MDA email template — NIS Termination Certificate
Email Templates / MDA Emails
MDA Submission Email — Termination of Services / Layoff Certificate
This email is sent to the NIS when an employer submits a Termination of Services or Layoff Certificate. It shows the submission details and the full form data.
Preview:
You have received a Termination of Services / Layoff Certificate
Service:
Termination of Services / Layoff Certificate
Submission ID:
[Reference ID]
Submission date:
[dd/mm/yyyy]
Submission time:
[hh:mm]
Employer phone number:
[246-xxx-xxxx]
Employee email:
[email]
Here is the data from this request:
Declaration
I [Applicant's name] confirm that my information is true and correct. I understand that false details may lead to my application being rejected or legal action and that the Government of Barbados will keep my information confidential.
Name
[Submitter's full name]
Date
[dd/mm/yyyy]
Employee details
Employee last name
[Employee last name]
Employee first name
[Employee first name]
Employee middle name(s)
[Employee middle name(s)]
Employee NRN
[National Registration Number]
Employee NIS number
[NIS number]
Employee street address
[Street address]
District
[District]
Parish
[Parish]
Postal code
[Postal code]
Employee telephone
[Telephone number]
Employee mobile
[Mobile number]
Employee email
[Email address]
Employer details
Name of employer / business
[Employer name]
Employer registration number
[NIS employer registration number]
Street address
[Employer street address]
District
[Employer district]
Parish
[Employer parish]
Postal code
[Employer postal code]
Telephone number
[Employer telephone]
Fax number
[Employer fax — if provided]
Termination / layoff details
Did the employee voluntarily leave?
[Yes / No]
Is this related to a labour dispute?
[Yes / No]
Is or was the employee on strike?
[Yes / No — if labour dispute]
Employee's occupation or job title
[Occupation]
Employee's position
[Position within organisation]
Date employment started
[dd/mm/yyyy]
Last day at work
[dd/mm/yyyy]
Date of termination
[dd/mm/yyyy]
Last day for which employee will be paid
[dd/mm/yyyy]
Was the employee laid off (temporary)?
[Yes / No]
Date of layoff
[dd/mm/yyyy — if laid off]
Expected date of re-employment
[dd/mm/yyyy — if known]
Was employee dismissed for misconduct?
[Yes / No]
Misconduct details
[Description — if misconduct]
Is employee receiving employer pension?
[Yes / No]
Pension start date
[dd/mm/yyyy — if pension]
Is employee receiving holiday pay?
[Yes / No]
Holiday pay from date
[dd/mm/yyyy — if holiday pay]
Holiday pay to date
[dd/mm/yyyy — if holiday pay]
Holiday pay amount (BDS$)
[Amount — if holiday pay]
Labour dispute details
[Description — if labour dispute]
Any other relevant details
[Other details]
Due date: [To be filled by officer]
Officer assigned: [To be filled by officer]
Reference: [To be filled by officer]
You have received a Termination of Services / Layoff Certificate
Service:
Termination of Services / Layoff Certificate
Submission ID:
[Reference ID]
Submission date:
[dd/mm/yyyy]
Submission time:
[hh:mm]
Employer phone number:
[246-xxx-xxxx]
Employee email:
[email]
Here is the data from this request:
Declaration
I [Applicant's name] confirm that my information is true and correct. I understand that false details may lead to my application being rejected or legal action and that the Government of Barbados will keep my information confidential.
Name
[Submitter's full name]
Date
[dd/mm/yyyy]
Employee details
Employee last name
[Employee last name]
Employee first name
[Employee first name]
Employee middle name(s)
[Employee middle name(s)]
Employee NRN
[National Registration Number]
Employee NIS number
[NIS number]
Employee street address
[Street address]
District
[District]
Parish
[Parish]
Postal code
[Postal code]
Employee telephone
[Telephone number]
Employee mobile
[Mobile number]
Employee email
[Email address]
Employer details
Name of employer / business
[Employer name]
Employer registration number
[NIS employer registration number]
Street address
[Employer street address]
District
[Employer district]
Parish
[Employer parish]
Postal code
[Employer postal code]
Telephone number
[Employer telephone]
Fax number
[Employer fax — if provided]
Termination / layoff details
Did the employee voluntarily leave?
[Yes / No]
Is this related to a labour dispute?
[Yes / No]
Is or was the employee on strike?
[Yes / No — if labour dispute]
Employee's occupation or job title
[Occupation]
Employee's position
[Position within organisation]
Date employment started
[dd/mm/yyyy]
Last day at work
[dd/mm/yyyy]
Date of termination
[dd/mm/yyyy]
Last day for which employee will be paid
[dd/mm/yyyy]
Was the employee laid off (temporary)?
[Yes / No]
Date of layoff
[dd/mm/yyyy — if laid off]
Expected date of re-employment
[dd/mm/yyyy — if known]
Was employee dismissed for misconduct?
[Yes / No]
Misconduct details
[Description — if misconduct]
Is employee receiving employer pension?
[Yes / No]
Pension start date
[dd/mm/yyyy — if pension]
Is employee receiving holiday pay?
[Yes / No]
Holiday pay from date
[dd/mm/yyyy — if holiday pay]
Holiday pay to date
[dd/mm/yyyy — if holiday pay]
Holiday pay amount (BDS$)
[Amount — if holiday pay]
Labour dispute details
[Description — if labour dispute]
Any other relevant details
[Other details]
Due date: [To be filled by officer]
Officer assigned: [To be filled by officer]
Reference: [To be filled by officer]