{"id":19761,"date":"2023-05-15T11:10:38","date_gmt":"2023-05-15T10:10:38","guid":{"rendered":"https:\/\/www.worcestercity.org.uk\/forms\/?page_id=19761"},"modified":"2023-05-15T11:10:38","modified_gmt":"2023-05-15T10:10:38","slug":"attachment-of-earnings-acknowledgement-form","status":"publish","type":"page","link":"https:\/\/www.worcestercity.org.uk\/forms\/attachment-of-earnings-acknowledgement-form\/","title":{"rendered":"Attachment of Earnings Acknowledgement Form"},"content":{"rendered":"<style type=\"text\/css\" id=\"158\" data-form-unique-id=\"33784\" >.arf_heading_div h2.arf_sec_heading_field {\r\n\tfont-size: 20px !important;\r\n}\r\n.alert {\r\n\tcolor: red;\r\n\tborder: 3px solid #000;\r\n\tpadding: 10px;\r\n\tfont-size: 1.3em;\r\n}\r\n.alert2 {\r\n\tcolor: #000;\r\n\tborder: 2px solid #000;\r\n\tpadding: 10px;\r\n\tfont-size: 1.3em;\r\n}\r\n.arf_main_label {\r\n\tmargin-bottom: 10px !important;\r\n\tfont-weight: bolder !important;\r\n\tfont-size: 17px !important;\r\n}\r\ndiv.arf_field_description\t{\r\n\ttext-align: left !important;\r\n}\r\nlabel span.arfcheckrequiredfield {\r\n\tcolor: red !important;\r\n}\r\n.dot {\r\n  height: 10px;\r\n  width: 10px;\r\n  background-color: #000;\r\n  border-radius: 50%;\r\n  display: inline-block;\r\n}\r\n.arf_field_description {\r\n\tfont-size: 14px !important;\r\n}\r\n.arf_repeater_field {\r\n\tborder: 1px solid #CCC;\r\n\tpadding: 15px;\r\n}\r\n\/*\r\n.arf_heading_div {\r\n\tborder: 1px solid #000;\r\n\tmargin-bottom: 30px !important;\r\n\tpadding-right: 10px !important;\r\n}\r\n*\/<\/style><div class=\"arf_form ar_main_div_158 arf_form_outer_wrapper \" id=\"arffrm_158_container\"><div id=\"arf_message_error\" class=\"frm_error_style\" style=\"display:none;\"><div class=\"msg-detail\"><div class=\"msg-description-success\">Form Submission is restricted<\/div><\/div><\/div><div id=\"arf_message_success_popup\" style=\"display:none;\"><div class=\"msg-detail\"><div class=\"msg-description-success\">The form was successfully submitted. Thank you!<\/div><\/div><\/div><form enctype=\"multipart\/form-data\" method=\"post\" class=\"arfshowmainform  \" style=\"\" data-form-id=\"form_334z3n\"  novalidate=\"\" onsubmit=\"return arf_validate_form_submit()\" arf_form_submit = 0 data-id=\"33784\"  data-random-id=\"158_Ll9bQ7zccq\"  data-submission-key=\"3pBjQN8i\"  data-key-validate=\"false\"  data-popup-id=\"\"><label for='arf_filter_input_158_Ll9bQ7zccq' class='arf_hidden_element' style='color:transparent !important;'>Filter<\/label><input id='arf_filter_input_158_Ll9bQ7zccq' type='text' name='arf_filter_input' data-jqvalidate='false' data-random-key='158_Ll9bQ7zccq' value='' style='opacity:0 !important;display:none !important;visibility:hidden !important;' \/><input type='hidden' id='arf_ajax_url' value='https:\/\/www.worcestercity.org.uk\/forms\/wp-admin\/admin-ajax.php' \/><input type=\"hidden\" data-jqvalidate=\"false\" class=\"kpress\" value=\"\" \/><input type=\"hidden\" data-jqvalidate=\"false\" class=\"stime\" 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name=\"form_tooltip_error_158\" data-id=\"form_tooltip_error_158\" data-color=\"\" data-position=\"bottom\" value=\"advance\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"arfaction\" value=\"create\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"form_id\" data-id=\"form_id\" value=\"158\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"form_data_id\" data-id=\"form_data_id\" value=\"33784\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"form_key\" data-id=\"form_key\" value=\"334z3n\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"arf_ajax_url\" value=\"https:\/\/www.worcestercity.org.uk\/forms\/wp-admin\/admin-ajax.php\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"form_display_type\" data-id=\"form_display_type\" value=\"0|https:\/\/www.worcestercity.org.uk\/forms\/attachment-of-earnings-acknowledgement-form\/\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"form_submit_type\" data-id=\"form_submit_type\" value=\"1\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"arf_http_referrer_url\" data-id=\"arf_http_referrer_url\" value=\"\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"entry_key\" value=\"\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"arf_skip_captcha\" data-id=\"arf_skip_captcha\" value=\"\" \/><input