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Please note this request is only to be completed and submitted by the worker.
This form should only be completed if you are no longer working through Field Recruitment and you have submitted your last timesheet.
Do not complete this form if you have continuing assignments with Field Recruitment.

Your Name*
Your Reference No. *
Your Date of birth*
Your NI Number*
Your address to which the P45 needs to be sent:

Address Line 1*
Address Line 2
Address Line 3
Your home postcode 
Is this a different address to the one which we have on record?


  • Yes - the information submitted is different.

Home email address*
Last date of working*
Last office worked at*





Please type the characters you see in the box below

Please confirm that you are the worker, you have finished working for Field Recruitment and you are requesting your P45 and outstanding holiday pay (please tick)

  • Yes - the information submitted is correct.

I understand that any remaining holiday entitlement will be paid to me the week following the week in which my last timesheet was processed.