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Instructions for employees

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.

Employee’s personal details

3. Gender
4. Date of birth
7. Employment start date

Employee Statement

Choose the statement that applies to you, either A, B or C, and tick the appropriate box.
Statement A

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:

• Jobseeker’s Allowance
• Employment and Support Allowance
• Incapacity Benefit

Statement B

Do not choose this statement if you’re in receipt of a State, Works, or Private Pension.

Choose this statement if the following applies.

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:

• Jobseeker’s Allowance
• Employment and Support Allowance
• Incapacity Benefit

Statement C

Choose this statement if:

• you have another job and/or
• you’re in receipt of a State, Works, or Private Pension

8. Choose the statement that applies to you.

Student Loans

9. Tell us if any of the following statements apply to you:

• you do not have any Student or Postgraduate Loans
• you’re still studying full-time on a course that your Student Loan relates to
• you completed or left your full-time course after the start of the current tax year, which started on 6 April
• you’re already making regular direct debit repayments from your bank, as agreed with the Student Loans Company

9. Tell us if any of the following statements apply to you:

Declaration

I confirm that the information I’ve given on this form is correct.
Clear Signature