Using the application forms The application forms are in PDF file format. If your browser is capable of displaying PDF files, the application forms will open in a separate window. Print them from that window. Adobe Reader is needed to view PDF files. Install the latest version if the forms do not display correctly.
*1 Where to submit the form for Injury and Illness Allowance varies with the claim period. If the claim period for Injury and Illness Allowance includes a period prior to leaving employment, check with or submit the form to the employer’s section in charge.
Example 2: Eligibility lost on January 1, 2019, claim period December 15, 2018 ? January 14, 2019 → Certification by the employer is required on the application form, since the claim period includes a period prior to loss of eligibility.
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