Council Tax Attachment of earnings order - Employer contact form

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Verification

This form should only be used by employers providing information relating to an employee. Any attempted misuse of the form will be treated as an act of fraud.

Council Tax account number of employee, as quoted on the attachment order, or attachment of earning deduction reminder issued to you

Details of the employee subject to an attachment order

Title

Forename

Middle name(s)

Surname

Employee home address (if known)

Property name or number

Street

Locality (for example, Armthorpe)

Town

Postcode

Employer name (Your organisation/business)

Property name or number

Street

Locality (for example, Armthorpe)

Town

Postcode

Contact number

Name of person completing the form on behalf of the employer

Are you able to make deductions in accordance with the order issued to you

If required, a member of our team will contact you using the details provided on the previous page.

Please provide the date they left your employment

Please confirm the employee's frequency of pay

Please confirm the employee's pay amount

Please provide details of the assistance needed

Please provide any further details you want to supply

I confirm that I am an authorised person to provide information on behalf of the business/company/employer named in this form.

I confirm

I understand that as an employer issued with a Council Tax Attachment of Earnings Order that I could be liable for a fine if:
(a) I/we fail to comply with the Council Tax Attachment of Earnings Order unless he can prove all reasonable steps were taken to comply;
(b) I/we fail to give all required notifications relating to the Council Tax Attachment of Earnings Order;
(c) I/we give notification making a statement which I know to be false in a material particular or recklessly make a statement which is false in a material particular.

I understand