Tax Health Plan (THP) Notification of intention to make a disclosure

To make a notification please complete and submit this form using the ‘Send form’ button below.

Remember: A separate notification is required for each disclosure. So, for example, a director of two companies may need to make three separate notifications if he and both companies have undeclared liabilities, one for his own personal liabilities and one on behalf of each company.

I intend to make a personal disclosure. My details are:

* indicates required information

Name Title:*

First name:*

Surname:*

Address 1:*

Address 2:

Address 3:

Address 4:

Postcode:*

Country:

GMC registration number:*

and/or

GDC registration number:*

Date of birth:

Contact telephone number:

If you want HMRC to communicate with your agent please give details of your agent Title:*

First name:*

Surname:*

Address 1:*

Address 2:

Address 3:

Address 4:

Postcode:*

Country:

Contact telephone number:

Agent reference number:

If you are notifying on behalf of another taxpayer, please complete the following sections:

* indicates required information

I am notifying on behalf of: Name (enter name of company, trust, deceased person, etc)

Please state in what capacity you are acting (for example, director, trustee, personal representative)

GMC registration number:*

and/or

GDC registration number:*

About the person completing this notification

My Name is:

Title:*

First name:*

Surname:*

Address 1:*

Address 2:

Address 3:

Address 4:

Postcode:*

Country: