Small Business Wage Fund ApplicationPlease ensure you have all the necessary information to hand before continuing.

Business Details
1Business Information

Employer Details
2Employer Information

Add An Employee?

Employee 1 Details
3Employee 1 Information

Add Another Employee?

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Employee 2 Details
4Employee 2 Information

Add Another Employee?

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Employee 3 Details
5Employee 3 Information

Add Another Employee?

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Employee 4 Details
6Employee 4 Information

Add Another Employee?

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Employee 5 Details
7Employee 5 Information

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Review & Submit

Please scan and attach a copy of the business' NIS Registration form or the last wage schedule submitted. If you are self-employed without employees, please scan and submit a copy of your NIS card.

By checking the box below and/or submitting this application, I hereby certify that the information contain therein is complete, true and correct to the best of my knowledge.