type='hidden' id='arf_pb_field_animation_style_front_158' name='arf_pb_field_animation_style_front_158' value='slideInLeft' \/><input type='hidden' id='arf_pb_field_animation_duration_front_158' name='arf_pb_field_animation_duration_front_158' value='' \/><input type='hidden' id='arf_pb_field_animation_delay_front_158' name='arf_pb_field_animation_delay_front_158' value='' \/><input type='hidden' id='arf_pb_field_animation_inherit_158' name='arf_pb_field_animation_inherit_158' value='0' \/><input type='hidden' id='arf_field_animation_style_front_158' name='arf_field_animation_style_front_158' value='' \/><input type='hidden' id='arf_field_animation_duration_front_158' name='arf_field_animation_duration_front_158' value='' \/><input type='hidden' id='arf_field_animation_delay_front_158' name='arf_field_animation_delay_front_158' value='' \/><input type=\"hidden\" id=\"arf_form_site_wide_158\" value=\"\" \/><div class=\"allfields\" style=\"visibility:hidden;height:0;\"><div class=\"arf_fieldset arf_standard_form\" id=\"arf_fieldset_33784\"><div class=\"arftitlecontainer\"><div class=\"formtitle_style\">Attachment of Earnings Acknowledgement Form<\/div><div class=\"arf_field_description formdescription_style\">All fields marked with * (asterix) are required and must be filled.<\/div><\/div><div id=\"page_0\" class=\"page_break\"><div id=\"arf_field_3016_33784_container\" class=\"    arfformfield arf_display_to_confirmation_summary control-group arfmainformfield  arf_field_type_html  top_container  top_container arfformfield  arf_field_3016\" data-field-type=\"html\" data-parent_field=\"0\" style='width: 100%'><div class=\"arf_htmlfield_control\"><p style=\"font-size: 18px\"><strong>Name of the person the Attachment of Earnings Order has been issued against.<\/strong><\/p><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_2992_33784_container\" class=\"    arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_text  top_container top_container arfformfield frm_first_half  arf_inline_field_value  arf_field_2992\"  style='width: 48.313%' data-field-type=\"text\" data-parent_field=\"0\" ><label data-type=\"text\" for=\"field_quitai_33784\" class=\"arf_main_label arf_main_label_16px\" aria-label = >First name<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_quitai_33784\"  name=\"item_meta[2992]\"  class=\" arf_required \" data-validation-required-message=\"This field cannot be blank.\"   \/><\/div><\/div><div class=\"arf_half_middle\"><\/div><div id=\"arf_field_2991_33784_container\" class=\"    arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_text  top_container top_container arfformfield frm_last_half  arf_inline_field_value  arf_field_2991\"  style='width: 48.313%' data-field-type=\"text\" data-parent_field=\"0\" ><label data-type=\"text\" for=\"field_zj6pk1_33784\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Last name<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_zj6pk1_33784\"  name=\"item_meta[2991]\"  class=\" arf_required \" data-validation-required-message=\"This field cannot be blank.\"   \/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_2995_33784_container\" class=\"    arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_text  top_container top_container arfformfield   arf_inline_field_value  arf_field_2995\"  style='width: 100%' data-field-type=\"text\" data-parent_field=\"0\" ><label data-type=\"text\" for=\"field_jxh8ya_33784\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Council Tax Account Number (9 digits located on this notification)<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_jxh8ya_33784\"  name=\"item_meta[2995]\"  maxlength=\"10\"  minlength=\"7\"  class=\" arf_required \" maxlength=\"10\"  data-validation-required-message=\"This field cannot be blank.