Restricted Vetting (When Complete)

RESTRICTED – VETTING (WHEN COMPLETE)

MANAGEMENT VETTING

SECURITY VETTING FORM

FAILURE TO COMPLETE ALL SECTIONS COULD DELAY YOUR APPLICATION

TO BE COMPLETED BY THE VACANCY HOLDER OR SUPERVISOR OF POST REQUIRING VETTING
It is the responsibility of the vacancy holder to examine any documentation produced as proof of identity and address.
Means of establishing IDENTITY:
Current UK photo driving licence
Current signed passport
Certificate of birth/adoption/marriage/civilpartnership
For non-UK nationals only – documentation relating to immigration status and permission to work in the UK / Means of establishing RESIDENCE:
Current utility bill (dated within last 6 months)
Bank, Building Society or Credit Union statement (dated within last 6 months)
Local authority tax bill (valid for current year)
NHS Medical card
List documents seen / /
I have checked the above details as proof of identity of:
Forename: / Surname: / Date:
Job Title, Department and Force Number:
Contact number:

The following pages are to be completed by the applicant. Your personal details will not be released to any other individuals or company, other than another police force without your approval.

ALL questions to be completed. Where a question is not applicable or the answer is not known, please enter N/A or N/K. There is extra space at the end of this form for further information to be provided if required.

The personal data supplied will be managed confidentially, securely and in accordance with the Data Protection Act 1998. Personal data will be retained in accordance with the retention periods established through the national guidance on the Management of Police Information, where after it will be disposed of securely. Under the Data Protection Act individuals have a general right of access to personal data held by police forces.

APPLICANT

Title:Choose an itemMrMrsMissMsDrRevOther (please specify)
Surname / family name: / Surname / family name at birth: / Any other previous / family names:
Forename(s) / personal name and middle name: / Any alias/previously used names: / Gender:
Date of Birth: / Town, County and Country of Birth:
Job Role :
Address:
House No. / Name:
Street Name:
Locality:
Town/City:
County:
Postcode: / Address residency dates (mm/yy):
From:
Home Telephone: / Mobile Telephone:
Work Telephone (if convenient): / National Insurance Number:
Please provide all private email addresses/Website/Blogs/Forums that you run or contribute to:

Please provide details in respect of your partner, family members and co-residents below.

If any individual is deceased, please provide details and state ‘deceased’ and the year of death in the address fields. If deceased within the last 3 years, please also provide their last address.

Please use the ‘Additional Information’ section on page 10 to provide further information/family members as necessary.

PARTNER

Please enter details of any spouse or other partner with whom you are living as a couple and/or former partnerwho has died or whom you have separated or divorced in the last 3 years.

Title:
Choose an itemMrMrsMissMsDrRevOther (please specify) / Relationship:
Choose an itemMarriedCivil PartnershipCo-habitingSeparated / DivorcedWidowed / Number of years together:
Surname / family name: / Surname / family name at birth: / Any other previous / family names:
Forename(s) / personal name and middle name: / Any alias/previously used names: / Gender:
Choose an itemMaleFemale
Date of Birth: / Town, County and Country of Birth:
Address:
House No. / Name:
Street Name:
Locality:
Town/City:
County:
Postcode: / Address residency dates (mm/yy):
From:
Occupation: / Current or previous service in Police / HM Forces / HM Government (include organisation, service no. and dates:

PREVIOUS ADDRESSES

If you or your partner has resided at any other addresses within the last 5 years, please provide details below:

PersonChoose an itemApplicantPartnerApplicant and Partner / House No. / Name:
Street Name:
Locality:
Town/City:
County: Postcode: / Address residency dates (mm/yy):
From:
To:
PersonChoose an itemApplicantPartnerApplicant and Partner / House No. / Name:
Street Name:
Locality:
Town/City:
County: Postcode: / Address residency dates (mm/yy):
From:
To:
PersonChoose an itemApplicantPartnerApplicant and Partner / House No. / Name:
Street Name:
Locality:
Town/City:
County: Postcode: / Address residency dates (mm/yy):
From:
To:
PersonChoose an itemApplicantPartnerApplicant and Partner / House No. / Name:
Street Name:
Locality:
Town/City:
County: Postcode: / Address residency dates (mm/yy):
From:
To:

CHILDREN

Please enter details of your children, including biological children, stepchildren, partner’s children and/or adoptive children. There is no need to include children less than 10 years of age.

