NI182
Change of Particulars of the Insured Person
View Instructions
Clear Form
1
Section A
Previous Details
2
Section B
New Details / Particulars
1
Section A
Previous Details
2
Section B
New Details / Particulars
National Insurance Number
Valid Identification
Electoral Identification Card
Passport
Driver's Permit
Previous Particulars
1. Name of Applicant
First Name
Middle Names (if any)
Surname
2. Address
Street Address
City / District / County
Postal Code
Postal Address
My Postal Address is DIFFERENT from my Home Address
Telephone Number
Phone
Email Address
Date of Birth
Marital Status
-- select an option --
Single
Married
Divorced
Widowed
Save and Continue
New Details / Particulars
Name
First Name
Middle Names (if any)
Surname
Address
Street Address
City / District / County
Postal Code
Postal Address
My Postal Address is DIFFERENT from my Home Address
Telephone Number
Phone
Email Address
Date of Birth
Marital Status
-- select an option --
Single
Married
Divorced
Widowed
Previous Section
Submit and Print