Form NI 99
Complaint Form
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Clear Form
Particulars of Complainant
Name
First Name
Middle Names (if any)
Surname
Address
Street Address
City / District / County
Identifying Landmarks
National Insurance Number
If no NI number please complete NI 4
Telephone Number
Phone
Particulars of Employers
Name
Trading Name
Type of Business
Address
Street Address
City / District / County
Registration Number (if applicable)
Telephone Number
Phone
Nature of Complaint
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