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How do I fill this out?
To fill out the National Insurance Contributions Statement request form, ensure you have all necessary documentation at hand. Please complete the form using capital letters for clarity. Double-check your entries to avoid any delays in processing.

How to fill out the National Insurance Contributions Statement Request?
1
Gather required documents, including payslips and P60s.
2
Complete the form using clear capital letters.
3
Ensure you provide accurate dates and information.
4
Tick the appropriate boxes for your circumstances.
5
Send the completed form and supporting documents to HMRC.
Who needs the National Insurance Contributions Statement Request?
1
Individuals claiming Sickness Benefits abroad.
2
People looking to claim Unemployment Benefits outside the UK.
3
Self-employed persons seeking a full statement of contributions.
4
UK residents moving to EEA countries within two weeks.
5
Ex-employees needing contribution information for benefits.
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What are the instructions for submitting this form?
To submit this form, send it to the National Insurance Contributions Office at Benton Park View, Newcastle upon Tyne, NE98 1ZZ, United Kingdom. You can also fax it to +44 (0) 191 225 7800. For inquiries, call +44 (0) 191 203 7010 from overseas or 0845 915 4811 from the UK, Monday to Friday, 8:00 AM to 5:00 PM.
What are the important dates for this form in 2024 and 2025?
For 2024, ensure your form is submitted by the last day of February to avoid delays in your claims. In 2025, similar deadlines will apply depending on your circumstances. Always check for any updates from HMRC regarding changes in submission dates.

What is the purpose of this form?
This form serves to request an official statement of National Insurance contributions. It is vital for individuals who wish to claim benefits while living abroad, particularly in EEA countries. Completing this form accurately facilitates smooth processing of claims.

Tell me about this form and its components and fields line-by-line.

- 1. Title: Indicates your preferred title.
- 2. Surname: Your family name.
- 3. First Names: Your given names.
- 4. Date of Birth: Your birthday in DD MM YYYY format.
- 5. National Insurance Number: Your unique identifier for National Insurance.
- 6. Country of Residence: Your address after leaving the UK.
- 7. Employment History: Details of your UK employment for the past three years.
What happens if I fail to submit this form?
Failure to submit this form may result in delays or denial of benefits. It's crucial to follow the submission guidelines to ensure processing.
- Delays in Benefits Processing: Your application for benefits may be postponed while your documentation is reviewed.
- Inaccurate Contribution Records: Without this form, your contribution history may not be updated correctly.
- Ineligibility for Claims: Not submitting the form could make you ineligible for certain benefits.
How do I know when to use this form?

- 1. Claim Unemployment Benefits: Individuals may claim benefits based on contributions made while employed in the UK.
- 2. Apply for Sickness Benefits: Those unable to work due to illness can request this statement for their claims.
- 3. Documentation for Employers: Former UK employees may need this for verification of their employment history.
Frequently Asked Questions
What is this form for?
This form is used to request a statement of National Insurance contributions.
Who needs to fill out this form?
Anyone claiming UK benefits while residing abroad may need to fill this form.
Can I edit the form online?
Yes, you can edit the PDF using PrintFriendly's editing tools.
How do I submit the completed form?
You can submit the form via mail or fax to the designated HMRC address.
Is there a deadline for submission?
It's best to submit your form as soon as possible to avoid delays.
What documents do I need to submit with this form?
Attach your final payslips and P60s for the last three years.
Can I track my application status?
You can contact HMRC for updates on your application status.
What happens if I make a mistake on the form?
If you notice an error, correct it before submission to avoid processing delays.
Where can I get help filling out this form?
PrintFriendly offers resources and guidance for completing the form.
Is this form necessary for everyone?
Only individuals requesting a statement of contributions need to complete this form.
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