IWC eForms
All fields marked with a * are required entries
EMPLOYERS CERTIFICATE OF EARNINGS

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Isle of Wight Council Housing / Council Tax Benefit Employers Certificate Of Earnings
Completed application forms should be returned to:
Isle of Wight Council, Council Offices,
Sandown, Isle of Wight
PO36 9EA
Claim Number
DO NOT COMPLETE THE PAY DETAILS YOURSELF - PLEASE ASK YOUR EMPLOYER TO COMPLETE THIS

This form should only be completed if you do not have pay slips or you receive handwritten pay slips.

Please enter on this form your name, address and occupation and pass it to your employer to complete the remaining information required.

Please ensure this form is returned to the address below.

PLEASE NOTE:- If both you and your partner are in employment you must both get your employer to complete a Certificate of Earnings. Please contact the Revenue Services Division if you need more than one Certificate of Earnings.
Applicants Details
* Forename
Middle name/Initials
* Surname
* National Insurance Number

* Occupation
Applicants Employment Details
* Date employment commenced

Year

Month

Day
* How many hours a week do you usually work?
* How often is your employee paid?
* How is your employee paid?

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