ET1 Claim Form – Accuracy Checker

Your name: *

Your organisation's name:

Is the Claimant still employed by the organisation?

Yes, and they are still working
No, their employment has ended
I'm unsure

In box 2.1 (employer's name), is the correct legal entity given?

Yes, it is exactly as it should be
No, the name given is incorrect
The name is similar, but not exactly correct

This is important because a claim can only be taken against the correct legal entity, and this must also be the same as on the ACAS Early Concilliation forms

In box 2.4 (work address), if a different address is given, is this correct?

Yes, the address given is correct
No, the address given is incorrect
box 2.4 is left blank (i.e. no address is given)

In box 5.1 (dates of employment), is the start date correct?

Yes
No

If you answered 'no' above, please give the correct start date:

In box 5.1 (dates of employment), is the end date correct? (copy)

Yes
No

If you answered 'no' above, please give the correct end date:

In box 5.2 (job title), is the job title correct?

Yes
No

If you answered 'no' above, please give the correct job title:

In box 6.1 (average weekly hrs), is the figure given correct?

Yes
No

If you answered 'no' above, please give the correct average weekly hours:

In box 6.2 (pay before tax), is the figure given correct?

Yes
No

You should only be concerned if this figure is substantially inflated

If you answered 'no' above, please give the correct gross pay figure:

In box 6.2 (pay after tax), is the figure given correct?

Yes
No

You should only be concerned if this figure is substantially inflated

If you answered 'no' above, please give the correct net pay figure:

In box 6.3 (notice), does the Claimant answer accurately about notice?

Yes
No

If you answered 'no' above, please say whether notice was served and if so, how long this was:

In box 6.5 (benefits), what if anything should we say to correct information given about benefits?

You should only be concerned if 6.5 alleges benefits that were not received

For box 8.1 (types of claim), and in relation to any below that apply: did the Claimant complain in writing about these (tick all that apply):

Please provide copies of all documents separately that relate to this.

If the Claimant claims notice pay, please say: (i) how much notice was due, (ii) how much notice was given, (iii) how much notice was paid, (iv) if less notice was paid than was given, why was this?

Please provide a copy of the Claimant's final payslip.

If the Claimant claims holiday pay, please say: (i) when the holiday year began, (ii) how many days (including bank holidays) the Claimant was entitled to for the entire year, (iii) how many days the Claimant took during the current holiday year.

Please provide a copy of the Claimant's final payslip.

If the Claimant claims back pay, please say: (i) what date was the Claimant paid up to, (ii) do you accept that some pay is due?

Please provide a copy of the Claimant's payslips that cover the period over which it is alleged back pay is due.

In box 8.2 (details of claim), if the Claimant makes assertions of fact that are incorrect or misleading, please identify these and give a brief summary of the true position in relation to each.

Please adopt numbered paragraphs to match the paragraphs in box 8.2.