Starter Checklist

Choose the statement that applies to you, either A, B or C, and tick the appropriate box.

Do not choose this statement if you’re in receipt of a State, Works or Private Pension. Choose this statement if the following applies. This is my first job since 6 April and since the 6 April. I’ve not received payments from any of the following: • Jobseeker’s Allowance • Employment and Support Allowance • Incapacity Benefit

Do not choose this statement if you’re in receipt of a State, Works or Private Pension. Choose this statement if the following applies. Since 6 April I have had another job but I do not have a P45. And/or since the 6 April I have received payments from any of the following: • Jobseeker’s Allowance • Employment and Support Allowance • Incapacity Benefit

Choose this statement if: • you have another job and/or • you’re in receipt of a State, Works or Private Pension

For more guidance about repaying, go to www.gov.uk/repaying-your-student-loan

You’ll have a Plan 1 Student Loan if: • You lived in Scotland or Northern Ireland when you started your course (undergraduate or postgraduate) • you lived in England or Wales and started your undergraduate course before 1 September 2012 You’ll have a Plan 2 Student Loan if: • you lived in England or Wales and started your undergraduate course on or after 1 September 2012 • your loan is a Part Time Maintenance Loan • your loan is an Advanced Learner Loan • your loan is a Postgraduate Healthcare Loan

For more guidance about funding and repaying, go to www.gov.uk/funding-for-postgraduate-study For more guidance for employers, go to www.gov.uk/guidance/special-rules-for-student-loans

I confirm that the information I’ve given on this form is correct.