Get Dotag Jury Declarations Form

Filling out the Dotag Jury Declarations Form accurately is essential for obtaining reimbursement for wages paid to employees during jury service. This guide provides clear, step-by-step instructions to help users complete the form effectively and efficiently.

Follow the steps to fill out the Dotag Jury Declarations Form with ease.

1. Click the ‘Get Form’ button to obtain the form and open it in an online editor.
2. Provide your surname and first name in the ‘Juror details’ section.
3. Enter your occupation for clarity about your employment status.
4. Input the dates of your jury duty by specifying the 'from' and 'to' fields.
5. Note your usual work hours in the designated section, including start and end times.
6. Calculate the total hours lost as a result of your jury duty and enter this figure.
7. Fill in your gross hourly pay rate to determine your reimbursement.
8. Sum and list the total gross income claimed in the respective field.
9. State the reasons why you were unable to return to work if applicable.
10. Complete your employer details, including company name, address, and contact information.
11. Fill in the banking information accurately for reimbursement purposes.
12. Ensure you certify the information by adding your signature and the date.
13. Have the employer or payroll officer complete the statutory declaration on the reverse.
14. Save your changes, and when finished, you may download, print, or share the completed form.

Start filling out your Dotag Jury Declarations Form online to ensure a smooth and successful reimbursement process.