Employer Financial Account Information

By providing your account information for the purposes of the assignment of a benefit to you via direct deposit you agree that the National Insurance Corporation (the Corporation) will rely on the information which you provide for the processing of each payment transmitted to you. You are responsible for providing the Corporation with accurate information including; the account number; the name of the Financial Institution; the Branch of the Financial Institution ; and any other information determined by the Financial Institution, since the payment to you will be processed based on said information

 

Enter your full name as the person completing this form on behalf of the employer.

 

Enter your official job title or position (for example, CEO, Accountant, Director)

 

Provide the full name of your company or organization

 

Enter your six-digit NIC employer registration number

 

Provide a valid email address where we can reach you if we need to follow up.

 

Provide a contact number to reach you if we need to follow up.

Phone
 

Provide the name of the bank or financial institution where the employer's account is held.

 

Select the type of account (e.g., Checking, Savings)

 

Enter your financial account number.

 

Re-enter your financial account number to confirm accuracy

 

Upload two documents:

  • A clear copy of your valid photo ID (Passport, National ID, or Driver’s License).


  • A signed letter from your organization verifying your job title and confirming you are authorized to submit this information.
Drop your files here
 

“I/We understand that I am/we are solely responsible for any losses arising from the National Insurance Corporation’s reliance on the account information provided, including but not limited to losses associated with funds being incorrectly credited to the wrong beneficiary.”