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Get and Sign Ssp1 Form
24 hours Title enter MR MRS MISS MS or other title Was your sickness caused by an accident at work or an industrial disease National Insurance number No Yes If you answered Yes you may be able to get Industrial Injuries Disablement Benefit. If you want information about claiming this benefit ask at any Jobcentre Plus office. Date of birth DD MM YYYY Your signature Clock or payroll number Signature About your sickness. Please give brief details Date DD MM YYYY Phone number If you do not know...
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