Please complete this form clearly in CAPITALS - illegible forms cannot be processed
*Denotes a compulsory field - missing information may result in non payment or delayed payment
FOR INTERMEDIARY REPORTING YOU MUST PROVIDE THE FOLLOWING INFORMATION:
If you do not provide your NI Number, you must provide DOB and address
This must accompanied by a copy of the company's certificate of incorporation, and VAT Registration Certificate if VAT registered.
Method of payment If you intend to pay via a Ltd company, please provide the Ltd company's bank details below.
*This form MUST be accompanied by either a P45 (dated within the last 4 weeks) or download HMRC New Starter Checklist
Please note that this can only be applied in the first week of paying a worker.