Claim for loss of earnings during jury service - self-employed or company directors: form 5223f

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Claim for loss of earnings during jury service - self-employed or company directors: form 5223f"


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Form CLAIM FOR LOSS OF EARNINGS DURING JURY SERVICE - SELF-EMPLOYED OR COMPANY DIRECTORS: FORM 5223F Use this form if you are self-employed, or a company director, and need to claim for


earnings lost during jury service. Get emails about this page DOCUMENTS CLAIM FORM: 5223F PDF, 151 KB, 3 pages This file may not be suitable for users of assistive technology. Request an


accessible format. If you use assistive technology (such as a screen reader) and need a version of this document in a more accessible format, please email [email protected]. Please


tell us what format you need. It will help us if you say what assistive technology you use. FFURFLEN HAWLIO: 5223F PDF, 65.3 KB, 3 pages This file may not be suitable for users of assistive


technology. Request an accessible format. If you use assistive technology (such as a screen reader) and need a version of this document in a more accessible format, please email


[email protected]. Please tell us what format you need. It will help us if you say what assistive technology you use. DETAILS Find out more about what you can claim if you’re


self-employed and doing jury service. Find more court and tribunal forms by category. Find out how HM Courts and Tribunals Service uses personal information you give when you fill in a form.


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