If you use assistive technology (eg a screen reader) and need a
version of this document in a more accessible format, please email firstname.lastname@example.org.
Please tell us what format you need. It will help us if you say what assistive technology you use.
This contains the form required in paragraphs 245ZO(F)(ii) and 245ZQ(e)(ii) in part 6A of the rules. It must be signed by both the employer and the overseas domestic worker.