Form EEA4 - UK Border Agency - the Home Office

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For time spent seeking work: this can include evidence of your EEA national familymember’s unemployment such as letters from their last employer. Evidence that theyhave registered as unemployed with Jobcentre Plus (or the Social Security Officeor Jobs and Benefits Office if living in Northern Ireland). Evidence of them seekingwork e.g. copies of application forms or letters of rejection or invite to interview frompotential employers, evidence of registration with a recruitment agency. Evidence ofvocational or academic qualifications.If your EEA national family member has stopped working or being self-employed dueto permanent incapacity: this can include evidence to show they are permanentlyincapacitated, e.g. a consultant’s letter or medical report confirming permanentincapacity along with proof of having previously been in employment or selfemployment.You must also provide proof of them either residing in the UK for the 2years immediately before they stopped work or being self-employed, or proof that theirincapacity is as a result of an accident at work or occupational disease that entitlesthem to a pension paid in full or part by an institution in the UK.If your EEA national family member has stopped working or being self-employed dueto early retirement or reaching state pension age: this can include proof that they haveresided in the UK for at least the 3 years immediately before they retired and that theywere working or self-employed for at least 12 months immediately before they retired.For any period when your EEA family member was unable to work or be self-employeddue to temporary incapacity: medical report or letter from a doctor confirming the illness oraccident and how long they were, or are expected to be, unable to work or engage in selfemployment.Evidence that they were working or self-employed immediately before thetemporary incapacity.If your EEA national family member has the right of permanent residence: your EEAnational family member’s document certifying permanent residence.As evidence of comprehensive sickness insurance (this requirement only applies topersons exercising Treaty rights as students or self-sufficient persons):You must provide either a private comprehensive sickness insurance policy documentthat covered for medical treatment in the majority of circumstances, or a validEuropean Health Insurance Card (EHIC) that covered the 5-year period of residence inthe UK.As evidence of residence in the UK by you and your family members both currentlyand continuously over 5 years:Proof of residence: this can include tenancy agreements, utility bills and bankstatements. For children this could include letters from their school.EEA4 Permanent Residence Card Version 06/2014 - page 34 of 38
If your EEA national family member has a Document certifying permanent residence:proof that they have not been absent from the UK for more than 2 consecutiveyears since they gained the right of permanent residence. This can include tenancyagreements, utility bills and bank statementsAs evidence of relationships:For family relationships: marriage certificates, civil partnership certificates or birthcertificates.For unmarried partners: proof that you continue to be in a durable relationship. Suchas joint bank or building society statements, joint tenancy agreements, council tax billsor evidence that you have both continued to pay utility bills at the property at whichyou reside. You should also include your residence card confirming that your rightof residence as an unmarried partner has previously been recognised by the HomeOffice.As evidence of dependency on your EEA national family member:For children and grandchildren over 21 and direct relatives in the ascending line: Evidencethat the EEA national family member has sufficient funds to maintain you, and that youare, in practice, reliant on these funds to meet your needs such as for example, bankstatements and evidence of money transfers. This evidence should cover the 5-yearperiod.For more distant relatives such as cousins, nephews and nieces: Evidence that yourEEA national family member was maintaining you before your admission to the UK andcontinues to do so. For example, bank statements and evidence of money transfers. Orthat you were a member of the EEA national family household in the country from whichthey have come, and that you continue to be a member of the same household in the UK.For example, joint bank or building society statements, joint tenancy agreements, counciltax bills or other evidence that you share and have shared the same address. You shouldalso include your residence card confirming that your right of residence as an extendedfamily member has previously been recognised by the Home Office.EEA4 Permanent Residence Card Version 06/2014 - page 35 of 38
Page 4: Page left deliberately blankEEA4 Pe
Page 7 and 8: Please note that we always use the
Page 9 and 10: The following nationals may exercis
Page 12 and 13: 1.9 Place of birth - town or city a
Page 14 and 15: 2.13 Family member’s full name2.1
Page 16: Section 4 - Retained Right Of Resid
Page 19 and 20: Section 5 - Permanent Residence Due
Page 21 and 22: About you6.6 How are you related to
Page 23 and 24: Rented by you/the BritishcitizenPro
Page 26 and 27: Section 7 - Details Of The Exercise
Page 28 and 29: Section 8 - Time Spent Outside The
Page 30 and 31: Date sentenced D D M M Y Y Y YIf yo
Page 32 and 33: Section 10 - PhotographsYou must pr
Page 36 and 37: Section 12 - DeclarationPlease read
Page 38: Final ChecklistTo ensure that your

Form EEA4 - UK Border Agency - the Home Office

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