Updated: Welsh version of form CA9176 added to this page.
Use form CA9176 to apply for National Insurance credits if you’re an adult caring for a child under 12 from 6 April 2011.
Before you startIf you are using an older browser, eg Internet Explorer 8, you’ll need to update it or use a different browser. Find out more about browsers.
You’ll need to fill in the form fully before you can print it. You can’t save a partly completed form so we suggest you gather all your information together before you begin to fill it in.
This form is interactive (one that you complete on screen) and you must use Adobe Reader to compete it. Downloading Adobe Reader is free. Download the latest version of Adobe Reader.
Related forms and guidanceNational Insurance credits for adults who care for a child under 12 Guidance on whether you can get Specified Adult Childcare National Insurance credits if you are an adult caring for a child under 12.
Local copy of ca9176.pdf
Local copy of ca9176.pdf seen at 11:47, 8 April in Search.