Annual Proof of Continuing Unemployment

by Redundant or Ill-Health Retired Employee

Proof of Continued Eligibility on the Grounds of Unemployment

* - Mandatory Field

Employee Details

Title*

First Name*

Last Name*

NI Number*

Date of Birth*

Address 1*

Address 2

Town*

County

Postcode*

Home Phone

Mobile No

Email*

Attach Proof of Unemployment Documentation*

Category of Application:

Other (Specify)

Attached Document

Only one PDF or JPEG file of up to 1Mb in size may be attached to this form online

The attached document must be a PDF or JPG that is less than 1Mb - this can be aided by reducing the resolution on any scan/photo and changing to mono/greyscale

Please send your documentary evidence with the fully completed form

Notes On Completion of this Form
This form must enclose ongoing proof of unemployment to establish your eligibility to rail staff travel facilities. This includes, but is not limited to: For HMRC Statement - the statement or letter must: be dated within the last 3 months, be on HMRC letterheaded paper, confirm that you have no earned income for the last fiscal year or for any fiscal year where you have not previously provided proof of unemployment You will also be required to prove that you are currently unemployed. For DWP Statement - the statement or letter must: be dated within the last 3 months, be on DWP (or similar) letterheaded paper, confirm that you are currently unemployed, confirm that you have been continuously unemployed for the last 12 months (or since the date of your last declaration, whichever is the earlier). You will also be required to prove unemployment for any period where you have not previously provided proof. For P60U Document - the document must: be dated for the last fiscal year, be the official P60U issued to you. You will also be required to prove that you are currently unemployed. For Doctor's Letter - the letter must: be dated within the last 3 months, be on the Doctor's or surgery's letterheaded paper, confirm that, in their opinion, you are currently unable to work due to ill health, confirm that, in their opinion, you have been continuously unable to work due to ill health for the last 12 months (or since the date of your last declaration, whichever is the earlier). You will also be required to prove you have been continuously unable to work due to ill health for any period where you have not previously provided proof. Note: if the Doctor confirms that owing to your condition and continuing ill health that in their opinion you will never be able to work again in any role or capacity, then you won’t need to provide annual proof in the future. Continued entitlement then may depend on the willingness of an employer to pay the requisite fees RST may require further supporting documentation to establish eligibility.

Notes On Completion of this Form

This form must enclose ongoing proof of unemployment to establish your eligibility to rail staff travel facilities. This includes, but is not limited to:

For HMRC Statement - the statement or letter must:

be dated within the last 3 months,
be on HMRC letterheaded paper,
confirm that you have no earned income for the last fiscal year or for any fiscal year where you have not previously provided proof of unemployment
You will also be required to prove that you are currently unemployed.

For DWP Statement - the statement or letter must:

be dated within the last 3 months,
be on DWP (or similar) letterheaded paper,
confirm that you are currently unemployed,
confirm that you have been continuously unemployed for the last 12 months (or since the date of your last declaration, whichever is the earlier).
You will also be required to prove unemployment for any period where you have not previously provided proof.

For P60U Document - the document must:

be dated for the last fiscal year,
be the official P60U issued to you.
You will also be required to prove that you are currently unemployed.

For Doctor's Letter - the letter must:

be dated within the last 3 months,
be on the Doctor's or surgery's letterheaded paper,
confirm that, in their opinion, you are currently unable to work due to ill health,
confirm that, in their opinion, you have been continuously unable to work due to ill health for the last 12 months (or since the date of your last declaration, whichever is the earlier).
You will also be required to prove you have been continuously unable to work due to ill health for any period where you have not previously provided proof.
Note: if the Doctor confirms that owing to your condition and continuing ill health that in their opinion you will never be able to work again in any role or capacity, then you won’t need to provide annual proof in the future. Continued entitlement then may depend on the willingness of an employer to pay the requisite fees

RST may require further supporting documentation to establish eligibility.

Declaration*

By checking this box:By submitting this form:

I confirm that all details provided are correct.
I, the employee named above, declare that I continue to be eligible for retired rail staff travel facilities owing to continued unemployment. I have not worked for any period of time, including in temporary or ad-hoc work, since I left the rail industry. I make this Declaration conscientiously believing the same to be true by virtue of the Statutory Declarations Act 1835.
I understand that I am responsible for the correct use of my (and any dependant's) rail staff travel facilities and understand that such use is subject to the Conditions of Issue and Use which can be found at www.raildeliverygroup.com/rst/conditions-of-issue-and-use.
I further understand that Rail Staff Travel’s privacy information is available online at www.raildeliverygroup.com/rst/rst-privacy and that I have read it and have made my dependant(s) aware of it.
If I am in any doubt about eligibility, I understand that I MUST check and that any attempt to obtain or use rail staff travel facilities fraudulently may result in disciplinary action and/or legal proceedings and/or permanent withdrawal of all rail staff travel facilities for myself and all of my dependants.

Signed by Employee:

Date:

Form - IHR Red Proof - XX07 - This form is not valid for use after 31/03/2021

Once completed save the form with a filename of “YourLastname_YourFirstname_XX07_ddmmyyyy” – where ddmmyyyy is the date that you send the form to RST). Then submit via email to rst@raildeliverygroup.com or your normal rail staff travel facilities contact point