Form

Get a statement of your National Insurance contributions (CA3916)

Ask for a statement of your UK National Insurance if you've lived or worked in the UK and are making a benefit claim in the EU, Norway, Iceland, Switzerland or Liechtenstein.

Documents

Submit your application online (login using Government Gateway)

Send your request by post

Details

You can ask HMRC to send you a statement of your UK National Insurance contributions if you’ve lived or worked in the UK and are making a benefit claim in the EU, Norway, Iceland, Switzerland or Liechtenstein.

What you’ll need

You or you agent, if they complete the form, will be asked for information that includes:

  • if you have changed your name and if you have what your previous name was
  • if you are a national of the EU, Norway, Iceland, Switzerland or Liechtenstein – if you have an EU Settlement Scheme status*
  • if you have more than one nationality, give them details about how you acquired each nationality*
  • if you have a family member who is a national of the EU, Norway, Iceland, Switzerland or Liechtenstein – HMRC will need their details including the relationship with you*
  • dates you were resident in the UK
  • dates of any periods of self-employment you’ve had in the UK in the last 3 years
  • details of any periods of employment you’ve had in the UK in the last 3 years, including:
    • employer’s addresses
    • dates when you were employed
    • the date of your last period of Job Seeker’s Allowance (JSA), if you received JSA between your last period of work and now

*This information will not be needed if you are not requesting a PDU1 or E301.

You’ll also need to send the following information:

  • evidence of your earnings from your most recent job (for example, a final payslip or P60 form)
  • a document showing the reason why you left (for example, a letter terminating your contract)

How to apply

Apply online

To apply online, you need a Government Gateway user ID and password. If you do not have a user ID, you can create one when you apply.

You will be given a unique reference number when you submit the form. Include this number with the additional information you send by post.

You can track the progress of the form online using the same reference number.

Apply by post

If you want to use the postal form you’ll have to fill it in fully before you can print it off. You cannot save a partly completed form, so make sure you have all the information you’ll need before you start to fill it in.

If you’re using an older web browser (for example, Internet Explorer 8) you’ll need to update it or use a different browser to use the postal form.

Published 2 June 2014
Last updated 7 September 2017 + show all updates
  1. An online forms service is now available.

  2. The online form is temporarily withdrawn for functional updates.

  3. Welsh translation added to the page.

  4. An online service is now available.

  5. Related forms and guidance added.

  6. First published.