form to get nino

8/11/2019 Form to Get Nino

1/3140403 CA5403_en_V0.3

Contents

About this form

Your details

Your address details

Marriage or partnership

details

Signing the form

What to do now

Your National Insurance number

About this form

This form is designed to be filled in on screen. Some of the questions contain additional help text

which will display when you click on the help icons (?).

Fill in this form:

If you need your National Insurance number (NINO) confirmed in writing If you have recently received notification of your NINO and need to update your personal details

Where to find your NINO

You may be able to find your NINO on:

your P60 End of Year Certificate (given to you by your employer)

your payslip

a copy of your Self Assessment tax return

other HM Revenue & Customs (HMRC) letters and forms

National Insurance Number

If you need your NINO confirmed in writing (you may have lost or forgotten it) you can:

fill in this form phone our National Insurance Registrations helpline on 0300 200 3502. If you live outside

the UK phone +44 (0) 191 203 7010

Please note: a letter confirming your NINO cannot, on its own, be used to prove your identity.

When not to complete this form

Do not complete this form if you:

have never had a NINO before. Instead you should contact one of the following:

- If you are a UK citizen contact the National Insurance Registrations Helpline on

0300 200 3502

- If you are not a UK citizen contact Jobcentre Plus on 0845 600 0643 or go to the

Get a National Insurance number web page

Get a National Insurance number

want a letter in Welsh confirming your NINO, please phone 0300 200 1900 and ask for

form CA5403W

What to do next

If, after considering all of the information above, you still want to request written confirmation of your

NINO, complete this form. Make sure you read and sign the Declaration.

For guidance on completing this form please click on 'How to fill in this form' at the top of the page.

Your details

*indicates required information

Title * Mr

Last name * Vergara Perucich

Do you have a previous last name? * Yes No

First name * Francisco

Do you have a previous first name? * Yes No

Previous first name * Jose


2/3

Are you male or female? * Male Female

Date of birth eg dd mm yyyy * 1 7 0 5 1 9 8 1

Current home address

Is this address in the UK? * Yes No

Address line 1 * 42 Clarendon Road

Address line 2 London

Address line 3

Postcode * N15 3JX

Daytime telephone number ?

National Insurance number ?

Are you completing this form to tell

us about a change to your name?* Yes No

Your address details


Have you had any previous

addresses?* Yes No

Marriage or civ il partnership details


Are you married or in a civil

partnership?* Yes No

Have you been married or in a civil

partnership in the past?* Yes No

Signing the form

You should complete and sign the declaration after you have printed the form. However, if you are

going to sign it straight away, you can complete the rest of the declaration now if you prefer.

Declaration

The information given on this form is true and complete to the best of my knowledge and belief.

Signature

Full name J. Francisco Vergara Perucich


3/3

Date eg dd mm yyyy 1 7 0 5 1 9 8 1

What to do now

Please send the completed the form to:

HM Revenue & Customs

National Insurance Contributions & Employer Office

National Insurance Registrations

Benton Park View

NEWCASTLE UPON TYNE

NE98 1ZZ

For official use only: National Insurance number traced

National Insurance number

form to get nino

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