Doxuno
EmploymentUnited Kingdom

ACAS COT3 Settlement Template

Record a legally binding UK ACAS COT3 conciliated settlement under section 18A of the Employment Tribunals Act 1996. Works for both pre-claim ACAS Early Conciliation and the withdrawal of a live ET claim under ET Rules 2013 rule 51. Drafted to British employment-tribunal practice with Industrious Ltd v Horizon waiver wording, ITEPA 2003 tax treatment, Vento bands and the 2025-2026 statutory currency overlay.

Free to useInstant PDFNo account required
ACAS CONCILIATED SETTLEMENT (COT3)
Employment Tribunals Act 1996 S.18a  ·  ACAS Reference R261428/26/22  ·  2026-05-22
EMPLOYER
Sterling Logistics UK Ltd (Company No. 08294617)
88 Old Broad Street, London EC2N 1HQ
By: Rebecca Anne Walsh, HR Director
EMPLOYEE
David Christopher Hayes (Employee No. SLG-2294)
23 Lavender Hill, Clapham, London SW11 5RA
Operations Supervisor
Operations Supervisor · Distribution — North London
Termination: 2026-06-15
This conciliated settlement (the "Agreement") is recorded on 2026-05-22 by Mark Steven Phillips, an officer of the Advisory, Conciliation and Arbitration Service ("ACAS"), under section 18A of the Employment Tribunals Act 1996. The Agreement is reached between Sterling Logistics UK Ltd (the "Employer") and David Christopher Hayes (the "Employee") under ACAS Reference R261428/26/22 (EC certificate dated 2026-04-18).
1.
ACAS CONCILIATION AND STATUTORY BASIS
1.1 ACAS conciliation has taken place under section 18A of the Employment Tribunals Act 1996. The Employee has presented Employment Tribunal claim case number 2304817/2026 (the "Tribunal Claim"). The Employee agrees to withdraw the Tribunal Claim under ET Rules 2013 Sch 1 r.51 in accordance with clause 5 below. 1.2 Communications between the parties and ACAS in connection with the conciliation were and remain protected from disclosure under section 18(7) ETA 1996. 1.3 The parties acknowledge that this Agreement falls within the statutory exception in ERA 1996 s.203(2)(e) (and the corresponding mirror provisions in EqA 2010 s.144(4)(b), TULRCA 1992 s.288(2)(b), WTR 1998 reg 35(2)(b)) so that, notwithstanding the general s.203(1) prohibition, the waiver in clause 4 below is enforceable against statutory claims arising under those provisions.
2.
BACKGROUND AND TERMINATION
2.1 The Employee has been employed by the Employer as Operations Supervisor in the Distribution — North London department since 2020-07-13. The Employee's employment terminated (or is to terminate) on 2026-06-15. 2.2 The Agreement records the full and final terms on which the parties resolve any and all matters arising from or in connection with the Employee's employment, its termination and any related dealings between the parties.
3.
SETTLEMENT PAYMENTS
3.1 In consideration of the Employee entering into this Agreement and complying with its terms, the Employer shall pay the Employee the following sums (subject to PAYE / NIC deductions as required by law): All sums shall be paid by BACS to the Employee's nominated bank account on or before 2026-06-29.
SETTLEMENT SCHEDULE
DescriptionAmount (GBP)Tax treatment
Ex-gratia compensation for loss of office (inclusive of statutory redundancy pay of £4,100; first £30,000 tax-free under ITEPA 2003 ss.401-403)£24,000.00First £30k tax-free (ITEPA 2003 s.403)
Injury-to-feelings award (Vento v CC West Yorkshire Police [2003])£5,000.00Apportioned non-taxable (ITEPA 2003 s.406)
Payment in lieu of notice (PILON)£4,800.00PENP taxable in full (ITEPA 2003 ss.402A-E)
Accrued but untaken holiday pay£1,300.00Taxable as earnings under PAYE
Outstanding bonus / commission£1,800.00Taxable as earnings under PAYE
Total payable (gross)£36,900.00
4.
FULL AND FINAL SETTLEMENT — WAIVER OF CLAIMS
4.1 The Employee accepts the sums in clause 3 in full and final settlement of any and all claims, complaints, proceedings or causes of action (whether actual or prospective, known or unknown, statutory or contractual, in tort or otherwise) which the Employee has or may have against the Employer, any Group Company or any of their respective officers, employees, workers or agents arising out of or in connection with the Employee's employment, its termination or otherwise (the "Settled Claims"). 4.2 The Settled Claims include in particular (without limitation): unfair dismissal (ERA 1996 s.94); wrongful dismissal / breach of contract; unauthorised deductions from wages (ERA 1996 s.13); statutory redundancy pay (ERA 1996 s.135); direct, indirect and combined discrimination, harassment and victimisation on any protected characteristic under the Equality Act 2010; equal pay; breach of the Working Time Regulations 1998; Part-time Workers Regs 2000; Fixed-term Employees Regs 2002; whistleblowing detriment / dismissal (ERA 1996 Part IVA / s.103A); TUPE 2006 claims; and any claim under Article 157 TFEU / retained EU law. 4.3 Particular complaints covered (additional detail): unfair dismissal (ERA 1996 s.94); breach of contract (notice pay); unauthorised deductions from wages (ERA 1996 s.13); statutory redundancy (ERA 1996 s.135); race and age discrimination (Equality Act 2010 ss.13-19); harassment (EqA 2010 s.26); victimisation (EqA 2010 s.27); protected disclosure detriment (ERA 1996 s.47B); equal pay; Working Time Regulations 1998 annual leave. 4.4 The waiver is intended to be construed objectively and to give full effect to the principle in Industrious Ltd v Horizon Recruitment Ltd [2010] IRLR 204 that a COT3 is to be interpreted on its plain terms. Subject to clause 4.5 it covers all claims the parties could reasonably have been aware of as at the date of this Agreement (BCCI v Ali [2001] UKHL 8).

4.5 Claims preserved (carve-outs): accrued pension rights under the Sterling Stakeholder Scheme (policy ref SSL-8821); any claim to enforce this Agreement; any latent personal-injury claim of which the Employee is not aware; any entitlement under the criminal-injuries compensation scheme. In any event the Agreement does not waive: (a) the Employee's accrued pension rights; (b) any personal-injury claim of which the Employee is not, and could not reasonably be, aware; (c) any claim to enforce the terms of this Agreement; (d) any entitlement under a criminal-injuries scheme.
5.
WITHDRAWAL OF TRIBUNAL CLAIM
5.1 The Employee shall withdraw the Tribunal Claim under Schedule 1 rule 51 of the Employment Tribunals (Constitution and Rules of Procedure) Regulations 2013 within seven (7) days of receipt of the settlement sum referred to in clause 3 (or such other period as the parties agree). 5.2 The parties consent to the Tribunal dismissing the Tribunal Claim on withdrawal and request that no costs order be made between them. 5.3 Specific withdrawal mechanism: Employee's solicitor to file notice of withdrawal with London (Central) Employment Tribunal under ET Rules 2013 r.51 within 7 days of receipt of settlement sum; parties to request judgment of dismissal on withdrawal with no order as to costs.. 5.4 The Employee shall take any further procedural steps reasonably required to give effect to this clause.
6.
TAX TREATMENT
6.1 The Employer will make the PAYE / NIC deductions it is required by law to make from the payments under this Agreement. The ex-gratia compensation element (less any element treated as Post-Employment Notice Pay) is intended to fall within the £30,000 tax-free threshold in ITEPA 2003 ss.401-403. 6.2 Any Payment in Lieu of Notice (PILON) is treated as Post-Employment Notice Pay (PENP) under ITEPA 2003 ss.402A-402E, taxable in full as earnings. The PENP formula is ((BP × D) / P) − T and has been applied to the figures in clause 3.
7.
TAX INDEMNITY
The Employee shall keep the Employer indemnified on demand against any income tax, National Insurance contributions, interest and penalties (but not including any professional fees, penalties arising from the Employer's delay in settlement, or the Employer's Class 1A NIC liability on the excess over £30,000) payable to HMRC by the Employer in respect of the payments under this Agreement which should have been paid via PAYE / NIC deductions but were not. The Employee's aggregate liability under this indemnity is capped at the gross settlement sum actually received under clause 3. The Employer will notify the Employee in writing of any demand from HMRC and will give the Employee a reasonable opportunity to comment before settling or contesting it.
8.
CONFIDENTIALITY
Each party undertakes to keep the existence and terms of this Agreement, and the circumstances surrounding the termination of the Employee's employment, confidential. Permitted disclosures: (a) to immediate family under a duty of confidence; (b) to legal, tax or financial advisers; (c) as required by law, court, regulator or HMRC (including any application under CPR 70.5 / Form EX728 to enforce this Agreement); (d) to comply with the Employee's duty of disclosure on pension, insurance or mortgage applications; (e) for the purposes of any protected disclosure under Part IVA of the Employment Rights Act 1996; and (f) with the other party's prior written consent. Nothing in this clause prevents the Employee from making allegations or disclosures of information relating to workplace harassment, discrimination or failure to make reasonable adjustments; any provision purporting to do so is void in accordance with the NDA restrictions in the Employment Rights Act 2024 (expected commencement 2027), which apply expressly to COT3 settlements.
9.
NON-DEROGATION / NON-DISPARAGEMENT
Each party undertakes not to make (and, in the case of the Employer, will procure that its directors and senior managers do not make) any statement about the other party which is derogatory, disparaging or inconsistent with any agreed reference or announcement, save as required by law, court, regulator or HMRC, or in the course of a protected disclosure under ERA 1996 Part IVA.
10.
REFERENCE AND ANNOUNCEMENT
The Employer shall, on receipt of a written request from a bona-fide prospective employer, provide a reference in the terms set out below (the "Agreed Reference"), which shall not be departed from save as required by law or where doing so would give a materially misleading impression:

Sterling Logistics UK Ltd confirms that David Hayes was employed as Operations Supervisor in our Distribution — North London team from 13 July 2020 to 15 June 2026. He left on amicable terms. Any further information is available on written request from a bona-fide prospective employer.

Agreed announcement: David Hayes is leaving Sterling Logistics to pursue new opportunities. We thank him for six years of contribution to the Distribution team and wish him every success.
11.
POST-TERMINATION RESTRICTIVE COVENANTS
The post-termination restrictive covenants in the contract of employment (including confidentiality, non-compete, non-solicitation and non-dealing obligations) continue to apply in full following the Termination Date. The consideration under this Agreement also supports those covenants for the purposes of Tillman v Egon Zehnder [2019] UKSC 32.
12.
RETURN OF EMPLOYER PROPERTY
By the Termination Date the Employee shall return to the Employer all Company property and any confidential information in the Employee's possession or control (including hard-copy and electronic records, and information on personal devices which shall be deleted under supervision). Specific items:

Sterling-issued iPad Pro (asset SLG-IPD-2294), iPhone 13 (IMEI 358492613725901), warehouse access card (#2294), corporate fuel card (-4427) — to be returned by 8 June 2026.
13.
EMPLOYMENT RIGHTS ACT 2024 — EXTENDED TRIBUNAL TIME LIMIT
The parties note that the Employment Rights Act 2024 (Royal Assent 2025, staggered commencement) extends the Employment Tribunal time limit for most claims from three to six months with effect from 1 October 2026. Where the act or omission complained of in any non-waived claim occurred on or after that date, the time limit applicable to any subsequent Tribunal claim would be six months (extended further by ACAS Early Conciliation in the usual way).
14.
AI / AUTOMATED DECISION-MAKING SAFEGUARD
The Employer confirms that, in respect of any decision affecting the Employee's employment that has led to this Agreement (including any redundancy selection, performance review or disciplinary determination), no decision producing legal or similarly significant effects has been taken solely by automated processing, save where Article 22(2) UK GDPR permits and appropriate safeguards have been applied (Article 22 UK GDPR). Where AI or automated tools have been used to inform any such decision, human review and oversight have been applied. The Employee may request meaningful information about the logic involved and the significance and envisaged consequences of any such processing under Articles 13(2)(f), 14(2)(g) and 15(1)(h) UK GDPR, and may seek human review under Article 22(3) UK GDPR, with regard to the ICO's 2024 guidance on AI and data protection.
15.
PROTECTED DISCLOSURES (WHISTLEBLOWING)
Nothing in this Agreement, including the waiver or confidentiality clauses, prevents the Employee from making a protected disclosure under Part IVA of the Employment Rights Act 1996 (whistleblowing), reporting any criminal offence, cooperating with a criminal investigation, disclosing information to a regulatory body, or from bringing a claim to enforce this Agreement or for latent personal injury of which the Employee is not aware. From 6 April 2026, disclosures concerning sexual harassment are within the scope of qualifying disclosures, with protection from detriment and dismissal (Employment Rights Act 2025).
16.
ENTIRE AGREEMENT, SEVERANCE AND THIRD-PARTY RIGHTS
(a) This Agreement constitutes the entire agreement between the parties in relation to its subject matter and supersedes all previous agreements.
(b) No variation is effective unless in writing and signed by both parties (or recorded by an ACAS Conciliation Officer).
(c) If any provision is invalid or unenforceable, the others are not affected; the parties will negotiate in good faith to replace it with the nearest lawful equivalent.
(d) Save that a Group Company of the Employer may enforce the benefit of clause 4 and any confidentiality / non-derogation clauses, a person who is not a party has no rights under the Contracts (Rights of Third Parties) Act 1999 to enforce any term of this Agreement.
17.
GOVERNING LAW, JURISDICTION AND ENFORCEMENT
This Agreement, and any dispute arising out of or in connection with it, shall be governed by and construed in accordance with the law of England and Wales. The parties irrevocably agree that the courts of England and Wales shall have exclusive jurisdiction. Where enforcement of payment under clause 3 is required, the Employee may apply under CPR 70.5 using Form EX728 (fast-track enforcement of ACAS COT3 settlements) without further leave. From 1 October 2026 the time limit for bringing most Employment Tribunal claims is extended from three to six months (Employment Rights Act 2024).
IN WITNESS WHEREOF, the parties have executed this Agreement as of the date indicated.
FOR AND ON BEHALF OF THE EMPLOYER
Rebecca Anne Walsh
HR Director
Sterling Logistics UK Ltd
Date: ____________________
EMPLOYEE
2026-05-22
Date of execution
David Christopher Hayes
Date: ____________________
ACAS CONCILIATION OFFICER
2026-05-22
Settlement recorded under ETA 1996 s.18A — Reference R261428/26/22
Mark Steven Phillips
Date: ____________________

