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.

• From: HM Courts & Tribunals Service
• Published: 1 August 2013
• Last updated: 5 February 2024 — See all updates

Documents

Declaration form: T439

PDF, 43.2 KB, 1 page

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Published 1 August 2013
Last updated 5 February 2024 + show all updates

1. 5 February 2024

   Updated the contact number for requesting a paper copy of the privacy notice on the form.

2. 26 June 2018

   Added a revised T439 that includes GDPR information.

3. 1 August 2013

   First published.