Proof of your income - benefits

Earnings/Statutory Sick Pay/Statutory Maternity Pay

For benefits applications we require the following

If payslips are not available or you have only just started work, you can request a Certificate of Earnings Form HB5 be sent to you  for your employer to complete or download the following Certificate of Earnings Form HB5 (pdf 109kb)

The payslips or earnings form must show:

• The employer's name and address
• The number of hours worked and the period covered
• Gross Income for the year to date
• Gross Income for the period covered
• Income Tax deducted for the year to date
• Income Tax deducted for the period covered
• National Insurance contributions deducted for the year to date
• National Insurance contributions deducted for the period covered
• Any Pension contributions
• The method of payment. For example, cash, cheque or directly into a bank account