Starter Checklist for New Temporary Worker

About this form:

You must answer all the questions except those marked ‘optional’. As a new temporary employee, we need this information before your first payday to tell HMRC about you and to help them use the correct tax code.

Employee's personal details

Last name or family name:

First name (s):

Date of Birth:

Gender:

Number and first Line of address:

Address Line 2:

Town:

Post Code:

Your National Insurance number:

Email Address:

Mobile Phone Number:

Mobile number for Next of kin- in case of emergency:

Employment Start Date:

Employee statement

Which one of the following statements applies to you:

A. 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.

B. 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 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 loan

Do you have a Student Loan which is not fully repaid?

Are you repaying your Student Loan direct to the Student Loans Company by agreed monthly payments?

Student Loan Plans (only complete if applicable)

You will have a Plan 1 Student Loan if:

• You lived in Scotland or Northern Ireland when you started your course, OR

• You lived in England or Wales and started your course before 1 September 2012.

You will have Plan 2 Student Loan if

• You lived in England or Wales and started your course on or after 1 September 2012.

What type of Student Loan do you have?

Did you finish your studies before the last 6th April?

Declaration

Please tick:

I confirm that the information I have given is correct

Full Name:

Today's Date:

Please complete bank details below

Bank details for salary payments

To enable us to pay your wages directly into your bank account we require the following information

NAME OF BANK / BUILDING SOCIETY:

SORT CODE / REFERENCE NUMBER:

BRANCH:

NAME OF ACCOUNT HOLDER:

ACCOUNT NUMBER:

NAME OF TEMP: