. Working hours
Your normal working days and hours are [working days and hours] with a daily [paid / unpaid] lunch break of [time / duration] [depending on pro rata hours agreed].
[Optional] Variable hours or days of work
Your [hours of work / days of work] may change. [Give details of how the worker's hours of work or days of work can vary and how, for example weekly or monthly].
6. Holiday entitlement
[Note: an employer must give enough information to make sure that entitlements, including accrued holiday pay on termination, can be precisely calculated.]
Your holiday entitlement is [give details].
7. Other benefits
[Use either A, B or C]
A. You’ll be entitled to [give details of additional benefits, for example health insurance, discounted gym or use of a company vehicle]. Your entitlement to these benefits will start [on your first day / after the completion of your probationary period].
B. You're also eligible for other benefits, as set out in our benefits policy, if you meet the qualifying criteria. Our benefits policy can change over time. The benefits policy is available from [HR / intranet / manager's name].
C. You're not entitled to any benefits other than those set out in this statement.
8. Absence and sick pay
If you're absent from work for any reason, you must inform [name of manager / HR] by [telephone / email] as soon as possible, but no later than [timescale].
For absence of 7 days or less, you can self-certify.
[Optional] On your return to work you must complete and return a self-certification form to your manager. This must be returned before the end of your first day back at work.
For absences of 7 days or more because of sickness or injury, you must get a fit note from a registered healthcare professional. This could be a:
- doctor
- nurse
- occupational therapist
- pharmacist
- physiotherapist
All sickness or injury absences will be added to your employment record.
Sick pay
[Use either or both options]
A. You may be entitled to get paid if you're not able to work due to sickness or injury ('incapacity'). [Give terms of pay as set out in statutory sick pay guidance or in your organisation's sick pay terms for workers].
B. You may be eligible for contractual sick pay. [Give terms of contractual sick pay].
9. Other paid leave
[Use A, B and C]
A. You may be eligible for statutory paid leave, including [give details].
[Note: the employer must give terms and conditions relating to statutory paid leave, including:
- maternity leave
- adoption leave
- paternity leave
- shared parental leave
- time off for dependants
- bereavement leave]
B. You may be eligible for additional paid leave, including [give details].
[Note: the employer must give terms and conditions relating to any additional paid leave, for example:
- compassionate leave
- sabbatical leave
- training and study leave]
C. Further information can be found in the respective policies, which are available from [HR / the intranet / manager's name].
10. Pension arrangements [can be provided later, but must be provided within 2 months of the start of employment]
[Use either A or B]
A. If you're eligible, we'll automatically enrol you into our occupational pension scheme in accordance with our obligations under Part 1 of the Pensions Act 2008. If you do not opt out of automatic enrolment, details of the scheme will be provided once you join.
Particulars of pensions and pension schemes are [give particulars].
B. Particulars of terms and conditions relating to pensions and pension schemes can be found [where the worker can find particulars].
11. Training
[Use any of the following options. Option A can be provided later, but must be provided within 2 months of the start of employment.]
A. We offer [for example, in-house and external] training and in some cases [for example, time off work to undertake training], subject to certain eligibility requirements and other conditions. Details of this training are set out in [where the worker can find details about training].
B. We require you to complete [compulsory training courses that the organisation will pay for, for example induction training]. We will pay for the cost of this training.
C. You're required to complete [compulsory training courses that the organisation will not cover the cost for] at your own expense.
12. Probationary period
[Use either A or B]
A. There is no probationary period.
B. There is a probationary period of [number of weeks or months] for new workers. During this time, your probationary period terms include [details of the terms].
13. Notice period
[Use A if a worker has different notice periods during and after their probationary period. Use B if the notice periods during and after probation are the same or if there is not a probationary period.]
A. During your probationary period, the notice that you or your employer must give to end your employment is [number of weeks].
After your probationary period, the notice that you must give to end your employment is [number of weeks].
We may end your employment at any time by giving you [notice period in weeks].
B. The notice you must give to end your employment is [number of weeks].
We may end your employment at any time by giving you [notice period in weeks].
14. Collective agreements [can be provided later, but must be provided within 2 months of the start of employment]
A 'collective agreement' is an agreement the employer has with employees' representatives (including trade unions) that allow terms and conditions like pay or working hours to be negotiated on behalf of workers.
[Use either A or B]
A. There are no collective agreements.
B. [Dates and parties involved in relevant collective agreements for this contract]
15. Grievances
If you need to raise a grievance, you should put it in writing to [person's job title / your manager / HR].
If the grievance is not resolved to your satisfaction, or if the grievance relates to your manager, you should contact [person's job title / HR].
16. Disciplinaries and dismissals
[Use either A or B]
A. The disciplinary rules which apply to you are [details of any disciplinary procedure that applies to workers or where they can find details].
B. There is no disciplinary procedure for workers.
If you're unhappy with any decision taken in relation to you, including a decision to dismiss you, you should contact [job title].
Please sign and return the statement to confirm you've received and accepted these terms.
Worker's signature:
Date:
Manager's signature on behalf of the organisation:
Date: