Request For Certificate Pd U1/n-301 For Coordination Of Social Security Page 2
Download a blank fillable Request For Certificate Pd U1/n-301 For Coordination Of Social Security in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Request For Certificate Pd U1/n-301 For Coordination Of Social Security with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
24. SELF-EMPLOYED PERSON
in the period for which you request a certificate?
Have you worked as a self-employed person in Norway
No
Yes
The company’s name:
Period (dd.mm.yy)
From:
The company’s org.no.:
To:
5. HAVE YOU RECEIVED ANY OF THESE BENEFITS FROM NORWAY?
(You may check more than one box)
Unemployment benefit
Sickness benefit
Parental benefit
Attendance allowance
Care benefit
Pregnancy benefit
Training allowance
From
To
Comment
From
To
Comment
6. THE PD U1/N301 CERTIFICATE SHOULD BE SENT TO
Do you want the PD U1/N-301 certificate to be sent to the address in point 2?
If no, write the address below
Yes
No
Name
Address
Post code
Town
Country
7. SIGNATURE
Place
Date
Signature
The following enclosures must be included with the request for Certificate PD U1/N301
(NAV 04-02.05):
•
Verification of all employments in Norway, filled in by the employers on a separate form (NAV 04-02.03) – NOTE: A separate form for each
employer
•
Wage and tax deduction statement (“Lønns- og trekkoppgave”) from all employers for the previous years for which you want to be verified in
PD U1/N301
Certificate
•
First and last payslip up to now this year (including total amount of wages this year up to now)
•
Work contract(s)
•
If you have worked temporarily through employment agencies: Enclose timesheets
•
In case of bankruptcy: Enclose letter from trustee (“Bobestyrer”)
Send the request to the address on the top sheet.
NAV 04-02.05 Engelsk Fastsatt 07.2006 Endret 05.2013 PDF-versjon
ADVERTISEMENT
0 votes
Related Articles
Related forms
Form 8316 - Information Regarding Request For Refund Of Social Security Tax Erroneously Withheld On Wages Received By A Nonresident Alien On An F,j,or M Type Visa - 1992
Financial
Form 8316 - Information Regarding Request For Refund Of Social Security Tax Erroneously Withheld On Wages Received By A Nonresident Alien On An F, J, Or M Type Visa
Financial
Form 8316 - Information Regarding Request For Refund Of Social Security Tax Erroneously Withheld On Wages Received By A Nonresident Alien On An F, J, Or M Type Visa
Financial
Form 8316 - Information Regarding Request For Refund Of Social Security Tax Erroneously Withheld On Wages Received By A Nonresident Alien On An F, J, Or M Type Visa
Financial
Form Pd F 1050 E - Creditor's Request For Payment Of Treasury Securities Belonging To A Decedent's Estate Being Settled Without Administration
Legal
Form 08-4372 - Request For Exception From Social Security Number Requirement - State Of Alaska
Legal
Related Categories
Parent category: Business