Record of Staff Search

This form is to be used in conjunction with the UECS Staff Search Policy.

You should download this form and save it on your computer before completing it.

Details of Staff Present During Search

Name of employee:	Click to enter text	Department:	Click to Select
Name of manager:	Click to enter text	Department:	Click to Select
Name of witness:	Click to enter text	Department:	Click to Select
Name of employee representative:	Click to enter text	Department:	Click to Select
Date of search:	Select Date …	Time of search:	Click to enter time

Details of Search

Reason for search:	Click to enter text
Outcome of Search	Click to enter text

Declaration of Staff Present During Search

I confirm that the information provided is correct and has been accurately recorded.
Employee Name:	Click to enter text	Date Signed:	Select Date …
Employee Signature:
Manager Name:	Click to enter text	Date Signed:	Select Date …
Manager Signature:
Employee Representative Name:	Click to enter text	Date Signed:	Select Date …
Employee Representative Signature:

Declaration of Witness

I confirm that the search was conducted in accordance with the Staff Search Policy.
Witness Name:	Click to enter text	Date Signed:	Select Date …
Witness Signature:

The form can be signed in a number of ways: Upload a JPEG image of your signature, OR Select the date the form is going to be signed from the drop-down calendar for all parties. Then print the form, ensure all sign on the date shown, scan the completed form and save it, OR The parties send you an email to confirm the form is an accurate record of the meeting. The witness will also need to confirm that the search was conducted in accordance with the policy. Save the emails.