Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Have you completed a self-assessment tax return in the last 4 years?YesNoAre you currently employed (PAYE)?YesNo 18k over Birth Have you earned over 18k each of the last 4 tax years?YesNoHave you claimed a mileage refund before?YesNoTitleMrMrsMsName *FirstLastDate of BirthNational Insurance NumberEmail *First line of AddressSecond line of AddressPost CodeDo you file a Self Assessment tax return each year?YesNoSignature via AES approved docu sign version 223.1 Submit My Claim