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Claim for loss of earnings during jury service - self-employed or company directors: Form 5223F
What is this form for?
Use this form if you are self-employed, or a company director, and need to claim for earnings lost during jury service.
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Official publication updated 2023-11-27. Catalogue checked 9 November 2026. Follow the official guidance for the form's scope, required documents and filing route. Source: HMCTS. Crown copyright, Open Government Licence v3.0.