This Starter Checklist can be used to gather information about your new employee. You can use this information to help fill in your first Full Payment Submission (FPS) for this employee. You need to keep the information recorded on the Starter Checklist record for the current and previous 3 tax years. Do not send this form to HM Revenue and Customs (HMRC).
As a new employee your employer needs the information on this form before your first payday to tell HMRC about you and help them use the correct tax code. Fill in this form then give it to your employer. Do not send this form to HMRC. It’s important that you choose the correct statement. If you do not choose the correct statement you may pay too much or too little tax. For help filling in this form watch our short youtube video, go to www.youtube.com/hmrcgovuk.
1. Last Name:
2. First NamesDo not enter initials or shortened names such as Jim for James or Liz for Elizabeth
3. Are You Male or Female?
4. Date of Birth DD MM YYYY
5. Home Address
, , ,
6. National Insurance Number if Known
7. Employment Start Date DD MM YYYY
8. Choose the statement that applies to you, either A, B or C, and tick the appropriate box.
Do not choose this statement if you’re in receipt of a State, Works or Private Pension.
Choose this statement if the following applies.
This is my first job since 6 April and since the 6 April I’ve not received payments from any of the following:
Since 6 April I have had another job but I do not have a P45. And/or since the 6 April I have received payments from any of the following:
Choose this statement if:
Statement A applies to meStatement B applies to meStatement C applies to me
9. Tell us if any of the following statements apply to you:
10. To avoid repaying more than you need to, tick the correct Student Loans that you have - use the guidance on the right to help you.
Please tick all that apply
Employees, for more information about the type of loan you have, go to www.gov.uk/sign-in-to-manage-your-student-loan-balance
Employers, for guidance go to www.gov.uk/guidance/special-rules-for-student-loans
Types of Student Loan
You have a Postgraduate Loan if any of thefollowing apply:
I confirm that the information I’ve given on this form is correct.
Leave this empty:
Your legal name
Your email address
If you have questions about the contents of this document, you can email the document owner.
Document Name: New Starter Declaration Form
Agree & Sign