Forms

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Employment Injury Report Form - This form should be submitted when reporting injuries relating to employment.

Life certificate Form - All pensioners are required to have their forms completed and returned to the NIS Office by December 31st, 2007

National Providence Fund Claim Form - This form should be submitted on reaching age 60 years or on permanent incapacity. Only persons with NPF contributions are eligible.

Electronic Remittance Form - This form should be submitted when employers make contribution payments, this is in addition to the payment booklet.

Electronic Submission Registration Form - This is the form employers use to register to be able to submit employee's contributions data via electronic media.

C2 Remittance Form - This is the form that employers use when presenting their employees wages, in a shorter format for small business employers. Click here for more information

C5 Remittance Form - This is the form that employers use when presenting their employee's wages, in a Longer format for larger business employers

C1/1 Remittance Form - This is the form that employers use when presenting their employee's wages, in a Longer format for larger business employers

Self employed Registration Form - This is the form that self-employed persons use to register with the NIS.

Voluntary Contribution Form (Overseas)- This is the form that Voluntary contributors residing abroad use to register with the NIS. Click here for information on Voluntary contributions.

Voluntary Contribution Form (Local) - This is the form that Voluntary contributors residing in SVG use to register with the NIS.

Employee Registration Form - This is the form that is filled out and returned to the NIS office or is filled out at the NIS office with the required Birth Certificate or Passport. Click here for information on registration

Employers Registration Form - Employers must register with the National Insurance Scheme by Law. When registering, Employers are required to fill out the Employer Registration form and return it to the NIS office. For more information on Employer registration click here

Age Benefit Claim Form - This form is filled out by person nearing the age of pension or persons already attaining the pensionable age. For more information on Age pension click here

Maternity Allowance / Grant Form - This form is filled out by women as well as married men. The form facilitates both benefits. Grant being filled out by the Husband or mother before or after birth. For more information click here

Employment Injury / Sickness Benefit Claim Form - As the name suggests this form facilitates both the Injury Benefit as well as the Sickness Benefits. For more information on who should claim using this form review the Employment Injury requirements and or the Sickness Benefit requirements.

Survivors Benefit Claim Form - Persons claiming for the Survivor's Benefit would use this form. The form also makes provision for children of claimants on the other page. For more information on the Survivors Benefit click here.

Funeral Grant Form - This form is used by persons claiming funeral grant. Click here for more information

Invalidity BenefitPersons claiming for the Invalidity Benefit would use this form. For more information on the Invalidity Benefit click here.

 

 

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