\" minlength=\"7\" data-validation-minlength-message=\"Invalid minimum characters:\"  \/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_3002_33784_container\" class=\"      arfformfield control-group arfmainformfield  arf_horizontal_radio  arffieldrequired arf_field_type_radio   top_container  top_container arfformfield  arf_field_3002\"  style='width: 100%'  data-field-type=\"radio\" data-parent_field=\"0\"><label data-type=\"radio\" for=\"field_r9r0ad_33784\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Is the person named on the order employed by you or your organisation?<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"setting_radio controls arf_standard_radio \" style=\"padding-top:5px;\"><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[3002]\" data-type=\"radio\" id=\"field_3002-0-33784\" data-unique-id=\"33784\" value=\"Yes\"   class=\" arf_required \" data-validation-minchecked-minchecked=\"1\" data-validation-minchecked-message=\"This field cannot be blank.\" onChange='arf_cl_apply_v3(33784,[\"3003\",\"3004\",\"2998\",\"2997\",\"2999\",\"3001\"]);' style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_3002-0-33784\" class=\"\">Yes<\/label><\/div><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[3002]\" data-type=\"radio\" id=\"field_3002-1-33784\" data-unique-id=\"33784\" value=\"No\"   class=\" arf_required \" onChange='arf_cl_apply_v3(33784,[\"3003\",\"3004\",\"2998\",\"2997\",\"2999\",\"3001\"]);' style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_3002-1-33784\" class=\"\">No<\/label><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_2997_33784_container\" class=\"      arfformfield control-group arfmainformfield  arf_horizontal_radio  arffieldrequired arf_field_type_radio   top_container  top_container arfformfield  arf_field_2997\"  style='width: 100%'  data-field-type=\"radio\" data-parent_field=\"0\"><label data-type=\"radio\" for=\"field_rkdreq_33784\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Can you confirm that you are able to commence deductions against this the attachment of earnings order<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"setting_radio controls arf_standard_radio \" style=\"padding-top:5px;\"><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[2997]\" data-type=\"radio\" id=\"field_2997-0-33784\" data-unique-id=\"33784\" value=\"Yes\"   class=\" arf_required \" data-validation-minchecked-minchecked=\"1\" data-validation-minchecked-message=\"This field cannot be blank.\" onChange='arf_cl_apply_v3(33784,[\"3015\"]);' style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_2997-0-33784\" class=\"\">Yes<\/label><\/div><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[2997]\" data-type=\"radio\" id=\"field_2997-1-33784\" data-unique-id=\"33784\" value=\"No\"   class=\" arf_required \" onChange='arf_cl_apply_v3(33784,[\"3015\"]);' style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_2997-1-33784\" class=\"\">No<\/label><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_3015_33784_container\" class=\"    arfformfield control-group arfmainformfield  arf_vertical_radio  arffieldrequired arf_field_type_checkbox   top_container  top_container arfformfield  arf_field_3015\"  style='width: 100%'  data-field-type=\"checkbox\" data-parent_field=\"0\"><label data-type=\"checkbox\" for=\"field_ybpau9_33784\" class=\"arf_main_label arf_main_label_16px\" aria-label = >The reason why you are unable to commence deductions against the attachment of earnings order<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"setting_checkbox controls arf_standard_checkbox\" style=\"padding-top:5px;\" ><div class=\"arf_checkbox_style \" id=\"frm_checkbox_3015-0\"><div class='arf_checkbox_input_wrapper '><input type=\"checkbox\" name=\"item_meta[3015][]\" data-type=\"checkbox\" id=\"field_3015-0-33784\" value=\"The person name on the order have earnings that are below the threshold for deductions\" data-label=\"The person name on the order have earnings that are below the threshold for deductions\"    class=\" arf_required \"data-validation-minchecked-minchecked=\"1\" data-validation-minchecked-message=\"This field cannot be blank.