Application To Pay Voluntary Class 3 National Insurance Contributions
Application To Pay Voluntary Class 3 National Insurance Contributions
Application To Pay Voluntary Class 3 National Insurance Contributions
These notes will help you decide whether you want to pay
voluntary Class 3 National Insurance contributions. Please read
these notes before you fill in the application form on pages 3
and 4.
Deciding to pay
over 16
not working
not liable to pay Class 1 and/or Class 2 National Insurance
contributions as a self-employed person
a woman who revokes her married womans or widows reduced
rate election part way through a tax year
exempt from paying Class 2 National Insurance contributions as
a self-employed person
You may also be able to pay for periods where you have
been abroad.
You cannot pay voluntary Class 3 National
Insurance contributions:
if you are a married woman or widow who opted to pay
reduced rate National Insurance contributions during the whole
tax year
for the tax year in which you reach State Pension age, or for
any following tax year
if you are self-employed and not exempt from paying
Class 2 National Insurance contributions
for any week that you are entitled to National Insurance credits
Page 1
HMRC 03/15
How to pay
Page 2
Instruction to your bank or building society to pay by Direct Debit - at Reference, please enter your
National Insurance number.
Send us pages 3 and 4. Keep the notes on pages 1 and 2. When we receive your reply we will update your
National Insurance account.
Your details
1
Surname
Phone numbers
Home
Mobile
First name(s)
8
Address
Postcode
Do not detach
9 9 1 1 3 3
Bank/building society account number
Reference
Bank/building society
Signature
Address
Date DD MM YYYY
Postcode
Banks and building societies may not accept Direct Debit instructions for some types of account
CA5603
Page 3
HMRC 03/15
10
How to pay
Go to Declaration
Employed?
from DD MM YYYY
Declaration
This is my application to pay voluntary National Insurance
contributions. I would like to pay by the method selected
above. I have read and understand the following:
voluntary National Insurance contributions count towards
State Pension, Widowed Parents Allowance, Bereavement
Allowance and Bereavement Payment
I am under no legal obligation to make voluntary National
Insurance contributions
if I pay less than 52 weeks of voluntary National Insurance
contributions, in any 1 tax year, you may automatically stop
sending me quarterly bills
if
I do not pay 2 quarterly bills in succession you may
automatically stop sending me quarterly bills
Self-employed?
from DD MM YYYY
to DD MM YYYY
Unemployed?
from DD MM YYYY
to DD MM YYYY
Signature(s)
Non-employed?
from DD MM YYYY
Date DD MM YYYY
to DD MM YYYY
What to do now
Detach your completed form on pages 3 and 4 and send it to:
HM Revenue & Customs
National Insurance Contributions & Employer Office
Individuals Caseworker
Benton Park View
NEWCASTLE UPON TYNE
NE98 1ZZ
Page 4