ET1 CLAIM FORM — DETAILS OF CLAIM APPENDIX TEMPLATE
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Attach this to box 8.2 of the ET1 ("Please set out the background and
details of your claim"). Keep to 2-4 pages. Number every paragraph.

1. THE PARTIES AND EMPLOYMENT
   1.1 I was employed by the Respondent as [job title] from [start date]
       to [end date / present]. My workplace was [location].
   1.2 My [line manager / the decision-maker] was [name, role].

2. THE CLAIMS
   I bring the following claims (tick and complete those that apply):
   [ ] Unfair dismissal (s.94 Employment Rights Act 1996)
   [ ] Constructive unfair dismissal (s.95(1)(c) ERA 1996)
   [ ] Direct discrimination (s.13 Equality Act 2010) because of
       [protected characteristic]
   [ ] Discrimination arising from disability (s.15 EqA 2010)
   [ ] Harassment (s.26 EqA 2010) related to [characteristic]
   [ ] Victimisation (s.27 EqA 2010)
   [ ] Detriment/dismissal for whistleblowing (ss.47B/103A ERA 1996)
   [ ] Unlawful deduction from wages (s.13 ERA 1996)
   [ ] Breach of contract / wrongful dismissal

3. THE FACTS (in date order — one numbered paragraph per event)
   3.1 On [date], [what happened: who did/said what, where, witnesses].
   3.2 On [date], ...
   3.3 On [date] I raised a grievance (attached at Appendix A). The
       outcome of [date] was [unsatisfactory because...]. I appealed on
       [date]; the appeal outcome of [date] [upheld/did not address...].
   3.4 [For dismissal claims:] I was dismissed on [date] with effect
       from [EDT]. The reason given was [reason]. I say the dismissal
       was unfair because [reason was not genuine / procedure failures].

4. WHY THIS WAS UNLAWFUL
   4.1 [For discrimination:] I was treated less favourably than
       [comparator / a hypothetical comparator] because of
       [characteristic], as shown by [key facts: remarks, timing,
       different treatment].
   4.2 [For whistleblowing:] On [date] I made a qualifying disclosure
       to [person] of information tending to show [s.43B failure]. The
       detriments listed in paragraph 3 were done on that ground.

5. REMEDY
   5.1 I seek compensation as set out in my Schedule of Loss
       [attached / to follow], including [basic award, compensatory
       award, injury to feelings (Vento band: lower/middle/upper)].
   5.2 [If applicable:] I seek a declaration and a recommendation.

6. EARLY CONCILIATION
   6.1 I contacted Acas for early conciliation on [date]. Certificate
       number: [R-number], issued [date].

Statement of truth: I believe that the facts stated in these details of
claim are true.

Signed: ____________________  Date: ____________
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Template from YourWorkRights.uk — general guidance, not legal advice.