KD-CAS-ND-010
Declarations and Not-Applicable Statements
The director-signed declaration record for CAS v5 Q39 to Q45 and Q54 — court judgments and pending actions, unresolved enforcement orders, the debarment list, the mandatory and discretionary exclusion grounds with self-cleaning evidence, sanctions and named tax avoidance schemes, plus Q47 to Q49, Q56, Q61 and Q158 (blacklisting, public officials, competition law investigations, trade body suspensions, discrimination, right to work and minimum wage findings) — and ready-to-sign not-applicable statements with reasons for no subcontractors, no fleet, no design, no Building Regulations work, no higher-risk building work and no information management work.
Built against the Common Assessment Standard question set, Version 5 (Build UK). Independent — not affiliated with or endorsed by Build UK, Constructionline or any assessment body. The assessment body decides the outcome.
6 pages · 149 fillable fields · works in Adobe Reader, Preview, Chrome, or on a phone — or complete it online in your browser and download the finished document.
Page 1 of 6 — click to enlarge
Read all 6 pages first — watermarked sample, no email Before you submit: the checklist
Statutory basis, cited on the form
- Procurement Act 2023 ss.57, 58 and 62 and Schedules 6 and 7
- Employment Relations Act 1999 (Blacklists) Regulations 2010 reg 3
- Immigration, Asylum and Nationality Act 2006 ss.15 and 21
- National Minimum Wage Act 1998
- Building Safety Act 2022
- Building Regulations 2010 reg 11Q(1)
What it is not
It is not a completed document and it is not health and safety advice. You must adapt it to your site and have a competent person complete and sign it off. See why we don't say "compliant".
Format
AcroForm fillable PDF. Every field has a tooltip. Tab order follows the reading order. Works on desktop and mobile, in Adobe and non-Adobe readers.
This revision was prepared against legislation current at 10 August 2026. Revision A0. Check kubitdocs.com/revisions for the current revision before use.
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