Criminal record declaration form for jobs covered by the ROA

Appendix: Criminal record declaration form for jobs covered by the ROA



Example declaration form for employers recruiting individuals that are applying to jobs covered by the ROA.


“You have been asked to complete this form because the role you have applied for is covered by the Rehabilitation of Offenders Act 1974. The information disclosed on this form will not be kept with your application form during the application process.”

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If you’re an employer looking for advice about employing people with a criminal recordasking about a criminal record, carrying out a criminal record check or risk assessing a person with a criminal record, our Employer Advice Service provides confidential advice and guidance on criminal record related issues.

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To find out more, see our Employer Advice Service information.