Employee Form
Employee’s personal details
Company Name:
*
Are you a Director? (On Companies House)
*
Yes
No
Name:
*
Select
Mr
Mrs
Ms
Miss
Dr
Title
First Name Do not enter initials or shortened names such as Jim for James or Liz for Elizabeth
Last Name
Gender as is shown on your Birth/Gender Recognition Certificate:
Female
Male
Address
*
Street Address
Street Address Line 2
City
State / Province
Postcode
Date of birth
*
/
Day
/
Month
Year
D.O.B
Employment start date
*
/
Day
/
Month
Year
Start Date
Working Hours
*
Full Time
Part Time
Please tick which days you work (Multiple Choice Enabled)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Are you a European Economic Area Citizen?
*
Yes
No
Can you please specify your Marital Status
Single
Married
Widowed
Divorced
National Insurance number:
Email
*
example@example.com - Your personal and not work email
Pay Details/Bank Detail
Annual Salary:
Hours Per Week:
*
Hourly Rate:
Branch Name:
Account Holder:
Sort Code:
*
Example sort code: 004499
Account Number:
*
Employee statement
Choose the statement that applies to you, either A, B or C, and tick the appropriate box.
Which statement best applies to you, A, B or C, and tick the appropriate box
*
Statement A
Statement B
Statement C
Statement D (The same as Statement B with P45 attached)
Student Loan
To avoid repaying more than you need to, tick the correct Student Loan that you have - use the guidance above to help you
Do you have a Student Loan?
*
Yes
No
What type of Student Loan do you have?
*
Plan 1
Plan 2
Plan 4
Plan 5
Postgraduate Loan (England and Wales only)
Declaration
I confirm that the information I’ve given on this form is correct
Full Name
*
Attach P45 if in this tax year (From 6th April)
Browse Files
Cancel
of
Signature
*
Place employers email address here to send a copy of this form to them
*
Please insert employer's email
Date:
Please verify that you are human
*
Submit
Should be Empty: