NI187
Statement of National Insurance Contributions Due/In Arrears
View Instructions
Clear Form
1
Section A
Employer Information
2
Section B
Value of Contributions Payable
3
Section C
Method of Payment
1
Section A
Employer Information
2
Section B
Value of Contributions Payable
3
Section C
Method of Payment
Employer Information
Employer's Trade Name
Address
Street Address
City / District / County
Telephone Number
Phone
Employer Registration Number
Contributions Due for Pay Period
Period Start Date
Period End Date
Please give separate details of each month within the Pay Period
From Date
To Date
Contributions Due
Penalty
Interest
Total
Employee Count
Add Record
Number of Employees Being Paid For
Save and Continue
Value of Contributions Payable
(a) Balance B/F
(b) Contributions Due
(c) Penalty (If Applicable)
(d) Interest (If Applicable)
(e) Total Amount Due (a+b+c+d)
(f) Amount Paid
(g) Balance C/F
Previous Section
Save and Continue
Method of Payment
1. Cash Amount
2. Cheque Amount
Total Amount
Previous Section
Submit and Print