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MDA email template — NIS Unemployment Benefit
Email Templates / MDA Emails
MDA Submission Email — Claim for Unemployment Benefit
This email is sent to the NIS when a citizen submits a Claim for Unemployment Benefit. It shows the submission details and the full form data.
Preview:
You have received a Claim for Unemployment Benefit
Service:
Claim for Unemployment Benefit
Submission ID:
[Reference ID]
Submission date:
[dd/mm/yyyy]
Submission time:
[hh:mm]
Applicant phone number:
[246-xxx-xxxx]
Applicant 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
[Applicant's full name]
Date
[dd/mm/yyyy]
Claimant details
Last name
[Last name]
First name
[First name]
Middle name(s)
[Middle name(s)]
NIS number
[NIS number]
National Registration Number (NRN)
[NRN]
Street address
[Street address]
District
[District]
Parish
[Parish]
Postal code
[Postal code]
Telephone number
[Telephone number]
Availability and eligibility
B1. Currently receiving another NIS benefit?
[Yes / No]
Name of benefit being received
[Benefit name — if Yes]
B2. Received any NIS benefit in last 52 weeks?
[Yes / No]
Name of benefit received
[Benefit name — if Yes]
B3. Available for and seeking work?
[Yes / No]
B4. Capable of working?
[Yes / No]
B5. Registered as unemployed at Employment Bureau?
[Yes / No]
B6. Lost job through no fault of own?
[Yes / No]
Last employer details
Name of last employer
[Employer name]
Employer's address
[Employer address]
Occupation or job title
[Occupation]
Date employment started
[dd/mm/yyyy]
Last day worked
[dd/mm/yyyy]
Last day for which you were paid
[dd/mm/yyyy]
Payment in lieu of notice (weeks)
[Number of weeks]
Payment in lieu — from date
[dd/mm/yyyy — if applicable]
Payment in lieu — to date
[dd/mm/yyyy — if applicable]
Reason for unemployment
[Reason]
Due date: [To be filled by officer]
Officer assigned: [To be filled by officer]
Reference: [To be filled by officer]
You have received a Claim for Unemployment Benefit
Service:
Claim for Unemployment Benefit
Submission ID:
[Reference ID]
Submission date:
[dd/mm/yyyy]
Submission time:
[hh:mm]
Applicant phone number:
[246-xxx-xxxx]
Applicant 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
[Applicant's full name]
Date
[dd/mm/yyyy]
Claimant details
Last name
[Last name]
First name
[First name]
Middle name(s)
[Middle name(s)]
NIS number
[NIS number]
National Registration Number (NRN)
[NRN]
Street address
[Street address]
District
[District]
Parish
[Parish]
Postal code
[Postal code]
Telephone number
[Telephone number]
Availability and eligibility
B1. Currently receiving another NIS benefit?
[Yes / No]
Name of benefit being received
[Benefit name — if Yes]
B2. Received any NIS benefit in last 52 weeks?
[Yes / No]
Name of benefit received
[Benefit name — if Yes]
B3. Available for and seeking work?
[Yes / No]
B4. Capable of working?
[Yes / No]
B5. Registered as unemployed at Employment Bureau?
