Application for weekly payments after the second entitlement period – return to work

If you've reached the end of the second entitlement period and have returned to some work, you might be entitled to further weekly payments at a partial rate.


What it contains

To apply for these payments, you need to fill out the above form. Information you need to provide in this form includes:

  • your personal details
  • your current employment and income details
  • authority to obtain information
  • any attachments required for a valid application