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Self-employed party or witness declaration for loss of earnings claims: Form T439

What is this form for?

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.

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Official documents

OFFICIAL DOCUMENT PREVIEWT439
First page of Self-employed party or witness declaration for loss of earnings claims: Form T439

First page of the official PDF (1 pages in total). Use the official document links to view every page.

Official publication updated 2024-02-05. Catalogue checked 9 November 2026. Follow the official guidance for the form's scope, required documents and filing route. Source: HMCTS. Crown copyright, Open Government Licence v3.0.

Enlarged first page of Self-employed party or witness declaration for loss of earnings claims: Form T439