EIS Form 7 - Employment Insurance System Application

This is a mandatory form that must be completed to apply for all benefits under EIS

D. Other Active Employer Information

D1. Are you currently / still working for any employer?*

Yes

D2. Employer Code No.*

D3. Company Name*

D4. Industry*

D5. Working Address*

D6. State*

D7. City*

D8. PostCode*

D9. Officer Name*

D10. Telephone No. (Office)*

D11. E-mail*

D12. Report Duty Date at the employer*

D13. Employment status*

D14. Average working hours in a week including overtime