HMRC: Structured Email

*indicates required information

Do not use the ‘&’ character on this form, please use the word ‘and’ instead.

This report is divided into five sections:

Section 1 – Information about the person/business
Section 2 – Information relating to their business details
Section 3 – Using this information
Section 4 – Your details
Section 5 – Submitting the form

When completing this form you may not be able to complete all the fields. If you know only part details, enter these as they can still be useful.

For your own safety you shouldn't;

try to find out more about the fraud
let anyone know you're making a report
encourage anyone to commit a crime so you can get more information

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Section 1 - Information about the person/business.

Please provide details of the person or business you are giving information about. You may not be able to complete all the boxes, just tell us what you know.

Last name:*

First name:*

Middle name(s):

Alias and/or nicknames used:

Address line 1:*

Address line 2:*

Address line 3:

Postcode:

Telephone number (including STD):

Mobile telephone number:

Date of birth:

dd/mm/yyyy

Approximate age:

National Insurance Number:

Brief description of person:

Please provide details of the tax evasion:*

Other information that you think may be relevant:

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Section 2 - Information relating to their business

If you believe the person you are reporting on is:

• self-employed, please go to section 2a

• an employer, please go to section 2b

Section 2a - Self-employed

Business name:

Business address line 1:

Business address line 2:

Business address line 3:

Business postcode:

Business telephone number (including STD):

Type of business:

How long has the business been trading for?

Tax Ref and/or VAT Registration Number:

How long has the tax evasion been occurring?

Section 2b - Employers

Employer's business name:

Employer's business address line 1:

Employer's business address line 2:

Employer's business address line 3:

Employer's business postcode:

Employer's business telephone number (inc STD):

Type of business:

How long has the business been trading for?

Approximate number of employees:

Tax Ref and/or VAT Registration Number:

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Section 3 - Using the information

To help us assess how we appropriately use the information provided, please complete where possible, the following.

Your connection with the person or business:

Are you still connected to the person or business?

Tick if anyone else knows this information

If so, how many know?

Tick if this information will affect you, if used

If so, please explain how:

Tick if this information will affect other, if use

If so, please explain how:

Are you prepared to repeat this information in court and give a witness statement?

Tick if prepared to give a witness statement

Other information you think may be relevant:

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Section 4 - Your details

Please complete your details below in case we need to contact you to clarify the information further. Your details will be treated securely within HM Revenue and Customs.

Last name:

First name:

Address line 1:

Address line 2:

Address line 3:

Postcode:

Occupation:

Business details:

Telephone number (including STD):

Mobile telephone number:

When is it convenient to contact you?

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Section 5 - Submitting the form

We need an email address to acknowledge that we have received the information you have completed on this form. If you would prefer not to receive an acknowledgement, please enter the following email address in the field below.

<no.acknowledgement@teh.gov.uk>

Please note: This field must be completed in order to submit the form. Please also ensure there are no spaces before or after the email address you enter.

Email address:*

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Please click 'Next' button to view a preview page summarising the information you have provided. If this page is not displayed, please use the scroll bar to locate any missing or incorrect entries which will be highlighted with a red error message(s).

HMRC Fraud Hotline - Information report form

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Section 1 - Information about the person/business.

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Section 2 - Information relating to their business

Section 2a - Self-employed

Section 2b - Employers

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Section 3 - Using the information

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Section 4 - Your details

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Section 5 - Submitting the form

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