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Payroll Form

Dear Candidate
In line with legislative changes implemented by HMRC in 2015, we are now required by law to notify HMRC of any funds paid to you on behalf of our Clients. In order to meet this obligation, we require the below information from you. If we do not have the information below in full, this may impact our ability to pass on funds to you collected from our Clients.



Registration Type


When providing us with your limited company or LLP Number and VAT Registration Number if applicable, please
enclose copies of your certificates as proof.


I certify that the information given is true account of my employment status in the UK and that I am responsible for
ensuring that all payments received for services provided by me to Clients of Locum Meds are reported to HMRC UK. I
also confirm that all UK taxes due on payments received from my Clients via Locum Meds are paid to HMRC UK in
accordance with all UK Tax legislation as set out by the UK Government.


*The Unique Taxpayer Reference (UTR) is only issued by HM Revenue & Customs (HMRC) when you registered for
Self-Assessment. It is made up of 10 numbers, for example 1234567890, and can be found on documentation
issued by HMRC such as the Tax Return (SA100), it is sometimes titled 'Tax Reference' or 'Our Ref'.

Post: Locum Meds, 34, Clarendon Road, Watford, Hertfordshire, WD17 1JJ
Email: | Fax: 01923750331
If you have any queries, do not hesitate to contact us on 01923 594002

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Medical Recruitment Agency In Uk & Locum Jobs | Perm Jobs | Part Time Jobs | Temp Jobs
Signature Certificate
Document name: Payroll Form
lock iconUnique Document ID: 883a359589e15b3b59165d27c178247c04bb6312
Timestamp Audit
July 10, 2018 3:40 pm BSTPayroll Form Uploaded by Compliance Department - info@ IP
October 16, 2018 8:36 am BSTDavid Cosmin - david@ added by Compliance Department - info@ as a CC'd Recipient Ip: