Form – Starter Checklist Starter Checklist Instructions for employee Fill in this form if you do not have a P45 (a document you get from your employer when you stop working for them). You should also fill in this form if you have a student loan (whether or not you’ve a P45). Give the completed form to your employer as soon as possible. They need this information to tell HMRC about you and help them to use the right tax code. Make sure you answer the questions correctly. If you do not, you may pay the wrong amount of tax or student loan deductions. Employee’s Personal details Name * Name First First Middle Middle Last Last Address * Address Address Address Town/City Town/City County County Postcode Postcode What is your sex? * Male Female Date of birth * National Insurance number (if known) Employment start date Employee statement These questions will help you to choose the statement that matches your circumstances. The statement you choose helps your employer to apply the correct tax code. [8] Do you have another job? * Yes – select Switch C below then go to question 11 No – Go to question 9 [9] Do you receive payments from a State, workplace or private pension? Yes – Select the statement C switch below then skip No – Go to question 10 [10] Since 6 April have you received payments from: another job which has endedor any of the following taxable benefits Jobseeker’s Allowance (JSA) Employment and Support Allowance (ESA) Incapacity Benefit Yes – Select the statement B switch below No – Select the statement A switch below For more information about tax codes, go to www.gov.uk/tax-codes Statement A Current personal allowance Key This is my first job since 6 April and since the 6 April I have not received payments from any of the following: Jobseeker’s Allowance Employment and Support Allowance Incapacity Benefit Statement B Current personal allowance on a Week 1/Month 1 basis Key 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 Tax Code BR Key I have another job and/or I am in receipt of a State, workplace or private pension. Key Jobseeker’s Allowance (JSA) is an unemployment benefit which can be claimed while looking for work. Employment and Support Allowance (ESA) is a benefit which can be claimed if you have a disability or health condition that affects how much you can work. Incapacity Benefit is help if you could not work because of an illness or disability before 31 January 2011. State Pension is a pension paid when you reach State Pension age. Workplace pension is a pension which was arranged by your employer and is being paid to you. Private pension is a pension arranged by you and is being paid to you. Please note that no other Government or HMRC paid benefits need to be considered when completing this form. Student loans [11] Do you have a student or postgraduate loan? * Yes – Go to question 12 No – Go straight to the Declaration [12] Do any of the following statements apply: you’re still studying on a course that your student loan relates to you completed or left your course after the start of the current tax year, which started on 6 April you’ve already repaid your loan in full you’re paying the Student Loans Company by Direct Debit from your bank to manage your end of loan repayments Yes – Go straight to the Declaration No – Go to question 13 [13] To avoid repaying more than you need to, tick the correct student loan or loans that you have – use the guidance on the right to help you. Please tick all that apply Plan 1 Plan 2 Plan 4 Postgraduate loan (England and Wales only) Employees, for more information about the type of loan you have or to check your balance, go to www.gov.uk/sign-in-to-manage-your-student-loan-balance Employers, for guidance on student loans and which plan or loan type to use if your employee has selected more than one, go to www.gov.uk/guidance/special-rules-for-student-loans You have Plan 1 if any of the following apply: you lived in Northern Ireland when you started your course you lived in England or Wales and started your course before 1 September 2012 You have Plan 2 if: You lived in England or Wales and started your course on or after 1 September 2012. You have Plan 4 if: You lived in Scotland and applied through the Students Award Agency Scotland (SAAS) when you started your course. You have a postgraduate loan if any of the following apply: you lived in England and started your postgraduate master’s course on or after 1 August 2016 you lived in Wales and started your postgraduate master’s course on or after 1 August 2017 you lived in England or Wales and started your postgraduate doctoral course on or after 1 August 2018 Declaration I confirm that the information I’vegiven on this form is correct. * Date * Email * If you are human, leave this field blank. Submit