Schedule 1 National Minimum Wage Equivalence Declaration FormI1
United Kingdom
Form [***]
Place outside of the United Kingdom that the service calls at:
A declaration is to be made pursuant to one only of section 4(2) OR section 4(3) OR section 4(4) OR section 4(5) of the Seafarers’ Wages Act 2023 (“the Act”).
Section 4(2) Declaration
Period to which this declaration applies:
__ ____________ 20___ to __ ____________ 20___
Please tick the statement which applies:
□ On behalf of the operator of the service, I declare that during the period to which this declaration applies all non-qualifying seafarers, as defined in the Act, who will work on ships which will provide the service will be paid, in respect of their UK work in relation to the service, a rate equivalent to the UK national minimum wage in accordance with the Seafarers' Wages Regulations 2024.
□ On behalf of the operator of the service, I declare that during the period to which this declaration applies, there will be no non-qualifying seafarers, as defined in the Act, working on ships providing the service.
Section 4(3) Declaration
Period to which this declaration applies:
__ ____________ 20___ to 20__
Please tick the statement which applies:
□ On behalf of the operator of the service, I declare that during the period to which this declaration applies all non-qualifying seafarers, as defined in the Act, working on ships providing the service will be paid, in respect of their UK work in relation to the service, a rate equivalent to the UK national minimum wage in accordance with the Seafarers' Wages Regulations 2024.
□ On behalf of the operator of the service, I declare that during the period to which this declaration applies, there will be no non-qualifying seafarers, as defined in the Act, working on ships providing the service.
Section 4(4) Declaration
Period to which this part of this declaration applies:
__ ____________ 20___ to __ ____________ 20___
Please tick the statement which applies:
□ On behalf of the operator of the service, I declare that during the period to which this part of this declaration applies all non-qualifying seafarers, as defined in the Act, who worked on ships which provided the service were paid, in respect of their UK work in relation to the service, a rate equivalent to the UK national minimum wage in accordance with the Seafarers' Wages Regulations 2024.
□ On behalf of the operator of the service, I declare that during the period to which this part of this declaration applies, there were no non-qualifying seafarers, as defined in the Act, working on ships which provided the service
and
Period to which this part of this declaration applies:
__ ____________ 20___ to __ ____________ 20___
Please tick the statement which applies:
□ On behalf of the operator of the service, I declare that during the period to which this declaration applies all non-qualifying seafarers, as defined in the Act, working on ships providing the service will be paid, in respect of their UK work in relation to the service, a rate equivalent to the UK national minimum wage in accordance with the Seafarers' Wages Regulations 2024.
□ On behalf of the operator of the service, I declare that during the period to which this declaration applies, there will be no non-qualifying seafarers, as defined in the Act, working on ships providing the service.
Section 4(5) Declaration
Period to which this declaration applies:
__ ____________ 20___ to __ ____________ 20___
Please tick the statement which applies:
□ On behalf of the operator of the service, I declare that during the period to which this declaration applies all non-qualifying seafarers, as defined in the Act, who worked on ships which provided the service were paid, in respect of their UK work in relation to the service, a rate equivalent to the UK national minimum wage in accordance with the Seafarers’ Wages Regulations 2024.
□ On behalf of the operator of the service, I declare that during the period to which this declaration applies, there were no non-qualifying seafarers, as defined in the Act, working on ships which provided the service.
Note that, pursuant to section 5 of the Seafarers’ Wages Act 2023, it may be a criminal offence to operate the service inconsistently with this declaration. It may also be a criminal offence to provide a false or misleading declaration in so far as it concerns the operation of the service before the declaration was provided.
Name of person making this declaration on behalf of the operator, and capacity in which they are making this declaration:
Signature:
Date: