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Modern Slavery Act Statement

A completed fictional Modern Slavery Act statement describing supply-chain controls, risk review and approval.

Jurisdiction: England and Wales - completed fictional worked example

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An editable Microsoft Word version is available from the interactive page.

Important: This sample provides general legal information only and is not legal advice. Check the law, prescribed forms and signing requirements that apply to your exact jurisdiction and circumstances before use.

# MODERN SLAVERY ACT STATEMENT

Date: 14 May 2036

Parties: Northbridge Retail Group plc

## 1. Purpose and parties

This statement is made by Northbridge Retail Group plc for the financial year ending 31 March 2036 under section 54 of the Modern Slavery Act 2015. It describes steps taken to prevent slavery and human trafficking in the group's operations and supply chains.

## 2. Facts, scope and terms

Northbridge uses supplier onboarding, risk-based country and product screening, contractual standards, worker grievance channels and targeted audits. Higher-risk suppliers must provide evidence of recruitment practices, accommodation, working hours and remediation controls.

## 3. Process and responsibilities

The board approved this statement on 14 May 2036. The compliance team tracks training, supplier reviews, incidents and corrective action, and reports material concerns to the audit committee. The statement is not a warranty that no abuse exists and the controls will be reviewed annually.

## 4. Evidence, records and safeguards

The parties should retain the relevant contract, notice, invoices, records and correspondence, and restrict access to personal or confidential information to those who need it. The stated amounts and dates are fictional worked-example facts and require checking against source records.

## 5. Review, escalation and outcome

If the issue is not resolved, the parties should identify the appropriate next step, which may include an internal process, mediation, court or regulator. Silence or part performance is not treated as acceptance or waiver.

## 6. Reservations and practical protections

This document is a general fictional example, not individual legal advice and not a guarantee of eligibility, liability or outcome. Where necessary, an independent professional should check the facts and current law.

## 7. England and Wales law and completion

This completed fictional sample is made on the date above under the law of England and Wales and subject to mandatory protections. It does not exclude any right, liability or remedy that cannot lawfully be excluded.

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