NHT Refound 1Application type2Personal & Contact Details 3Personal & Contact Details 4Employment History5Payment Method6 Select the statement that best describes you I am retired I am a migrating expatriate I am in receipt of an invalidity Pension from the Ministry of Social Security I am applying on behalf of a deceased contributor None of the above Do you make mortgage payments to the NHT? Yes No Are you currently a Public Sector Worker (i.e. work for the government of Jamaica.)? Yes No Date of Birth MM slash DD slash YYYY Name First Name Middle Name Last Name Address Street Address State / Province / Region Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Email address Phone NumbersIdentificationDriver’s LicencePassportElectric IDID country of issue-Select Country-JamaicaGrand CaymanUKUSACanadaOtherIdentification I am retired I am a migrating expatriate I am in receipt of an invalidity Pension from the Ministry of Social Security I am applying on behalf of a deceased contributor None of the above ID Expiry date MM slash DD slash YYYY Please upload your ID Front(Required) Drop files here or Select files Max. file size: 3 GB. This can be your National ID, Passport or Drivers LicensePlease upload your ID back(Required) Drop files here or Select files Max. file size: 3 GB. This can be your National ID, Passport or Drivers LicensePlease Upload a photo of your TRN.(Required) Drop files here or Select files Max. file size: 3 GB. Please Upload a photo of your NIS(Required) Drop files here or Select files Max. file size: 3 GB. Have you ever had a name change? Yes No Name Previous First Name Previous Middle Name Previous Last Name NIS NIS card(Required)Max. file size: 3 GB.Proof of age (birth certificate or Passport)(Required)Max. file size: 3 GB.Proof of identity(Required)Max. file size: 3 GB.(valid passport, driver's licence or national ID)Proof of name change if necessary(Required)Max. file size: 3 GB.(birth certificate, marriage certificate, deed poll) Proof of NHT contributions(Required)Max. file size: 3 GB.(verification letter from employer(s) - for current year)Retirement letter(Required)Max. file size: 3 GB.TRN For which years are you applying for a refund and where were you employed in those years? Complete the Table below with the information required.From197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023To197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023StatusEmployedSelf/VoluntaryCompany From197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023To197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023StatusEmployedSelf/VoluntaryCompany Indicate your preferred method of delivery Pay to my local Jamaican bank account Pay to local Prepaid Card or Cash Card Pay via remittance agency (fees apply) Refunds are only paid within the island of Jamaica in Jamaican dollars.BANK Account Type Branch Account Number Security Question To properly identify you, you may be asked to recall your security question and answer.QuestionWhat is the name of your Childhood Friend?What is your Mother's Maiden Name?What was the name of your first pet?What was your dream job as a child?What is the name of the town where you spent most of your youth?In which year was your mother born?Where would your dream vacation be?Answer Upload Official Hi5 Photos Ltd Receipt Drop files here or Select files Max. file size: 3 GB. HiddenPayment Status(Required) {all_fields}