Title:Choose an itemMrMrsMissMsDrRevOther (please specify) / Relationship:Choose and itemBiological childStep childPartner's childAdoptive childFoster child
Surname / family name: / Surname / family name at birth: / Any other previous / family names:
Forename(s) / personal name and middle name: / Any alias/previously used names: / Gender:
Choose an itemMaleFemale
Date of Birth: / Town, County and Country of Birth:
Address:
House No. / Name:
Street Name:
Locality:
Town/City:
County:
Postcode: / Address residency dates (mm/yy):
From:
Title:Choose an itemMrMrsMissMsDrRevOther (please specify) / Relationship:Choose and itemBiological childStep childPartner's childAdoptive childFoster child
Surname / family name: / Surname / family name at birth: / Any other previous / family names:
Forename(s) / personal name and middle name: / Any alias/previously used names: / Gender:
Choose an itemMaleFemale
Date of Birth: / Town, County and Country of Birth:
Address:
House No. / Name:
Street Name:
Locality:
Town/City:
County:
Postcode: / Address residency dates:
From:
Title:Choose an itemMrMrsMissMsDrRevOther (please specify) / Relationship:Choose and itemBiological childStep childPartner's childAdoptive childFoster child
Surname / family name: / Surname / family name at birth: / Any other previous / family names:
Forename(s) / personal name and middle name: / Any alias/previously used names: / Gender:
Choose an itemMaleFemale
Date of Birth: / Town, County and Country of Birth:
Address:
House No. / Name:
Street Name:
Locality:
Town/City:
County:
Postcode: / Address residency dates:
From:

PARENTS

Please enter details of your natural parents and any adoptive parents, step-parents or guardians.

Title:Choose an itemMrMrsMissMsDrRevOther (please specify) / Relationship:Choose an itemNatural ParentStep ParentParents PartnerAdoptive ParentFoster ParentGuardian
Surname / family name: / Surname / family name at birth: / Any other previous / family names:
Forename(s) / personal name and middle name: / Any alias/previously used names: / Gender:
Choose an itemMaleFemale
Date of Birth: / Town, County and Country of Birth:
Address:
House No. / Name:
Street Name:
Locality:
Town/City:
County:
Postcode: / Address residency dates:
From:
Title:Choose an itemMrMrsMissMsDrRevOther (please specify) / Relationship:Choose an itemNatural ParentStep ParentParents PartnerAdoptive ParentFoster ParentGuardian
Surname / family name: / Surname / family name at birth: / Any other previous / family names:
Forename(s) / personal name and middle name: / Any alias/previously used names: / Gender:
Choose an itemMaleFemale
Date of Birth: / Town, County and Country of Birth:
Address:
House No. / Name:
Street Name:
Locality:
Town/City:
County:
Postcode: / Address residency dates:
From:
Title:Choose an itemMrMrsMissMsDrRevOther (please specify) / Relationship:Choose an itemNatural ParentStep ParentParents PartnerAdoptive ParentFoster ParentGuardian
Surname / family name: / Surname / family name at birth: / Any other previous / family names:
Forename(s) / personal name and middle name: / Any alias/previously used names: / Gender:
Choose an itemMaleFemale
Date of Birth: / Town, County and Country of Birth:
Address:
House No. / Name:
Street Name:
Locality:
Town/City:
County:
Postcode: / Address residency dates (mm/yy):
From:

PARENTS - CONTINUED

BROTHERS / SISTERS

Title:Choose an itemMrMrsMissMsDrRevOther (please specify) / Relationship:Choose an itemFull Brother / SisterStep Brother / SisterHalf Brother / SisterAdoptive Brother / SisterFoster Brother / Sister
Surname / family name: / Surname / family name at birth: / Any other previous / family names:
Forename(s) / personal name and middle name: / Any alias/previously used names: / Gender:
Choose an itemMaleFemale
Date of Birth: / Town, County and Country of Birth:
Address:
House No. / Name:
Street Name:
Locality:
Town/City:
County:
Postcode: / Address residency dates (mm/yy):
From:
Title:Choose an itemMrMrsMissMsDrRevOther (please specify) / Relationship:Choose an itemFull Brother / SisterStep Brother / SisterHalf Brother / SisterAdoptive Brother / SisterFoster Brother / Sister
Surname / family name: / Surname / family name at birth: / Any other previous / family names:
Forename(s) / personal name and middle name: / Any alias/previously used names: / Gender:
Choose an itemMaleFemale
Date of Birth: / Town, County and Country of Birth:
Address:
House No. / Name:
Street Name:
Locality:
Town/City:
County:
Postcode: / Address residency dates (mm/yy):
From:

