NIS Forms

08 Feb
Survivors Benefits Form
705.15 KB
Refund Application Individuals
566.06 KB
Refund Application Employer
541.92 KB
R2 Individual Registration Form
562.01 KB
NI Gold Benefit Increase 2023
1.15 MB
NIS Benefits Increase 2023
1.15 MB
Personal Details Change Form
548.48 KB
Pensioner’s Information Update Form
786.44 KB
Employment Injury Benefit
693.78 KB
Employment Injury Disablement Benefit
634.90 KB
Employment Injury Benefit Medical Certificate
248.75 KB
Employment Injury Benefit Death
746.99 KB
Medical Review Form
181.38 KB
Declaration of Common Law Union by Third Party to Union Form
212.64 KB
Declaration of Common Law Union by Party to Union Form
212.97 KB
Direct Deposit Application Form
420.83 KB
Voluntary Contribution Form
529.12 KB
Application For Refund of Contributions
177.72 KB
Overseas Life Certificate (click for instructions)
0.00 KB
Agent Application
545.38 KB
Dependent Spouse Allowance
50.13 KB
Retirement (Old Age) and Invalidity Benefit
621.77 KB
Change of Guardian
563.57 KB
Special Child's Benefit
844.62 KB
Orphan's Benefit
844.62 KB
Maternity Benefit
566.62 KB
Widow's Benefit
844.62 KB
Name Declaration
15.62 KB
Age Declaration
16.58 KB
Delayed Claim
29.90 KB
Interim Report of Accident
16.71 KB
Invalidity Claim
621.77 KB
Funeral Grant Waiver
381.36 KB
Funeral Grant Claim
659.71 KB
Employer's Closure Advice
34.88 KB
Employer's Name Change
42.88 KB
Employer's Annual Return
83.13 KB
SO2 Employer Annual Returns Form
0.00 KB
Employer Registration
27.48 KB
NIS Individual Registration
784.20 KB