Florence Helpdesk: Completing Your Self Declaration Form
Welcome to Florence! As part of your onboarding process, and throughout your time working with us, you will be required to complete a Self Declaration form. This important document helps us ensure a safe and compliant working environment for everyone.
Please take your time and carefully consider each question before providing your answers. Accuracy is crucial as this is a legal document.
Please Note:
If you have previously disclosed any information to us this will need to be disclosed on your self declaration each time you complete this.
Please ensure that you declare any information that may be on your background check, as your declaration must align with your background check.
Questions You Will Be Asked:
The Self Declaration form will ask you to provide information regarding your background and ability to work in regulated activities. Specifically, you will be asked the following questions:
Have you ever been involved in any previous investigations by the police or regulatory bodies?
This question asks if you have ever been the subject of an investigation by law enforcement agencies or organisations that oversee the care sector like the NMC, SSSC, SCW, RQIA, CQC, CI etc.
Please note this would include any offences on your Background check or police check.
Are there any ongoing investigations by the police, employers or regulatory bodies related to your professional conduct or practice?
This question asks if you are currently being investigated by the police, any past or present employers, or regulatory organisations concerning your professional behavior or work & by any law enforcement.
Is there any reason you cannot work in regulated activity?
Regulated activity refers to certain roles or tasks that require specific checks and clearances to ensure the safety and well-being of vulnerable individuals. This question asks if there are any legal or other reasons that would prevent you from undertaking such work.
Do you have any pre-existing medication, health concerns, or any physical/mental health conditions that may require support.
Please disclose any health conditions that could potentially affect your ability to carry out your duties effectively and safely. We ask this to be able to fully support you with any adjustments or if you require additional support to carry out your duties effectively and safely.
Confirmations Required:
In addition to the questions above, you will also be asked to confirm your understanding and agreement with the following statements by ticking the corresponding boxes:
You are aware that you can book shifts that suit you.
This confirms that you understand the flexibility Florence offers in allowing you to choose shifts that fit your availability.
You understand that it is your responsibility to monitor the number of hours you are working if you do not wish to work more than 48 hours per week.
This highlights your responsibility in managing your working hours if you wish to adhere to a maximum of 48 hours per week.
You confirm that you have read and agree with Florence Terms & Conditions, and Privacy Policy.
This confirms that you have reviewed and accepted our standard Terms & Conditions and how we handle your personal data as outlined in our Privacy Policy.
You confirm that you have read the Key Information Document, and understand the details explained in this document.
This confirms that you have reviewed and understood the important information provided in the Key Information Document, which likely outlines key aspects of your engagement with Florence.
Further Confirmations:
Finally, you will need to confirm the following statements:
Will abide by Florence's code of Conduct.
This confirms your commitment to following Florence's professional standards and guidelines for behavior.
Confirm all information on this form is correct.
This emphasizes the importance of providing truthful and accurate information in this legal document.
Will disclose any relevant medical disabilities or health concerns that might impact your ability to perform your duties safely.
This is crucial for ensuring your safety and the safety of those you may be working with.
Please disclose any health conditions that could potentially affect your ability to carry out your duties effectively and safely. We ask this to be able to fully support you with any adjustments or if you require additional support to carry out your duties effectively and safely.
What to Do If You Make an Error:
It is vital that the information you provide on the Self Declaration form is accurate. If you make any errors on this form, it is important that you contact our compliance team immediately.
Please email our compliance team at [email protected] to inform them of the error. They will provide you with the necessary steps to complete a new Self Declaration form correctly.
Remember, this is a legal document and must be completed accurately. Your cooperation in providing truthful and complete information is greatly appreciated. If you have any questions about the form, please do not hesitate to contact our compliance team.
Please Note:
If you have previously disclosed any information to us this will need to be disclosed on your self declaration each time you complete this.
Please ensure that you declare any information that may be on your background check, as your declaration must align with your background check.