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Back to Revised Laws of Saint Lucia (2023)

Schedule 5

FORMS
FORM DN 1
National Insurance Corporation Act
GARNISHEE ORDER NO. ....................................
NATIONAL INSURANCE CORPORATION
DATE ...............................
DEMAND ON THIRD PARTIES
1.	WHEREAS it is believed that you are about to become indebted or liable to make a payment to ................................................................
2.	And Whereas the debtor is indebted to the National Insurance Fund in the amount of $.............................................. under the provisions of the National Insurance Corporation Act.
3.	Now Therefore you are hereby required under section 79 of the National Insurance Corporation Act to pay to the Director an amount sufficient to discharge the said liability or the amount for which you are or may become liable to the said debtor, whichever is the less.
4.	Remittances in favour of the Director of the National Insurance Corporation should be clearly identified as payments made with respect to the demand and should be forwarded to the National Insurance Corporation either in Castries, Soufrière or Vieux Fort.
5.	Receipts will be issued in respect of sums paid under this demand. Such receipts will serve as a good and sufficient discharge to you of your original liability to the debtor to the extent of the payment.
6.	Discharge of any present or future liability to the debtor after receipt of this demand without complying with the requirements of it amounts to an offence under section 78(4) and carries a fine of $5,000 or 12 months imprisonment or both.
*DIRECTOR*
*NATIONAL INSURANCE CORPORATION*

National Insurance Corporation Act

FORM DN 2

(Section 81)

DEMAND NOTICE

.........................................

INSERT DATE

.........................................

NAME OF EMPLOYER

.........................................

ADDRESS

Dear

RE: NATIONAL INSURANCE CONTRIBUTIONS

I hereby demand payment from you/your company in the sum of ___________________ ($ ) being the amount due and owing by you/your company as at ___________________________.

TAKE NOTICE that if payment of the above amount is not made within 30 days of the date hereof then a distress warrant will be issued to levy on your/the Company's goods, chattels or land in order to obtain the same in accordance with section ____________________________ of the National Insurance Corporation Act.

If settlement is not reached by the time specified, any further cost in collecting the amount will be added to the above liability.

Dated this day of

..........................................................................

DIRECTOR

NATIONAL INSURANCE CORPORATION

National Insurance Corporation Act

FORM NI DW

(Section 81)

DISTRESS WARRANT

TO: The Registrar of the High Court

I, __________________________________ Director of the National

Print Name of Director

Insurance Corporation by virtue of the power vested in me by section ____________________ of the National Insurance Corporation Act, hereby authorise you to collect and recover the several sums respectively due for contributions from the persons specified in the Schedule hereto together with the additional sum for surcharge and also the cost and charges of and incidental to the taking and keeping of such distress on goods, chattels and land of the person from whom the contributions or sum are due and owing.

Schedule

NAME	AMOUNT
Contribution ................................
Surcharge ....................................
Total ............................................
Given under my hand this day of
.........................................................................
*DIRECTOR*
*NATIONAL INSURANCE CORPORATION*