Self Isolation payment application

You will need the following information to complete this form. Please read this carefully. You can only submit your form if you have all the required information and will only be successful if it is in the correct format and clearly readable:

• if you or a child have been told by NHS Test and Trace to self-isolate, proof of your NHS Test and Trace Account ID. It must be an upload or screenshot of either the text or e-mail sent to you by NHS Test and Trace containing an 8 digit unique account identifier either inviting you to create an account if you test positive, reminding you to do this, or giving advice on self-isolation after you have completed a questionnaire. You must also have engaged with the contact tracing journey and followed the instructions through.
• if you are a parent or guardian and your child has been told by the school or childcare setting to self-isolate, contact details for the school or childcare setting and a copy of the notification to self-isolate
• your National Insurance number
• if you are employed, details of your employer (name, address and telephone number) and proof of your employment, ideally a payslip clearly showing your name and employer name.
• if you have it, written confirmation from your employer that you are not able to work from home and that your earnings have reduced because you are self-isolating, or you have had to take time off to care for a child who is self-isolating. If you cannot provide this, we may need to contact your employer. You consent to us doing this by proceeding with this application.
• proof of self-employment, for example a recent business bank statement from within the last two months, most recent set of accounts or evidence of self-assessment returns
• a copy of your latest bank statement you want the payment to be made into. Your name, the sort code and account number must be clearly visible. Ideally this will show proof of earnings