BROTHERS / SISTERS - CONTINUED

CO-RESIDENTS

Please provide details of any other individuals (not previously mentioned on your form) who are currently resident with you at your address:

Title:Choose an itemMrMrsMissMsDrRevOther (please specify) / Relationship:
Surname / family name: / Surname / family name at birth: / Any other previous / family names:
Forename(s) / personal name and middle name: / Any alias/previously used names: / Gender:
Choose an itemMaleFemale
Date of Birth: / Town, County and Country of Birth:
Title:Choose an itemMrMrsMissMsDrRevOther (please specify) / Relationship:
Surname / family name: / Surname / family name at birth: / Any other previous / family names:
Forename(s) / personal name and middle name: / Any alias/previously used names: / Gender:
Choose an itemMaleFemale
Date of Birth: / Town, County and Country of Birth:

SECURITY INFORMATION

PLEASE READ THIS SECTION CAREFULLY AS FAILURE TO PROVIDE RELEVANT INFORMATION MAY RESULT IN YOUR APPLICATION BEING REJECTED

You must declare if you have ever, during your lifetime been cautioned or convicted for any offence by any UK or non-UK Police Force, Law Enforcement Agency or any other statutory prosecuting authority or agency.

You must also declare:-

Traffic offences (including fixed penalty notices, excluding parking);
Penalty Notices for Disorder;
Receipt of an absolute/conditional discharge or binding over;
Receipt of a reprimand, warning, final warning or caution as an adult or juvenile;
Being the subject of an Anti-Social Behaviour Order (ASBO), Football Spectator Banning Order, Risk of Sexual Harm Order, or Domestic Abuse or Harassment Order;
In Scotland; acceptance of a fiscal fine from the Procurators Fiscal.

In accordance with the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975, and the Rehabilitation of Offenders (Northern Ireland) Order 1978 (Exceptions) Order 1979, spent convictions may be taken into account and therefore must be declared.

Has any of the above occurred? Yes No

Date / Offence/Incident / Result, Court or Other Disposal

In addition, you must declare if you have ever been;

Arrested by the Police;
Summonsed for any offence by the Court or Police;
Charged for any offence by the Police;

Involved in a criminal investigation (whether or not this led to a prosecution);
Been involved in a restorative justice procedure;
Involved with the military authorities on discipline matters (whether involving court martial or not);
Involved in misconduct or disciplinary proceedings whether as a paid employee or as a volunteer.

Has any of the above occurred? Yes No

Are you currently the subject of any criminal investigation? Yes No

Have you ever been involved in any actions that could be described as politically / religiously / racially / environmentally disruptive? Yes No

Have you ever associated with a person(s) whom you know or have reason to believe has criminal convictions, or is engaged in criminal activities, or is a person who regularly associates with such person(s)?

Yes No

To your knowledge, has any partner, family member, associate or co-resident been involved in any criminal investigation or been involved with the Police, military or any other statutory or prosecuting authorities?

Yes No

Are you aware of any other circumstances, characteristics or conditions with the potential to render you susceptible to pressure or improper influence? (E.g. serious medical or psychological problems; use of controlled drugs or prescription drugs; financial difficulties; gambling or other addiction; etc.) Yes ☐ No ☐

Please detail below the names, ranks, posts and departments of your immediate line managers for the last 12 months (please include current location and email address)

Rank / Post / Name / Email Address / Supervision Date from / Supervision Date to

Please provide details of all instances where you have held a paid or unpaid post (including voluntary work) with the Police, HM Forces or HM Government.

Name of organisation / Rank or post / Collar/Service No. / Date from / Date to

Please provide details of any other vetting processes that you have undergone with any Police Force in the UK.

