Candidate declaration: I declare that the information I have given on this timesheet is correct and complete and I have not claimed elsewhere for the hours/shift details on this timesheet. I understand that if I knowingly provide false information this may result in disciplinary action, and I am liable for persecution and civil recovery proceedings. I consent to disclosure of information from this timesheet to and by any Ison authorised body for the purpose of verification of this claim and the investigation prevention detection and prosecution of fraud.

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Candidate authoriser: I am an authorised signature for my ward/department/NHS body or other relevant organisation I’m signing to confirm that the job profile title and band of the candid it and the hours/shift that I am authorising is accurate and I approve payment. I understand that if I knowingly provide false information this may result in disciplinary action and I may be liable to persecution and civil recovery proceedings. I consent to the disclosure of information from this form to and by any Ison authorised body for the purpose of verification of this claim and the investigation prevention detection and prosecution of fraud I understand and agree to Ison’s current terms of business. Note to client if you have any concerns you wish to raise, please email them to support@isonna.co.uk

Name:

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Date: