Form

Self-employed party or witness declaration for loss of earnings claims: Form T439

Use this form to submit a declaration for loss of earnings if you're self-employed. Only use for employment tribunal claims made on or before 8 April 2012.

Documents

Declaration form: T439

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If you use assistive technology (such as a screen reader) and need a version of this document in a more accessible format, please email hmctsforms@justice.gov.uk. Please tell us what format you need. It will help us if you say what assistive technology you use.

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Published 1 August 2013
Last updated 5 February 2024 + show all updates
  1. Updated the contact number for requesting a paper copy of the privacy notice on the form.

  2. Added a revised T439 that includes GDPR information.

  3. First published.