Staff Declaration Form for New Zealand

Staff Declaration Form Template for New Zealand

A comprehensive employee declaration document designed for use in New Zealand workplaces, compliant with local employment legislation including the Employment Relations Act 2000 and Privacy Act 2020. This form captures essential employee declarations regarding personal information, employment eligibility, health and safety acknowledgments, conflicts of interest, and compliance with company policies. It serves as a formal record of employee declarations and acknowledgments, protecting both employer and employee interests while ensuring transparency in the employment relationship.

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What is a Staff Declaration Form?

The Staff Declaration Form is a fundamental document used in New Zealand employment contexts to gather and verify critical information from employees at the commencement of or during employment. This document ensures compliance with New Zealand employment legislation while protecting both employer and employee interests. It typically includes declarations about personal information, right to work, health and safety acknowledgments, conflicts of interest, and agreement to company policies. The form should be updated periodically to reflect changes in legislation and organizational requirements, and is particularly important for risk management and maintaining accurate employee records.

What sections should be included in a Staff Declaration Form?

1. Personal Information: Employee's personal details including full name, date of birth, contact information, and emergency contact details

2. Employment Status Declaration: Declaration of right to work in New Zealand, visa status if applicable, and any restrictions on employment

3. Health and Safety Declaration: Acknowledgment of health and safety obligations, disclosure of any medical conditions that may affect work

4. Confidentiality Declaration: Commitment to maintain confidentiality of company information and intellectual property

5. Code of Conduct Acknowledgment: Confirmation of reading and agreeing to comply with company policies and code of conduct

6. Conflicts of Interest: Declaration of any existing or potential conflicts of interest

7. Declaration of Truth: Statement confirming all information provided is true and correct

8. Privacy Statement: Acknowledgment of how personal information will be collected, used, and stored

9. Signature Block: Space for employee signature, date, and witness details if required

What sections are optional to include in a Staff Declaration Form?

1. Criminal Record Declaration: Used when position requires disclosure of criminal history, subject to Clean Slate legislation

2. Professional Qualifications: Required for roles where specific qualifications or certifications are essential

3. Vehicle Use Declaration: Needed when employee will be operating company vehicles

4. Remote Work Declaration: Used for employees who will be working remotely, confirming suitable work environment

5. Financial Interests: Required for senior positions or roles with financial responsibilities

6. Previous Employment: Used when needing to confirm employment history or non-compete obligations

What schedules should be included in a Staff Declaration Form?

1. Schedule 1: Position Description: Detailed description of role and responsibilities being declared against

2. Schedule 2: Company Policies List: List of all policies acknowledged in the declaration

3. Schedule 3: Health and Safety Checklist: Specific health and safety requirements for the role

4. Appendix A: Privacy Notice: Detailed information about how personal data will be handled

5. Appendix B: Required Certifications: List of required professional certifications or qualifications for the role

Authors

Alex Denne

Head of Growth (Open Source Law) @ Genie AI | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Jurisdiction

New Zealand

Publisher

Genie AI

Document Type

Declaration Form

Cost

Free to use
Relevant Industries

Healthcare

Education

Financial Services

Technology

Manufacturing

Retail

Professional Services

Public Sector

Construction

Hospitality

Transportation

Non-Profit

Mining and Resources

Agriculture

Media and Entertainment

Relevant Teams

Human Resources

Finance

Operations

Information Technology

Sales

Marketing

Legal

Research and Development

Customer Support

Administration

Production

Quality Assurance

Health and Safety

Facilities Management

Executive Leadership

Relevant Roles

Chief Executive Officer

Department Manager

Human Resources Manager

Financial Controller

Project Manager

Software Developer

Administrative Assistant

Sales Representative

Operations Manager

Customer Service Representative

Research Scientist

Marketing Coordinator

Legal Counsel

Technical Support Specialist

Production Supervisor

Healthcare Worker

Teacher

Account Manager

Security Officer

Maintenance Technician

Industries
Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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