Your National Insurance number

About this form

This form is designed to be filled in on screen. You must answer all the questions except those marked 'optional'. You cant
save the form but once youve completed it youll be able to print a copy and post it.
Fill in this form:
if you need your National Insurance number confirmed in writing
if you have recently received notification of your National Insurance number and need to update your personal details

Where to find your National Insurance number

You may be able to find your National Insurance number 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 National Insurance number 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 National Insurance number 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 National Insurance number 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 Apply for a National Insurance number
web page. For more information follow the link below.
want a letter in Welsh confirming your National Insurance number, 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 National Insurance
number and/or tell us about a change, complete this form. Make sure you read and sign the Declaration.

Your details
Title
Miss

Last name
TERZIYSKA

Do you have a previous last name?

Yes
No

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First name(s)
TATYANA

Do you have a previous first name?

Yes
No

Are you male or female?

Male
Female

Date of birth
29

08

1978

Current home address

Is this address in the UK?

Yes
No

Line 1
ROSEWOOD COTTAGE

Line 2
DEESIDE LANE

Line 3 (optional)
CHESTER

Postcode
CH1 6BP

Contact details

Daytime telephone number

07774767915

Do you know your National Insurance number?

Yes
No

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National Insurance number

PA257755D

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 civil partnership details

Are you married or in a civil partnership?
Yes
No

Have you previously been married or in a civil partnership?

Yes
No

Declaration

I confirm that the information I have given is correct

When you have printed the form, please sign and date it in the appropriate boxes.

Full name
TATYANA TERZIYSKA

Signature

Date
DD MM YYYY

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What to do now
Please send the completed form to:
HM Revenue & Customs
National Insurance Contributions & Employer Office
National Insurance Registrations
Benton Park View
NEWCASTLE UPON TYNE
NE98 1ZZ

For HMRC official use: National Insurance number traced

National Insurance number

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