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Class 1A National Insurance contributions payment slip

HMRC recommend that you pay electronically by:

  • Approve a payment through your online bank account
  • Direct Debit
  • Online debit or corporate credit card
  • Bacs Direct Credit, Faster Payments by online/telephone banking or CHAPS

If you want to pay by post, you should only use this payment slip.

You cannot use this payment slip to make payment at a bank by Bank Giro.

More information about paying Class 1A National Insurance contributions

Fill in the boxes below then click the 'Create payment slip' button.

Your payment slip will appear at the bottom of the page.

Print off the completed form and send it with your cheque payment.

Make your cheque payable to 'HM Revenue and Customs only'. Write your payment reference on the back of the cheque.

If you do not have a return envelope please send your cheque to:

HMRC
Direct
BX5 5BD

You must fill in all the boxes marked with an * (asterisk)

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£

Address details*

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Class 1A National Insurance contributions payment

Company name: 

Contact phone number: 

Accounts Office reference number: 

Payment period: 

Amount:  £

Address details: 

 

 

 

Postcode

Please make your cheque payable to 'HM Revenue & Customs only' followed by your Accounts Office reference number.

Send this form and your cheque to:

HMRC
Direct
BX5 5BD

This payment slip cannot be used to make payment at a Bank or Post Office.