New Starter Checklist

Please answer all questions in English
Instructions for employers

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).
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
Name*

First Name (do not enter initials or shortened names such as Jim for James or Liz for Elizabeth)Middle NameLast Name
Email
example@example.com
Birth Date*

DayMonthYear
Date
Gender*
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
National Insurance number if known
Please upload a photo of your National Insurance Number

Cancelof
Employment Start Date*

DayMonthYear
Date

Declaration

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

Clear
Full Name*
Date*

DayMonthYear
Date
Should be Empty:

Please answer all questions in English