Please complete the form below and submit, our staff will contact you once we have processed the form.
Please complete section one and then hand the form back to your present employer. If you later receive a form P45 from your previous employer, hand it to your present employer.
National Insurance No. Title - enter MR, MRS,MISS, MS or other title Surname or family name First or given name(s) Gender MaleFemale Date Of Birth DD MM YYYY House or flat number Rest of address including house name or flat name Postcode
Read all the following statements carefully and check the one box that applies to you.
A – This is my first job since last 6 April and I have not been receiving taxable Jobseeker's Allowance, Employment and Support Allowance or taxable Incapacity Benefit or a state or occupational pension.
B – This is now my only job, but since last 6 April I have had another job, or have received taxable Jobseeker's Allowance, Employment and Support Allowance or taxable Incapacity Benefit. I do not receive a state or occupational pension.
C – I have another job or receive a state or occupational pension.
ABC
If you left a course of UK Higher Education before last 6 April and received your first UK Student Loan instalment on or after 1 September 1998 and you have not fully repaid your Student Loan, check the box D. (Do not check the box D if you are repaying your UK Student Loan by agreement with the UK Student Loans Company to make monthly payments through your bank or building society account.) D
I can confirm that this information is correct Signature Date DD MM YYYY
Δ
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