Lease Car Salary Sacrifice Request Form (External) Used to send a fleet car quotation request. Your name(Required) Staff number(Required) Your personal email(Required) Please note you may need to check your spam folder for our emailYour work email(Required) Daytime contact number(Required) Contracted Hours(Required) Who do you work for?(Required)SWYPFTMid YorksSpectrumWCCGPay band(Required) Band 1 Band 2 Band 3 Band 4 Band 5 and above Cars requiring quote(Required)MakeModelEditionEngineFuel typeBody styleNo of doorsGearbox Add RemovePlease give full details of the cars you would like to receive quotes on. Please state make, model, edition, engine size, fuel type, body style, number of doors and gearbox typeVehicle Annual Mileage(Required)6000700080009000100001200014000160001800020000220002400026000280003000035000What is the estimated annual mileage for the vehicle?Will the vehicle be used by your family / friends in connection with their work?(Required) Yes No Select the level of income tax you pay(Required)I do not pay tax20% tax rate40% tax rate45% tax rateThe national minimum wage is based on your age.Please state the level of your full term persionable earnings(Required)I'm not in the NHS Pension SchemeUp to 15,431.99 per year (5.0%)£15,432 - £21,477.99 per year (5.6%)£21,478 - £26,823.99 per year (7.1%)£26,824 - £47,845.99 per year (9.3%)£47,846 - £70,630.99 per year (12.5%)£70,631 - £111,376.99 per year (13.5%)£111,377 or more a year (14.5%)The national minimum wage is based on your age.Please state your age band(Required)Under 1818-2021-2425 and overThe national minimum wage is based on your age.PhoneThis field is for validation purposes and should be left unchanged. Page last updated on: 6th August 2021