NHS Tax Check Form

If you would like your tax code to be checked, please complete this form. You can either just leave your contact details or you can add the financial information we’ll need. Either way, we’ll get back to you to ask when it would be convenient to speak on the phone or to let you know our findings on your tax code. No charge will be made for this service – it is our thank you for the incredible work you are doing.

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* 1. Contact information

Name

Address

Address 2

City/Town

Postal Code

Country

Email Address

Phone Number

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* 2. I have read the terms and conditions

Yes

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* 3. When's the best time for us to get in touch with you?

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* 4. Are you receiving your State Pension?

Yes

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* 5. If YES - How much State Pension do you expect to receive during the year ended 5 April 2021?

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* 6. Are you receiving any pension income (other than your State Pension)?

Yes

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* 7. If YES - What other pensions do you expect to receive in the year ended 5 April 2021? Please provide the annual figure for each pension(s)

Pension 1

Pension 2

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* 8. If you receive a payslip for your pension payment, please let us know what tax code(s) are used:

Tax Code Pension 1

Tax Code Pension 2

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* 9. Do you receive income from an employment other than your role current with the NHS?

Yes

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* 10. If Yes:

Employment 1 Annual Income

Insert tax code on your most recent payslip

Employment 2 Annual Income

Insert tax code on your most recent payslip

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* 11. Expected NHS income for the year ended 5 April 2021

Insert tax code on your most recent payslip