Form

Claim a loss of earnings or benefit during jury service

Make a claim if your employer doesn't pay you your normal salary during jury service.

Documents

Certificate of Loss of Earnings or Benefit

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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.

Tystysgrif Colli Enillion neu Fudd-dal / Certificate of Loss of Earnings or Benefit

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

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Published 1 August 2016