Claim for Pandemic Leave Disaster Payment – New South Wales form (EM225)
Use this form to claim the Pandemic Leave Disaster Payment – New South Wales.
Download and complete the Claim for Pandemic Leave Disaster Payment – New South Wales form.
You can only claim this payment if you live in New South Wales.
This PDF is fillable. You can fill it out on your device, or print it and complete it by hand.
If you have a disability or impairment and use assistive technology, you may not be able to access our forms. If you can’t, please use self service, request someone to deal with us on your behalf, or contact us. We can help you access, complete and submit them.
Page last updated: 24 September 2020
This information was printed 6 January 2021 from https://www.servicesaustralia.gov.au/individuals/forms/em225. It may not include all of the relevant information on this topic. Please consider any relevant site notices at https://www.servicesaustralia.gov.au/individuals/site-notices when using this material.