Unemployment Contribution Eligibility Check
National Insurance Number
Have you been contributing to NIS as an employed person in the last 52 weeks before becoming unemployed?
Name of employer
Period of Employment
If you do not qualify for unemployment benefit, do you consent to providing your information to another government department?
I certify that the information given in this questionnaire is true to the best of my knowledge and belief and I will NOT receive any benefit for any period during which I was at work.