Salary Sacrifice Payroll Information Form


Driver Details
Organisation Name: Knowles Fleet
Driver Name: Mr Will Test2
Payroll No: 121212
Driver Ref: 135858
Chosen Vehicle: SKODA-OCTAVIA ESTATE - 1.5 TSI SE Technology 5dr
Quote Date: 26/06/2026
Please amend and confirm as necessary
Tick To Confirm
Gross Salary:
Pay Band:
Pay Point:
Tax Code:
Permanent member of staff?
How many hours per week is the Gross Salary based on?
Member of company pension scheme?
Do they have any other salary sacrifice?
If yes, what is the monthly sacrifice:
Is the employee on maternity leave?  * 
Is the employee on long term sick leave?  * 
Annual Gross Sacrifice for this car: £8384.00
Drivers Hourly Rate After Sacrifice: £16.0397
Notes: