This form is to apply for a contributions record or employment history. There is a charge of £40 for this to cover administrative costs. Your request will not be processed until payment has been received.
Please pay £40 by BACS transfer to account number 67037135 sort code 60-09-20 quoting reference CRBrecs/your surname (eg CRBrecs/Lepage) or call 225700 to make a payment by phone.