UK HMRC CF83 Form - Fill, Sign Online, Download & Print - No Signup

CF83

Page 1

HMRC 12/23

Application to pay voluntary

National Insurance contributions abroad

How to complete this form

Read NI38, ‘Guidance on social security abroad’ before you complete this form. Go to www.gov.uk and search for ‘NI38’.

Use capital letters, enter dates in the format DD MM YYYY, tick the right boxes and use black ballpoint pen.

Read, then sign and date the declaration at Part 7 before you send the completed form to us, or we’ll have to return it to you.

1 About you

1

Full name

(including your title, Mr, Mrs, Miss, Ms)

2

National Insurance number

3

Date of birth

DD MM YYYY

4

Your UK address, if applicable

Postcode

5

Have you lived in the UK for 3 years in a row at any

time before living or working abroad?

Yes

No

6

Have you paid 3 full years of National Insurance

contributions before living or working abroad?

Yes

No

2 About your periods abroad

7

What date did or will you leave the UK?

DD MM YYYY

8

Names of the country, or countries, you are or were in

during your periods abroad and the dates of residence

in each country

9

Are you currently living outside the UK?

Yes

Go to question 10

No

Go to question 13

10

Your address abroad

Country

11

While you’re abroad, which address would you prefer

us to use to contact you?

UK

Abroad

12

Will you be living or working abroad for the full

current tax year?

Yes

No

13

Were you ordinarily resident in the UK before you

left to live or work abroad?

Yes

No

Page 2

3 Employment

15

What was your employment status before

you left the UK? 

a)

employed

b)

self-employed

c)

neither employed

nor self-employed

Go to question 16

Go to question 18

Go to question 19

16

Name and address of your last employer before

you left the UK

Name

Address

Postcode

17

Have you stopped working for your last UK employer?

Yes

No

If yes, enter the date your employment ended

18

Has your UK self-employment ended?

Yes

No

If yes, enter the date your UK self-employment ended

19

Were you receiving Jobseeker’s Allowance (JSA)

immediately before you left the UK?

Yes

No

If yes, enter the date you last received JSA

20

Were you receiving Child Benefit before you left the UK?

Yes

No

Only select yes if you were the person who claimed

Child Benefit

If yes, enter the date you last received Child Benefit

4 Self-employment or employment abroad

21

Are you working, or have you previously worked,

abroad as an employee?

Yes

Go to question 22

No

Go to question 29

22

What is the name and address (including country)

of your employer abroad?

Name

Address

Country

23

When did you start this employment?

DD MM YYYY

24

If this employment has ceased please supply

the end date?

DD MM YYYY

25

Is this employer an overseas government

or international organisation?

For example, NATO, the United Nations (UN), or CERN

Yes

No

2 About your periods abroad

continued

14

Are you applying to pay voluntary contributions for:

a) ongoing periods (for future years)

Or requesting information about:

b) gaps in your National Insurance record,

for example shortfalls for previous years

c) both ongoing periods and gaps for previous years

HMRC will write to you to confirm which gaps you are

eligible to pay and at what rate

HMRC will write to you to confirm which gaps you are

eligible to pay and at what rate

Page 3

32

I wish to pay by

Direct Debit

– you cannot pay

by Direct Debit

for gaps in your

National Insurance

record for previous

tax years

Six monthly

Direct Debit

Not available for Class 3

National Insurance contributions

Annual payment

Agent

33

If you’ve chosen to use an agent, give their full

name and address

Name

Address

Postcode

34

If you’ve chosen to pay by Direct Debit, how do you

wish to pay for any gaps in the current tax year?

Direct Debit

Sterling cheque

6 Application to pay voluntary contributions

We will use the information that you’ve supplied in this application form to determine the class of voluntary

National Insurance if you’re eligible to pay. We will write to you to let you know. The guidance on voluntary

National Insurance explains:

• who is eligible to pay class 2 or class 3 contributions

• which benefits and pensions each class counts towards

• rates for each class

Go to www.gov.uk/voluntary-national-insurance-contributions

5 Volunteer development workers

30

What is your salary or wage?

We need to know about your earnings for

National Insurance contribution purposes. Include all

cash allowances paid by your employer, but do not

include benefits in kind or any cash allowances not

paid by your employer

£

31

Are you paid weekly or monthly?

Weekly

Monthly

26

Did you also work for this employer immediately

before you left the UK?

Yes

No

Go to question 28

If yes, enter this employer’s UK address

Postcode

27

Does this employer hold your contract of service?

Yes

No

28

Have you had any other employments abroad?

Yes

No

29

Are you or were you self-employed abroad?

Yes

No

If yes, enter the start and end date (if applicable)

of your self-employment abroad

Start date DD MM YYYY

End date DD MM YYYY

4 Self-employment or employment abroad

continued

Fill in the Direct Debit form

on page 4, inserting your

National Insurance number

under ‘Reference’

Page 4

Signature

Full name

in capital letters

Daytime phone number

Date

DD MM YYYYY

What to do now

Return the completed form to:

PT Operations North East England

HM Revenue and Customs

BX9 1AN

United Kingdom

If you’re a volunteer development worker send the completed form to your recruiting organisation, see NI38.

Name(s) of account holder(s)

Bank/building society account number

Branch sort code

Name and full postal address of your bank or building society

To: The Manager

Bank/building society

Address

Postcode

Service user number

9

9

1

1

3

3

Reference

Instruction to your bank or building society.

Please pay HM Revenue and Customs Direct Debits from the

account detailed in this instruction, subject to the safeguards

assured by The Direct Debit Guarantee. I understand that this

instruction may remain with HM Revenue and Customs and, if so,

details will be passed electronically to my bank or building society.

Signature

Date

Instruction to your bank or building society to pay by Direct Debit

Fill in the form and send to: PT Operations North East England, HM Revenue and Customs, BX9 1AN,

United Kingdom.

Banks and building societies may not accept Direct Debit instructions for some types of account.

Do not detach

7 Declaration

I declare that the information I have given applies to me and is true to the best of my knowledge and belief.