If you're employed, you must include proof of your earnings with your HC1 application.
If you get paid weekly or fortnightly, you must provide your 5 most recent payslips
If you get paid monthly or four-weekly, you must provide your 2 most recent payslips.
If you cannot provide the payslips we need, complete the LIS82 proof of income form and send it with your application.
You can also ask your employer to provide you with a letter confirming how much you've earned over the relevant periods. This must be on letterheaded paper and include a breakdown of what you've paid in:
- tax
- National Insurance (NI)
- pension contributions
The letter must be signed by somebody authorised to do so at the workplace.
If you've forgotten to send your payslips or are unable to photocopy your evidence, you can email this to us.
You must include your:
- full name
- date of birth
- full address
- telephone number
- reference number, if you have one
Email: lowincomescheme@nhsbsa.nhs.uk
Address:
Health Exemption Services
NHS Business Services Authority
Bridge House
152 Pilgrim Street
Newcastle upon Tyne
NE1 6SN
Check what help you could get to pay for NHS costs and apply online.