\" style=''  \/><span><\/span><\/div><label data-type=\"checkbox\" for=\"field_3015-0-33784\" aria-label=\"The person name on the order have earnings that are below the threshold for deductions\">The person name on the order have earnings that are below the threshold for deductions<\/label><\/div><div class=\"arf_checkbox_style \" id=\"frm_checkbox_3015-1\"><div class='arf_checkbox_input_wrapper '><input type=\"checkbox\" name=\"item_meta[3015][]\" data-type=\"checkbox\" id=\"field_3015-1-33784\" value=\"Other priority deductions are currently in place\" data-label=\"Other priority deductions are currently in place\"    class=\" arf_required \" style=''  \/><span><\/span><\/div><label data-type=\"checkbox\" for=\"field_3015-1-33784\" aria-label=\"Other priority deductions are currently in place\">Other priority deductions are currently in place<\/label><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_2998_33784_container\" class=\"    arfformfield control-group arfmainformfield  arf_field_type_textarea  top_container top_container arfformfield   arf_inline_field_value  arf_field_2998\"  style='width: 100%'  data-field-type=\"textarea\" data-parent_field=\"0\"><label data-type=\"textarea\" for=\"field_znr89b_33784\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Can you confirm the average earnings of your employee and when\/if the deductions can commence<\/label><div class=\"controls\"   ><textarea name=\"item_meta[2998]\" id=\"field_znr89b_33784\"  rows=\"6\"  ><\/textarea><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_2999_33784_container\" class=\"      arfformfield control-group arfmainformfield  arf_vertical_radio  arffieldrequired arf_field_type_radio   top_container  top_container arfformfield  arf_field_2999\"  style='width: 100%'  data-field-type=\"radio\" data-parent_field=\"0\"><label data-type=\"radio\" for=\"field_aw1nht_33784\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Employment status<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"setting_radio controls arf_standard_radio \" style=\"padding-top:5px;\"><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[2999]\" data-type=\"radio\" id=\"field_2999-0-33784\" data-unique-id=\"33784\" value=\"The person named on the order has never worked for us\"   class=\" arf_required \" data-validation-minchecked-minchecked=\"1\" data-validation-minchecked-message=\"This field cannot be blank.\" onChange='arf_cl_apply_v3(33784,[\"\"]);' style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_2999-0-33784\" class=\"\">The person named on the order has never worked for us<\/label><\/div><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[2999]\" data-type=\"radio\" id=\"field_2999-1-33784\" data-unique-id=\"33784\" value=\"The person named on the form no longer works for us\"   class=\" arf_required \" onChange='arf_cl_apply_v3(33784,[\"\"]);' style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_2999-1-33784\" class=\"\">The person named on the form no longer works for us<\/label><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_3003_33784_container\" class=\"    arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_text  top_container top_container arfformfield   arf_inline_field_value  arf_field_3003\"  style='width: 100%' data-field-type=\"text\" data-parent_field=\"0\" ><label data-type=\"text\" for=\"field_7ztsik_33784\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Employee job role\/title<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_7ztsik_33784\"  name=\"item_meta[3003]\"  class=\" arf_required \" data-validation-required-message=\"This field cannot be blank.\"   \/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_3004_33784_container\" class=\"    arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_text  top_container top_container arfformfield   arf_inline_field_value  arf_field_3004\"  style='width: 100%' data-field-type=\"text\" data-parent_field=\"0\" ><label data-type=\"text\" for=\"field_u1gkqe_33784\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Employee payroll number or National Insurance Number<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_u1gkqe_33784\"  name=\"item_meta[3004]\"  class=\" arf_required \" data-validation-required-message=\"This field cannot be blank.