Section F -Employed (to be completed by you) Name of last employer Address of last employer Occupation to unemployment Postcode Telephone Number Fax Number Employment Terms (please tick appropriate box) Fixed Term Contract Temporary Permanent Full Time Permanent Part Time Seasonal Date employment commenced Date employment ended Contracted hours worked per What was the reason for your unemployment week Have you obtained a new job? If Yes, when did your new job start? Yes No Employment Terms (please tick appropriate box) Permanent Full Time Permanent Part Time Fixed Term Contract Temporary Seasonal G To be completed by you – Section G -Additional Information
Section F -Employed (to be completed by you) Name of last employer Address of last employer Telephone Number Occupation to unemployment Postcode Fax Number Employment Terms (please tick appropriate box) Permanent Full Time Permanent Part Time Fixed Term Contract Temporary Seasonal Date employment commenced Date employment ended What was the reason for your unemployment Have you obtained a new job? If Yes, when did your new job start? Contracted hours worked per week Yes No Employment Terms (please tick appropriate box) Permanent Full Time Permanent Part Time G – To be completed by you Fixed Term Contract Temporary Seasonal Section G -Additional Information
Covea-Claim-Form-Emp-Unemp-Income-Protection.docx