Form

Claim for loss of earnings or benefits during jury service

Claim for loss of earnings if your employer is not paying you during jury service. Benefits claimants can claim for loss of benefits if doing jury service for more than 8 weeks.

Documents

Claim for loss of earnings during jury service

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Hawlio am enillion a gollwyd yn ystod gwasanaeth rheithgor

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 hmctsforms@justice.gov.uk. Please tell us what format you need. It will help us if you say what assistive technology you use.

Claim for loss of benefits after 8 weeks of jury service

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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 hmctsforms@justice.gov.uk. Please tell us what format you need. It will help us if you say what assistive technology you use.

Hawlio am fudd-daliadau a gollwyd yn dilyn 8 wythnos o wasanaethu ar reithgor

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 hmctsforms@justice.gov.uk. Please tell us what format you need. It will help us if you say what assistive technology you use.

Details

Published 1 August 2016
Last updated 21 April 2022 + show all updates
  1. Updated forms published

  2. First published.