[ Forms Catalogue ] [ Forms List ] [ Forms Help ]

Application for Employment Insurance Premium Reduction - NAS5022

Purpose

For the Employment Insurance (EI) Premium Reduction Program, employers should complete this form to:

• apply for an EI premium reduction

• modify or replace an existing short-term disability plan registered with the program

• change their authorized contacts for the program

Group

Employment Insurance Premium Reduction

Important Information

Returning the Form

Forms

This site uses PDF form technology. To print these high-quality PDF forms, you must have a PDF reader installed. If you do not already have such a reader, there are several available on the Internet : Download Adobe Reader or download Foxit Reader. The form(s) are available in the following formats.

Important Information

For the form to work properly (including Digital signatures), you must first save it on your computer, and reopen it with Adobe Acrobat Reader to add information. Then resave once completed.

Application for Employment Insurance Premium Reduction

PDF: Download SC-NAS5022, 283 KB, printed on 4 pages (8.5x11)

For more information, please consult the Forms Help page.