Month / Year of application / Force name / Role / Position applied for / Vetting Granted?
Choose an itemYesNoDon't know
Choose an itemYesNoDon't know

FINANCIALDETAILS

The information required in this section is to allow the Chief Constable to fulfil a statutory obligation to run an efficient and effective Force. To meet this obligation we must provide for safety of our staff and ensure that those with access to force information are trustworthy and unlikely to breach confidences.

Any infringement of an individual’s right to respect for family life European Convention on Human Rights (ECHR) – Article 8, and discrimination – ECHR Article 4, will only be that which is necessary and proportionate. The legitimate aims of such action will include the protection of the rights and freedoms of others, safeguarding public safety, the prevention of disorder and crime and in some cases, national security.

(f5)How would you describe your overall financial situation?

Comfortable Manageable Difficult to cope Do not know position

PROPERTY

(f6)Do you?

(f7)What is your estimate of the total current market value of all properties owned?

(f8)Have you in the past 5 years? / Yes / No
Extended the term of your mortgage to make it easier to pay?
Taken out a second mortgage or enlarged your current mortgage, for reasons other than to fund home improvements?

(f9)MONTHLY INCOME AND EXPENDITURE

Combined take home pay of you and your spouse/partner / £
State benefits, e.g. Child Benefit / £
Other income e.g. from shares or property / £
Total / £
(f10) Is any of the above from overtime or bonus payments? Yes No If so, how much? / £
(f11) Monthly amount of regular financial commitments, excluding loans and credit cards.
(Include rent, mortgages, household utilities, and other regular and long-term payments e.g. commuting costs and maintenance payments). / £

(f12)Taking into consideration likely changes in your income and key commitments, do you expect in the next year to be?

(f13)Please indicate how much your household has saved and invested in savings accounts and other non-property investments, such as stocks, shares and trusts, etc.

(f14)Do you save?

(f15)During the last five years, have you received or acquired money or assets worth more than £5,000 other than salary?

Yes No / Total amount / £ / If you have answered yes, please provide full details below.

(f16)Please enter details of your current borrowings (e.g. loans, HP and mail order – excluding mortgages)

Number of loans (etc) / Amount yet to repay / Total monthly repayments
(f17)Are any of these loans? / Yes / No
Secured against property?
Extended for a period of 5 years or more?

(f18)Please indicate the purposes of these loans below

Home improvements / Holidays / Debt repayment / Stocks and Shares / Cars
Consumer durables / Bridging finance / General expenses / Student loans / Other

(f19)Please enter details of any credit arrangements (e.g. credit, charge and store cards).

Number of cards / Total limit / Total outstanding after last payment
Yes / No
(f20)Do you normally pay the balance on your cards each month?
(f21)How many current accounts do you have?

(f22)Compared to a year ago, do you owe more or less on your loans, cards and overdraft?

Yes / No
(f23)Do you regularly use an overdraft facility?
(f24)Do you regularly exceed your agreed overdraft limit (say in 3 or more months out of the last 6 months)?
(f25) If you have a negative balance on any of your accounts then please provide details of the accounts and amounts outstanding:
Yes / No
(f26)In the last year have you been unable to meet any major commitments (e.g. mortgage, rent or loan repayments), in two or more consecutive months?
(f27) If you have answered yes, provide details of accounts and amounts outstanding:
Yes / No
(f28)Have you ever been declared bankrupt?
If so, please provide details:
Date / Court / Reason
Yes / No
(f29)Do you have any secondary employment, financial or other business interest (including directorships or company secretarial positions) not related to your primary duties as contractor / partner agent with the Police?
If yes, please provide details:
In the last ten years have you: / Yes / No / Number of occurrences / Most recent year
Had a loan terminated by a bank or building society?
Had a credit/store/charge card withdrawn or been notified that a card or account had defaulted?
Been subject of an adverse County Court Judgement, a Sherriff’s Court or Court of Session?
Been the subject of an attachment of earnings order?
Had repossession proceedings begun against you?
Been party to an Individual Voluntary Arrangement, Debt Referral Order or Debt Management Programme.

(f30)Are there any other details or explanations which would help to clarify your current financial status, which is not already covered in the answers provided above? Yes No