Bermuda Government Unemployment Benefits Application

1. Employee Information
If you do not have this number on hand, please contact your employer or the Department of Social Insurance at 294-9242.
M/DD/YYYY
2. Status
Please refer to section 8 and upload required documents:
Only one of the following documents is required):
  • Copy of Passport Information Page and Registered Bermudian Stamp
  • Copy of Voter’s Identification Card
3. Employment Status
4. Employer’s/Self-Employment Details
5. Other Benefits
6. Payment Details
Gross wage, including tips and benefits
7. Banking Information

Note: You need to select bank name first.

I authorize Government of Bermuda to verify the information provided on this form (1) to confirm my identity (2) to augment and update currently held information; (3) to provide me with accurate payment; (4) to satisfy information requests; and (5) to meet legal and regulatory requirements.


8. Required Supporting Documents
Only one of the following documents is required):
  • Copy of Passport Information Page and Registered Bermudian Stamp
  • Copy of Voter’s Identification Card
Employer Verification Letter should detail the following information:
  • Business name, contact name and address of employer
  • Nature of employer’s business
  • Employee Social Insurance number, name and job title
  • Verification of full-time or part-time employment status
  • Date and amount of most recent wages and other remuneration paid
  • Current employment status as a result (i.e. lay off; termination; temporary work stoppage; or mandatory medical quarantine without pay)
  • Confirmation that change in employment status is as a result of COVID-19
  • Confirmation of current benefits with dollar value
  • Verification of employees banking details
  • Letter from medical practitioner confirming mandatory quarantine
  • Evidence of payroll tax submissions for two quarters
  • Copy of bank account statement to verify name, address and account number.
TERMS OF AGREEMENT