list Price of Car (£)

Optional Extras (£)

Capital Contribution by Employee (£)

(Maximum of £5000 allowed)

CO2 emissions of car in g/km

Zero emission Miles (if CO2 emissions are between 1 - 50) Not applicable 130+ 70-129 40-69 30-39 Less than 30

The CO2 emission figure can be found on your car registration certificate or on carfueldata.dft.gov.uk

Fuel Type Please Select Diesel Cars which meet Euro 6d Standard All Other Diesel Cars Petrol Cars All Other Cars

Please choose Petrol if your car meets the Euro IV emission standards

Amount paid for private use of car (£)

Does Employer Pay for Private Fuel Yes No

Select No if car is electric

For classic cars (aged 15 years or more and having a market value of £15,000 or more at the end of the year of assessment) use the market value at the end of the year of assessment if this is higher than the adjusted list price.

If the car is unavailable for part of the year the benefits are proportionately reduced.

Some cars run on other fuels - bi-fuel lpg, E85 fuel and hybrid electric and petrol cars have slightly discounted charges.