Form NI 33
Application for Replacement National Insurance Cards
View Instructions
Clear Form
Claimant
First Name
Middle Names (if any)
Surname
Identification
Electoral Identification Card
Passport
Driver's Permit
Particulars of Witness to Mark
(Where Claimant cannot sign)
Is the Claimant able to sign?
Yes
No
Witness Name
First Name
Middle Names (if any)
Surname
Address
Street Address
City / District / County
Occupation
Two (2) copies of this form must be signed and dated upon submission to the National Insurance Board
Submit and Print