COVID -19 Income Support Registration Form
I have lost 20 % or more of my income due to Covid-19 and request Income Support of Naf. 1,150
I am requesting Income Support for
Are you registered at the Chamber of Commerce?
Immovable / Standplaats Vergunning
Tour Bus Independent Driver
Vending permit number
Are you the direct and/or sole source of income for your household?
Number of dependents
Bank name (Other)
Bank account number
Contact phone number
Please upload your valid permit (taxi, bus, vending etc.), if applicable
Valid Chamber of Commerce excerpt, if applicable (no older than 6 months)
Valid St.Maarten ID or Passport
Copy of (submitted and stamped by the Tax Office) 2018 Income Tax Return
I agree to voluntarily provide this information and have no objection to it being shared with relevant entities for the purpose of verification and compilation for anonymous statistical information. I agree that the information provided can be audited after the fact and that changes can be made to the income support based on the findings.
I hereby certify to have completed this application truthfully and acknowledge that I can be held personally responsible.