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CA3837Page 1 HMRC 02/10

Self-employed, temporarily working in another

country within the European Economic Area

When to use this form

This form should be used by a person who is normally self- e mployed in the United Kingdom (UK) and is going to work temporarily in another country within the European Economic

Area (EEAorm will enable HMRC to determine which

Member State"s social security legislation will apply. If you normally work in two or more EEA countries form

CA8421 should be completed instead.

Applicable countriesAustria Belgium Bulgaria

Cyprus Czech Republic Denmark

Estonia Finland France

Germany Greece Hungary

Iceland Ireland Italy

Latvia Liechtenstein Lithuania

Luxembourg Malta Netherlands

Norway Poland Portugal

Romania Slovakia Slovenia

Spain Sweden Switzerland

United Kingdom

EEA nationals

If you are an EEA national, social security liability is determined by EC Regulation 883/04.

Non-EEA nationals

If you are not an EEA national, but are legally resident in a European Union Member State, social security legislation is determined by EC Regulation 1408/71.Further information If you aresubjectto UK National Insurance legislation: • Form A1 (or E101 if Regulation 1408/71 applies) will be sent to you. • We may notify the competent authorities in the country in which you are working that you remain subject to UK legisl ation.

Youshould continue to payUK National Insurance

contributions. If you are subject to the social security legislation of another countrywe will let you know why.You should notify us immediately of any change in emplo yment circumstances, particularly if you decide not to work abroad or stop working abroad before the intended date. We may check your circumstances throughout the period to ensure that the conditions under which you remain subject to UK legislation are still met.

What to do now

Please complete the rest of this form in capital letters and r eturn it to us at: N

ICO International Caseworker

B P1301

HM Revenue & Customs

Benton Park View

Newcastle Upon Tyne

NE98 1ZZ

United KingdomHow we use your information

HM Revenue & Customs is a Data Controller under the Data Protection Act 1998. We hold information for the purposes specified in our notification to the Information Commissioner, including the assessment and collection of tax and duties, the payment of benefits and the prevention and detection of crime, and may use this information for any of them. We may get information about you from others, or we may giveinformation to them. If wedo,itwillonly be as the law permits to: •check the accuracy of information •prevent or detect crime and •protectpublic funds. We may check information we receive about you with what is already in our records. This can include information provided by you, as well as by others, such as other government departments or agencies and overseas tax and customs authorities. We will not give information to anyone outside HM Revenue & Customs unless the law permits us to do so. For more information go to wwwwww..hhmmrrcc..ggoovv..uukkand look for

Data Protection Actwithin the Searchfacility.

Page 2

Self-employed person"s details

Self-employment in UK

Surname

Forename(s

Date of birth

DD MM YYYY

National Insurance number

Previous name(s

5 4 3 2

1Nationality

If you are not an EEA national, are you legally resident in the UK?

No Yes

R esidential address Ar e the family members accompanying you abroad?

No Yes

9

Postcode

8 7 6

Date current period of self-employment commenced

DD MM YYYY

Name and address of business

Nature of business

What specif

ic job do you do?

Name and address of tax office

Tax office reference

15

Postcode

14 13 12

Postcode

11 10 Will your UK business be maintained whilst working abroad?

No Yes

Is your business registered for VAT?

No Y esIf Yes, please tell us the VAT number below Is your business registered with a professional body in the UK? No

Yes If Yes, please tell us the name of the

pr ofessional body below Is your business registered with the Chamber of Commerce? No Yes

Do you have a business card?

No Y esIf Yes, please attach a card to this form 20 19 18 17 16 Name Name

Address

AddressCoach driver

Page 3Is this the first time you have worked abroad?

No If No, please go to

question 29

Yes If Yes, please go to Declarationoverleaf

If you have worked abroad previously please give

details below

Country

From

DD MM YYYY

To DD MM YYYY

Country

From

DD MM YYYY

To DD MM YYYY

Country

Fr om

DD MM YYYY

To DD MM YYYY

Country

From

DD MM YYYY

To DD MM YYYY

Please now complete the declaration overleaf

30

29Which country will you be working in?

Address where you will be working

If more than one address, please give details on a separate sheet and attach it to this form

How long do you expect to work abroad?

From

DD MM YYYY

To DD MM YYYY

What type of work will you be doing abroad?

for example IT, construction, leisure

What specific job will you be doing?

How many overseas contracts do you have?

Ar e these written contracts? No

Yes If Yes, please attach copies

Are any contracts verbal contracts?

No

Yes If Yes, please give details of these

(dates, addresses and expected income) on a separate sheet and attach to this form 28
27
26
25
quotesdbs_dbs29.pdfusesText_35