Employee Benefits in Kind Declaration Form
Please complete this form to declare any non-cash benefits you have received from your employer.
Full Name
*
First Name
Last Name
Employee ID
*
Department
*
Please Select
Human Resources
Finance
Operations
IT
Marketing
Sales
Other
Position/Job Title
*
Work Email Address
*
example@example.com
Type of Benefit Received
*
Please Select
Company Car
Accommodation
Gift or Voucher
Meal Allowance
Travel or Transport
Other
Description of Benefit
*
Estimated Value of Benefit (in local currency)
*
Date Benefit Received
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit Declaration
Should be Empty: