STARTER CHECKLIST

Instructions for employers

This Starter Checklist can be used to gather information about your new employee. You can use this information to help fill in your first Full Payment Submission (FPS) for this employee. You need to keep the information recorded on the Starter Checklist record for the current and previous three tax years.
Do not send this form to HM Revenue and Customs (HMRC).

Instructions for employees

As a new employee your employer needs the information on this form before your first payday to tell HMRC about you and help them use the correct tax code. Fill in this form then give it to your employer.
Do not send this form to HMRC.

1 Last Name*

2 First name*

3 Are you male or female?*

FemaleMale

4 Date of birth*

DayMonthYear

5 Home address*

Postcode*

Country*

6 National Insurance number (if known)*

7 Employment start date*

DayMonthYear

Employee statement

8 You need to select only one of the following statements*

This is my first job since last 6 April and I have not been receiving taxable Job seeker'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 Job seeker’s Allowance, Employment and Support Allowance or 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.