What Is an ACAS COT3 Settlement?

A COT3 is a settlement of statutory employment claims reached through ACAS (the Advisory, Conciliation and Arbitration Service) under section 18A of the Employment Tribunals Act 1996. It is one of only two routes to a binding settlement of UK statutory employment rights — the other being a section 203 ERA Settlement Agreement. The COT3 takes its name from the form ACAS historically used to record the agreement.

Unlike a section 203 Settlement Agreement, a COT3 does not require the employee to receive independent legal advice. The involvement of the ACAS Conciliation Officer substitutes for the statutory adviser certification. This makes COT3s shorter (typically 1-3 pages, versus 15-20 for a Settlement Agreement), quicker to conclude, and exempt from the s.203(3)(b) particular-complaint requirement set out in Hinton v UEL [2005] EWCA Civ 532.

In the United Kingdom, COT3 agreements are used in two main contexts: during ACAS Early Conciliation before an ET claim has been presented, and to withdraw a live ET claim under rule 51 of the Employment Tribunals Rules 2013. British employers, NHS Trusts and large UK employers regularly settle complaints through COT3s because of the simplicity of the process and the ability to enforce the settlement in the County Court using Form EX728 (CPR 70.5).

What's Covered in This Template

Our template generates a complete UK ACAS COT3 with statutory framework, settlement schedule, waiver wording and tax treatment.

ACAS Conciliation Officer

Records the ACAS officer's name and the Early Conciliation reference (R-format), which together form the foundation of a valid COT3.

Claim Status Switch

Three modes: pre-claim Early Conciliation, live ET claim being withdrawn, or claim that has progressed beyond pleadings. Withdrawal mechanics auto-adjust.

s.18A ETA 1996 + s.203(2)(e) ERA

Explains the statutory exception that allows a COT3 to validly waive ERA-based statutory claims notwithstanding the s.203(1) general prohibition.

Settlement Schedule

Itemised payment table: ex-gratia compensation, PILON (with PENP treatment), accrued holiday pay, outstanding bonus, and total.

ITEPA 2003 Tax Notes

Tax treatment of each payment line: £30k threshold under ss.401-403, PENP under ss.402A-E, and PAYE / NIC handling.

Full and Final Waiver

Broad "any and all claims" waiver with optional carve-outs for pension, enforcement, latent personal injury — construed objectively per Industrious Ltd v Horizon.

Specific Waiver Alternative

Narrow-scope waiver listing specific claims only — for cases where the parties want to preserve other matters.

ET Claim Withdrawal

Where a claim has been issued, the template generates a Rule 51 withdrawal clause with consent to dismissal and no order as to costs.

Tax Indemnity

Capped or uncapped tax indemnity from the employee for any HMRC demand on the excess over £30,000.

Confidentiality + NDA Reform

Mutual or one-way confidentiality, with the 2027 NDA-reform carve-out that expressly applies to COT3s.

Reference + Announcement

Agreed reference wording or basic factual reference, plus an internal/external announcement text for departing employees.

CPR 70.5 / Form EX728 Enforcement

Enforcement reference for unpaid settlement sums via the County Court fast-track scheme.

How to Create an ACAS COT3 Settlement

Follow these steps to produce a binding UK ACAS COT3.

  1. 1

    Confirm ACAS Involvement

    A COT3 requires an ACAS Conciliation Officer to be involved. Record the Early Conciliation reference (R-format, e.g. R261428/26/22), the EC certificate date, and the conciliation officer's name. Without these, the document is a contract but not a COT3.

  2. 2

    Identify the Parties and Employment Context

    Enter employer, employee, job title, employment dates and termination date. Specify whether the COT3 is pre-claim, post-claim, or post-hearing — the withdrawal clause adapts accordingly.

  3. 3

    Build the Settlement Schedule

    Enter ex-gratia compensation, any PILON with PENP status, accrued holiday pay and outstanding bonus. The template renders a clean table with tax-treatment notes for each line and a total. For discrimination cases, add an injury-to-feelings element from the current Vento bands (Ninth Addendum 2026).

  4. 4

    Choose the Waiver Scope

    For most British settlements, the default broad "full and final settlement of any and all claims" waiver is appropriate (construed objectively under Industrious Ltd v Horizon Recruitment Ltd [2010] IRLR 204). For narrower scenarios, select the specific-claims waiver option and list each claim individually.

  5. 5

    Add Expert Overlays

    In Expert mode, add tax indemnity, confidentiality with the NDA reform 2027 carve-out, non-derogation, reference wording, restrictive covenants, return-of-property schedule, and the 2025-2026 statutory currency overlay (Worker Protection Act 2023, ERA 2024 6-month time limit, AI / Article 22 UK GDPR). Download as PDF and have ACAS record the signed agreement.

Legal Considerations

COT3 settlements have specific statutory foundations and a distinct procedural framework from section 203 Settlement Agreements.

This template is for informational purposes only and does not constitute legal advice. Consult a qualified UK solicitor for advice specific to your situation.

Reviewed for England & Wales law

Statutory Foundation — s.18A ETA 1996

COT3 settlements are recorded by an ACAS conciliation officer under section 18A of the Employment Tribunals Act 1996. The communications between the parties and ACAS during conciliation are protected from disclosure by s.18(7) of the same Act. The waiver validly extends to ERA-based statutory claims because of the express statutory exception in section 203(2)(e) of the Employment Rights Act 1996, with mirror exceptions in EqA 2010 s.144(4)(b), TULRCA 1992 s.288(2)(b) and WTR 1998 reg 35(2)(b). Without these statutory exceptions, the general prohibition in s.203(1) would invalidate the waiver.

Compared to a Settlement Agreement

A UK COT3 differs from a section 203 Settlement Agreement in three key ways. First, no independent legal advice is required — ACAS's involvement is the safeguard. Second, the document is typically 1-3 pages versus 15-20 for a Settlement Agreement. Third, the s.203(3)(b) "particular complaint" requirement (Hinton v UEL [2005] EWCA Civ 532) does not apply, so a COT3 can validly settle all claims arising from the same factual matrix on appropriately broad wording. Both routes are equally enforceable in British employment tribunals.

Construction and Enforcement

COT3s are construed objectively as contracts — Industrious Ltd v Horizon Recruitment Ltd [2010] IRLR 204 (followed in Scotland by Hilton UK Hotels v McNaughton [2006] CSIH 20). The 2024 Hill Dickinson case note reaffirmed that the court will give effect to the plain meaning of the words used. However, in line with BCCI v Ali [2001] UKHL 8 (Lord Bingham), a broadly drafted waiver will not extend to claims neither party could reasonably have been aware of at the time of settlement. Unpaid sums under a COT3 are enforceable in the United Kingdom's County Court via CPR 70.5 using Form EX728 — the fast-track ACAS enforcement scheme.

Tax and Withdrawal Procedure

The tax position is the same as for a Settlement Agreement: the ex-gratia element falls within ITEPA 2003 ss.401-403 (£30,000 tax-free), any PILON is taxable as PENP under ss.402A-402E, and the employer accounts for PAYE/NIC. Where a live ET claim is being settled, the Claimant must file a notice of withdrawal under rule 51 of the Employment Tribunals (Constitution and Rules of Procedure) Regulations 2013. The Tribunal usually dismisses the claim on withdrawal with no order as to costs. The Worker Protection (Amendment of Equality Act 2010) Act 2023 s.40A preventative duty, and the Employment Rights Act 2024 6-month tribunal time-limit from 1 October 2026, apply to COT3s in the same way as other UK settlement instruments.

Frequently Asked Questions

Record Your UK ACAS COT3 Settlement Now

Use our free template to draft a section 18A ETA 1996 COT3 — for either pre-claim Early Conciliation or live ET claim withdrawal. Fill in the details, preview, and download as a PDF in minutes.

Free · Instant PDF · No account required