Employer details
Employers name *
Email address *
Employee details
Employee name *
Gender * MaleFemale
Date of birth *
Email address*
National insurance number
Start date*
Number of days worked in employees first month*
Job title*
Number of hours the employee will work in an average week*
Home Address *
Is the employee also a director of the company* YesNo
Does the employee make student loan contributions through payroll, see below for plan details*
Please choose yes to ONE of the following options (see details below)*

Check your Student Loan plan here

A This is my first job or self-employment 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 self-employment, or received taxable Jobseeker’s Allowance, Employment and Support Allowance, taxable Incapacity Benefit. I do not receive a State or Occupational Pension.
C As well as my new job, I have another job or self-employment or receive a State or Occupational Pension.

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