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You must make sure you are using the correct Employer Representative's PAYE number on Question 8 in Part 2 of the form.


If it is your first time submitting a claim, you should contact the Insolvency section to be sure that the Employer Representative's PAYE number is valid.

The form will not be processed if the correct Employer Representative's PAYE number is not provided or is not set up on our system.

The Employer Representative's PAYE number in Part 2 of the form relates to the liquidator or receiver's own PAYE number, or that of the company dealing with the liquidation/receivership.

If the Employer Representative has not been set up on our system, the form will not be recognised by our system and will have to be resubmitted

Online Insolvency Claim Form

Applications should be accompanied by a copy of the 'Notice of Appointment of Liquidator/Receiver' and the Statement of Affairs, if applicable. Attach a copy of any relevant award(s), decision(s) etc. For details of other supporting documentation that may be required, please refer to the Employer Representative Information Guide.

An application is not complete until the printed signed form, along with all supporting documentation has been received by this office.


I am the Employer Representative making an Insolvency Claim or returning to an existing Insolvency Claim:


Enter Employer PAYE No. :