\"   \/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_3001_33784_container\" class=\"      arfformfield control-group arfmainformfield  arf_horizontal_radio  arffieldrequired arf_field_type_radio   top_container  top_container arfformfield  arf_field_3001\"  style='width: 100%'  data-field-type=\"radio\" data-parent_field=\"0\"><label data-type=\"radio\" for=\"field_yfz21f_33784\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Can you advise where the named person is now employed?<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"setting_radio controls arf_standard_radio \" style=\"padding-top:5px;\"><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[3001]\" data-type=\"radio\" id=\"field_3001-0-33784\" data-unique-id=\"33784\" value=\"Yes\"   class=\" arf_required \" data-validation-minchecked-minchecked=\"1\" data-validation-minchecked-message=\"This field cannot be blank.\" onChange='arf_cl_apply_v3(33784,[\"3014\"]);' style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_3001-0-33784\" class=\"\">Yes<\/label><\/div><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[3001]\" data-type=\"radio\" id=\"field_3001-1-33784\" data-unique-id=\"33784\" value=\"No\"   class=\" arf_required \" onChange='arf_cl_apply_v3(33784,[\"3014\"]);' style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_3001-1-33784\" class=\"\">No<\/label><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_3014_33784_container\" class=\"    arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_text  top_container top_container arfformfield   arf_inline_field_value  arf_field_3014\"  style='width: 100%' data-field-type=\"text\" data-parent_field=\"0\" ><label data-type=\"text\" for=\"field_zw9ht3_33784\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Please advise where the named person is now employed<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_zw9ht3_33784\"  name=\"item_meta[3014]\"  class=\" arf_required \" data-validation-required-message=\"This field cannot be blank.\"   \/><\/div><\/div><div style=\"clear:both;\"><\/div><input type=\"hidden\" id=\"arf_repeatable_field_counter_3006\" data-max_add=\"0\" value=\"1\" \/><div id=\"heading_3006\" class=\"arf_heading_div  \"><h2 class='arf_sec_heading_field pos_top  ' style='display:block'; data-field-type='section' >Your Organisation<\/h2><div class=\"arf_field_description arf_heading_description\"><\/div><div id=\"arf_field_3005_33784_container\" class=\"    arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_text  top_container top_container arfformfield frm_first_half  arf_inline_field_value  arf_field_3005\"  style='width: 48.312%' data-field-type=\"text\" data-parent_field=\"3006\" ><label data-type=\"text\" for=\"field_zi9v0d_33784\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Your first name<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_zi9v0d_33784\"  name=\"item_meta[3005]\"  class=\" arf_required \" data-validation-required-message=\"This field cannot be blank.\"   \/><\/div><\/div><div class=\"arf_half_middle\"><\/div><div id=\"arf_field_3007_33784_container\" class=\"    arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_text  top_container top_container arfformfield   arf_inline_field_value  arf_field_3007\"  style='width: 100%' data-field-type=\"text\" data-parent_field=\"3006\" ><label data-type=\"text\" for=\"field_mk1lc1_33784\" class=\"arf_main_label arf_main_label_16px\" aria-label = >The full name of your business\/organisation<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_mk1lc1_33784\"  name=\"item_meta[3007]\"  class=\" arf_required \" data-validation-required-message=\"This field cannot be blank.\"   \/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_3008_33784_container\" class=\"    arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_text  top_container top_container arfformfield frm_last_half  arf_inline_field_value  arf_field_3008\"  style='width: 48.312%' data-field-type=\"text\" data-parent_field=\"3006\" ><label data-type=\"text\" for=\"field_5yma4p_33784\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Your last name<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_5yma4p_33784\"  name=\"item_meta[3008]\"  class=\" arf_required \" data-validation-required-message=\"This field cannot be blank.