Contract4 2B Payee

Choose the statement that applies to you, either A, B or C, and select 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

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

I confirm that the information I've given on this form is correct.

The following next pages of the form contain the terms of engagement.
Please only submit this form once you have read and and understood it.

I am signing to agree to all of the terms contained within the attached document called "Contract of Services". I have also read the information contained within the Key Information Document (PAYE).

GOVERNING LAW AND JURISDICTION
These Terms are governed by the law of [England & Wales/Scotland/ Northern Ireland] and are subject to the exclusive jurisdiction of the Courts of [England & Wales/Scotland/ Northern Ireland]