My Work Plan Template Page 24
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444 Declaration
continued
I also declare that since I made my claim or last provided a
signed declaration (if later):
I have done no work, paid or unpaid, unless I have told you
G
otherwise
I have reported any changes in the circumstances of my
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dependants, if I claim Jobseeker’s Allowance for them, and
the information I have given is correct and complete.
G
If my declarations include a period in advance:
I have no offer of work for the advance period
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I will continue to seek and accept any offer of work*, and
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I will tell the Jobcentre at once if I get work in the advance
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period, or about any change I am required to report.
*A member of a joint claim couple who is excused from being
required to be available for employment and to actively seek
employment does not have to make a declaration to this effect.
I understand that if I knowingly give information that is incorrect
or incomplete, I may be liable to prosecution and other action.
Signed
Date
/
/
Print name
NI number
Now please remove these blue pages and send them to your Jobcentre.
Please do not write below this line. For Jobcentre use only
LMS updated
Initials
JSAPS updated
Initials
Signature checked
Initials
24
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