GHANA REVENUE AUTHORITY WORKERS’ UNION
WELFARE APPLICATION FORM
Tel: 0302 244 889
1. Name of Applicant:…………………………………………………………………..………………………………………….…..
2. Staff No.:………………..……………………. Rank:………………………………………….…….…
3. Division:………………………………………. Office / Collection…………………………….…
4. Contact No. ……………………………………..………………/…………………………………………………….….….…..……
5. TYPE OF BENEFIT (Tick where appropriate) :
Funeral Hospital
Retirement Promotion
Interdiction Disaster
(Other) Specify…………………………………
6. NAME OF SUPPORTING DOCUMENT ATTACHED (Tick where appropriate):
Letters of Administration Medical Bills
Letter of Condolence from GRA / Supervisor Police Report
Copy of Retirement Letter Death Certificate
Other Specify………………………………………………
7. Bank Account you wish the benefit is paid into
Name of Bank:……………………… ………………………………………………… Branch:………………………….……
Account Number:…………………………………………………………………………………………………………….…….
Applicant’s Signature:…………………………………… Date:……………………………………………………..……
8. LOCAL / REGIONAL CHAIRMAN: I confirm that the applicant (Mr. / Mrs.)……………..….…..…….
……………………………………………………………………………………………………………is a GRAWU member.
Name of Local / Regional Chairman ………………………………………………………………………………………
Remark :…………………………………………………………………………………………………………………………………
Date: ……………./…………./………………. Signature:……………………………………
RECOMMENDATIONS (OFFICE USE)
GHANA REVENUE AUTHORITY WORKERS’ UNION
DOCUMENTS TO BE ATTACHED TO A WELFARE “APPLICATION LETTER”.
(0302244889)
1. GRAWU Welfare Application Form.
2. Retirement Benefit; attach Copy of Retirement notification letter from HR.
3. Promotion Benefit; attach Copy of Promotion notification letter from HR.
4. Interdiction; attach Copy of Interdiction notification letter from HR.
5. Hospitalization / Surgery; attach
i. Medical bills
ii. Hospital invoices or medical report.
6. Disaster Benefit; attach a copy of
i Police Report
ii Photo
iii. Fire Service Report (if Any)
7. Funeral Benefit, attach the following:
A) DEATH OF PARENT / CHILD.
i. Death Certificate or Letter of Condolence from GRA / Supervisor or Obituary notice
B) DEATH OF A MEMBER.
i. Letters of Administration
ii. Death Certificate
iii. Consent letter signed by persons mentioned in letter of administration.
IMPORTANT NOTE
A. All Application should be endorsed by Local Chairman / Local Secretary
B. All application should have a contact