Form Gbrig 5 PDF Details

Form Gbrig 5 is a document that is used to request tax relief in the United Kingdom. This form can be used by individuals or businesses, and it must be submitted to the HM Revenue and Customs (HMRC) department. The purpose of this form is to provide information about the individual or business, their income and expenses, and any other relevant information. Tax relief may be granted if it can be shown that the taxes owed are greater than the individual or business’s ability to pay. Anyone who needs to file Form Gbrig 5 should consult with an accountant or tax specialist to ensure that all required information is included on the form.

QuestionAnswer
Form NameForm Gbrig 5
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesmilitary next of kin document, military replacement form, Marietta, military next of kin form

Form Preview Example

Cobb County School District

Form GBRIG-5

A community with a passion for learning!

FMLA MILITARY CAREGIVER

NEXT OF KIN VERIFICATION FORM

TO BE COM PLETED BY COV ERED SERV I CE M EM BER:

I , _____________________________ , do designat e ______

____________________________ ,

( Full Nam e of Cov er ed Ser v ice Mem ber - Please Pr int )

 

( Nam e of Em ploy ee- Please Pr int )

an em ploy ee of t he Cobb Count y School Dist r ict , as m y Nex t of Kin under t he Milit ar y Car egiv er Leav e pr ov isions of t he Fam ily and Medical Leav e Act .

Relat ionship t o Em ploy ee

______________________________________

Signat ur e of Cov er ed Ser v ice Mem ber

Addr ess of Cov er ed Ser v ice Mem ber

 

 

 

 

 

 

 

 

Wor k Phone

Hom e Phone

Cell Phone

______________________________________

 

 

Dat e

 

 

 

Not ar y

TO BE COM PLETED BY EM PLOYEE:

I , ___________________________________ , ( dat e of bir t h

 

) do her eby cer t ify t hat I am t he designat ed

( Full Nam e of Em ploy ee- Please Pr int )

 

 

Nex t of Kin t o pr ov ide car e under t he Milit ar y Car egiv er Leav e pr ov isions of t he Fam ily and Medical Leav e Act t o

___________________________________ .

( Nam e of Cov er ed Ser v ice Mem ber - Please Pr int )

_____________________________________

Relat ionship t o Cov er ed Ser v ice Mem ber

______________________________________

Signat ur e of Em ploy ee

Addr ess of Em ploy ee

Wor k Phone

Hom e Phone

Cell Phone

______________________________________

 

Dat e

 

 

 

Ple a se m a il com ple t e d f or m t o:

 

Cobb Cou n t y Sch ool D ist r ict , Be n e fit s Office

 

5 1 4 Glov e r St r e e t

M a r ie t t a , Ge or g ia 3 0 0 6 0

 

Or Fa x t o: ( 7 7 0 ) 4 2 9 - 5 8 0 9 – Fa x

8/ 12/ 09

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The right way to fill out military next of kin part 1

2. Once your current task is complete, take the next step – fill out all of these fields - I do designat e Full Nam e of, do hereby cert ify t hat I am t, I dat e of bir t h Full Nam e, Hom e Phone Cell Phone, Ple a se m a il com ple t e d for, Cobb Cou n t y Sch ool D ist r ict, and Or Fa x t o Fa x with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

I    dat e of bir t h  Full Nam e, Or Fa x t o               Fa x, and Ple a se m a il com ple t e d for of military next of kin

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