UK/Netherlands Double Taxation Convention

Forms available to claim relief

The forms are in English with a copy in Dutch. Please complete both copies of the appropriate form. Guidance Notes in both languages are included.

All of these forms are in PDF format. To view a PDF document you must have Adobe Acrobat Reader installed on your machine. If you require this material in large print or Braille please telephone the HMRC Residency helpline. To save a file to your hard drive, right click on the link and choose the save option.

• Form Netherlands/Individual (PDF 193K)
  • Application for relief at source from UK income tax
  • Claim to repayment of UK income tax

This form is for an individual resident in the Netherlands wanting to claim relief on

UK state retirement pension or incapacity benefit, UK pensions, purchased annuities, interest or royalties.

• Form Netherlands/Company (PDF 207K)
  • Application for relief at source from UK income tax
  • Claim to repayment of UK income tax

This form is for a companyresident in the Netherlands wanting to claim relief on UK interest or royalties.

• Form Netherlands/Direct Investor Company/Credit (PDF 163K)
  • Claim to payment of UK tax credit

This form is for a companyresident in the Netherlands wanting to claim payment of the tax credit attached to dividends paid by a UK company which meets the ownership and other tests set out in Article 10 (3) (c) of the UK/Netherlands Double Taxation Convention.