\"   \/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_3009_33784_container\" class=\"    arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_email  top_container  arf_inline_field_value   top_container arfformfield  arf_field_3009\"  style='width: 100%'  data-field-type=\"email\" data-parent_field=\"3006\"><label data-type=\"email\" for=\"field_bbis1x_33784\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Your email address<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><input type=\"text\" id=\"field_bbis1x_33784\" name=\"item_meta[3009]\"  class=\" arf_required \" data-validation-required-message=\"This field cannot be blank.\"  data-validation-regex-regex=\"[\\p{L}0-9._-]+@[\\p{L}0-9.-]+\\.[\\p{L}]+\" data-validation-regex-message=\"Email is invalid\"  \/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_3010_33784_container\" class=\"    arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_text  top_container top_container arfformfield   arf_inline_field_value  arf_field_3010\"  style='width: 100%' data-field-type=\"text\" data-parent_field=\"3006\" ><label data-type=\"text\" for=\"field_gitaqe_33784\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Your position in the company<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_gitaqe_33784\"  name=\"item_meta[3010]\"  class=\" arf_required \" data-validation-required-message=\"This field cannot be blank.\"   \/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_3011_33784_container\" class=\"    arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_text  top_container top_container arfformfield   arf_inline_field_value  arf_field_3011\"  style='width: 100%' data-field-type=\"text\" data-parent_field=\"3006\" ><label data-type=\"text\" for=\"field_5w6k29_33784\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Contact Phone Number<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_5w6k29_33784\"  name=\"item_meta[3011]\"  class=\" arf_required \" data-validation-required-message=\"This field cannot be blank.\"   \/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_3012_33784_container\" class=\"    arfformfield control-group arfmainformfield  arf_field_type_textarea  top_container top_container arfformfield   arf_inline_field_value  arf_field_3012\"  style='width: 100%'  data-field-type=\"textarea\" data-parent_field=\"3006\"><label data-type=\"textarea\" for=\"field_3gip65_33784\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Further information<\/label><div class=\"controls\"   ><textarea name=\"item_meta[3012]\" id=\"field_3gip65_33784\"  rows=\"6\"  ><\/textarea><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_3013_33784_container\" class=\"    arfformfield arf_display_to_confirmation_summary control-group arfmainformfield  arf_field_type_html  top_container  top_container arfformfield  arf_field_3013\" data-field-type=\"html\" data-parent_field=\"3006\" style='width: 100%'><div class=\"arf_htmlfield_control\"><h2>Declaration and use of personal information<\/h2>\n<p>By submitting this form you agree to Worcester City Council using your personal information for the purposes of processing your attachment of earnings acknowledgement form and any other activity related to your form. We will not use your information for any other purpose or share it with anyone outside of the council.\n\nYour personal information will be processed in accordance with our <a href=\"https:\/\/www.worcester.gov.uk\/notices\/privacy-policy\/corporate\/revenues-benefits\" target=\"_new\">Privacy Notice<\/a>.<\/div><\/div><div style=\"clear:both;\"><\/div><\/div><div style=\"clear:both;\"><\/div><div style=\"clear:both;height:1px;\">&nbsp;<\/div><\/div><!-- page_break && page_0--><div class=\"arfsubmitbutton top_container\" ><div class=\"arf_submit_div  top_container\"><input type=\"hidden\" data-jqvalidate=\"false\" value=\"1\" name=\"is_submit_form_158\" data-id=\"is_submit_form_158\" \/><input type=\"hidden\" data-jqvalidate=\"false\" value=\"0\" data-val=\"0\" data-max=\"0\" name=\"submit_form_158\" data-id=\"submit_form_158\" \/><button class=\"arf_submit_btn  arf_submit_btn_flat   btn-info arfstyle-button  unknown\"  id=\"arf_submit_btn_33784\" name=\"arf_submit_btn_33784\" 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