New Starter Declaration Form

Bank Details & Starter Declaration

Confidential As a new employee we require the information on this form before your first pay day to tell HMRC about you and help them use the correct tax code.
Personal Information
Name*

First NameLast Name
Nursery Setting*
Employment Start Date*

DayMonthYear
Date
Bank Details
Name of Bank*
Account Name*
Please add full name as shown on your account
8 Digit Bank Account number*
Sort Code*
National Insurance number*
Employee Statement Declaration

Your present circumstances
A This is my first jobsince 6th April last and I HAVE NOT been receiving taxable Jobseekers Allowance, Employment and Support Allowance or taxable Incapacity Benefit or a state or occupational pension.B This is now my only job, but since 6th April last I HAVE had another job, or have received taxable Jobseekers Allowance, Employment and Support Allowance or taxable Incapacity Benefit. I do not receive a state or occupational pension.C As well as my new job, I have another job or receive a state or occupational pension.
Student Loans
1. 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*

If No, tick this box and go to question 2If Yes, tick this box and go straight to the Declaration
Types of Student Loan

You have Plan 1 if any of the following apply:
• you lived in Northern Ireland when you started your course
• you lived in England or Wales and started your course before 1 September 2012

You have a Plan 2 if:
You lived in England or Wales and started your course on or after 1 September 2012.

You have a Plan 4 if:
You lived in Scotland and applied through the Students Award Agency Scotland (SAAS) when you started your course.

You have a Postgraduate Loan if any of the following apply:
• you lived in England and started your Postgraduate Master’s course on or after 1 August 2016
• you lived in Wales and started your Postgraduate Master’s course on or after 1 August 2017
• you lived in England or Wales and started your Postgraduate Doctoral course on or after 1 August 2018
Plan 1Plan 2Plan 4Postgraduate Loan (England and Wales only
Declaration
I confirm that the information I’ve given on this form is correct
Date*

DayMonthYear
Date
Signature*

Clear
Should be Empty:

Bank Details & Starter Declaration

Personal Information

Bank Details

Employee Statement Declaration

Student Loans