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NI forms for the range of NIS benefits and other National Insurance Business transactions in Trinidad and Tobago , CARICOM countries and Canada .
Please view the Benefit Claims Guidelines & Checklist below when completing your claim.
Registration - Employers and Employees
NI 1 - Register as an Employer
NI 4 - Register as an Employed Person
NI 33 - Request for Replacement National Insurance Cards
NI 184 - Statement of Contributions Paid/Due (Please use original legal sized paper)
NI 187 - Statement of National Insurance Contributions Due/In Arrears
Termination Certificate
Employment Injury Benefits
NI 19 - Employment Injury Benefit Application
NI 19A - Employment Injury Benefit Follow-Up Medical Certificate
NI 34A - Child Allowance - Medical Report
NI 114 - Medical Expenses Claim
NI 117 - Death Benefit Claim
NI 119 - Disablement Benefit Claim
Maternity Benefit and Special Maternity Grant
NI 12 - Maternity Benefit Application
NI 12A - Multiple Births
NI 13 - Special Maternity Grant Claim
Retirement Benefit / Grant
NI 82 - Retirement Benefit ApplicationNI 42 - Nomination of Spouse
NI 79 - Application for Refund
NI 183 - Request for Statement of Contribution
NI 99 - Complaint Form
NI 165 - Insured Person Data Update Questionnaire
NI 184A - Benefit Payment Authorisation
NI 165 - Pension Ready Insured Person Data Update Questionnaire
NI 182 - Change of Particulars of the Insured Person
NI 65 - Life Certificate
Use of National Insurance Forms
Whenever you perform National Insurance functions under the National Insurance Act or Regulations, you must accurately complete the specific National Insurance forms that are designed so that you can give all the information required.
All these forms are available FREE of charge at ny National Insurance Service Centre or are downloadable
