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THE NATIONAL INSURANCE BOARD NI 15A CONTINUATION …

THE NATIONAL INSURANCE BOARD NI 15A CONTINUATION …

www.nibtt.net

CONTINUATION CLAIM TO SICKNESS BENEFIT NI 15A (PLEASE USE CAPITAL LETTERS) ... This Section must be completed by the Employer before the Application is submitted to the Board. ... This is to certify that during the period recorded at Section "B" of this form Mr/Mrs/Ms OTHER NAME(S) has been absent from work. SURNAME -

  Form, Applications, Benefits, Claim, Continuation, Sickness, Continuation claim to sickness benefit

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