New Employee Form

Employer Name *

This is the name of the company you will be working for.

Forenames *

Surname *

Address *

Postcode *

Date of Birth *

Gender

Male

Female

NI Number *

Telephone *

Mobile *

Email address *

Contact Information (in case of emergency)

Name of person to contact

Relationship to you

Telephone

Bank details

Bank name

Account number

Sort Code

Account name

Working Pattern

Working Days *

For example Monday to Friday

Weekly working hours *

Weekly paid hours eg: 40 hours a week

Starter declaration

Tick one of the following three statements: *

This is my first job since last 6 April and I have not been receiving taxable Jobseeker's Allowance, Employment and Support Allowance, taxable Incapacity Benefit, State or Occupational Pension.

This is now my only job but since last 6 April I have had another job, or received taxable Jobseeker's Allowance, Employment and Support Allowance, taxable Incapacity Benefit. I do not receive a State or Occupational Pension.

As well as my new job, I have another job or receive a State or Occupational Pension.

Student Loans

I make the following repayments through payroll:

Type 1 Student Loan

Type 2 Student Loan

PostGrad Loan

Type 4 (Scotland) Student Loan

P45:

I attach a copy of the P45 from my previous employer

P45 currently unavailable

File Upload

Drag and drop files here or Browse Max file size: 2000MB

Employment Start Date

Declaration

Signed *

Date

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