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The form collects employer details, employee identity and employment dates, remuneration and total gross remuneration per month, and total hours worked during the month. It also records the reason for termination using provided codes and indicates contributor or non-contributor status, including reasons and compliance with submission requirements to the UIF by the seventh day of each 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","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-08","2026-10-03",true,{"@type":102,"interactionType":103,"userInteractionCount":29},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What information must an employer provide for the previous month under this declaration?","Question",{"text":112,"@type":113},"The employer must submit employer contact details and employee remuneration details (including new appointments and service terminations) for the previous month to the UIF/Commissioner as required.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How is weekly remuneration converted to monthly remuneration?",{"text":117,"@type":113},"If remuneration is paid weekly, convert it to monthly salary using weekly remuneration multiplied by 52 and divided by 12.",{"name":119,"@type":110,"acceptedAnswer":120},"What does the form require 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Regulation 13(1&2)  \n## 1.EMPLOYER DETAILS\n\n1  \n1.1 UIF Employer Reference No  \n①1.3 Trading name of business  \n1.5 Address where employees listed in Item 2 work(if different to the address in 1.4)  \n1.8 E-mail address  \n1.9 Fax No  \n## 2.EMPLOYEE DETAILS\n\nI,  \n                 (Name of Employer),ID No  \nunderstand that it is an offence to make a false statement.  \nEMPLOYER SIGNATURE  \nDESCRIPTIONS古★If the employer is not resident in the RSA,or is a body corporate not registered in the RSA,an authorised person must carryout the duties of the employer in terms of this Act.D*Remuneration means remuneration as specified by the Unemployment Insurance Contributions ActIfpaid Weekly,convert remuneration to monthly salary(weekly remuneration X52/12)E*Total Hours Worked ie.Actual hours worked during the month  \nEmployers may also submit these details electronically from payrolls or on the UIF's website at www.abour.gov.za(Ufiling)Tel.no (012)3371680/1700  \n①Only Applicable for Commercial Employers.For Domestic Employers provide Surname and Initials  \n★***Can only be determined by CCMA;Bargaining Council or Labour Court  \nAn employer must by the seventh day of each month provide the Commissioner with all the information for the previous month regarding the employer's contact details or employeesremuneraio details icluding new appointmensan teminaionof service.The employer must forwar tis fom to the Unemploymen nsurance Fund at(12)337-194344 or337-1580/81/82 or subit same at any branch of the UF which is ls to the employer The completed form can also be faxed to anyof th following numbrs:Pa(12)3095142/5286;Jhb(011)4973293;Dbn(031)3662156;Polokwane(015)2901670;Mmabatho(018)3842658;East Ldn(043)7013263;Biftn (051)4479353;CT(021)4418024;Wtb(013)6560233;PE(041)5861541;Gmn(011)8732219;George(044)8732568;Pmb(033)3945069.  \n1.2 PAYE Reference No (If registered with SARS)  \n1.4 Physical Address  \n1.6 Postal address  \n1.7 Co.Reg.No(CIPRO N  \n1.10 Phone No  \n\n| A  \u003Cbr>Surname   | B  \u003Cbr>Initials   | C  \u003Cbr>ID Number  \u003Cbr>(13 Digit bar-coded RSA ID No)   |  |  |  |  |  |  |  |  |  |  |  |  | D*  \u003Cbr>Total(Gross)  \u003Cbr>Remuneration paid  \u003Cbr>to Employee Per  \u003Cbr>Month   |  | E*  \u003Cbr>Total  \u003Cbr>Hours  \u003Cbr>Worked  \u003Cbr>during  \u003Cbr>Month   | F  \u003Cbr>Commencement date of  \u003Cbr>Employment   |  |  |  |  |  | G  \u003Cbr>Termination Date   |  |  |  |  |  | H  \u003Cbr>Reason for  \u003Cbr>Termination  \u003Cbr>(Use  \u003Cbr>Termination  \u003Cbr>Codes as  \u003Cbr>supplied at the  \u003Cbr>bottom of the  \u003Cbr>page)   | I  \u003Cbr>Indicate  \u003Cbr>whether  \u003Cbr>contributor  \u003Cbr>or non-  \u003Cbr>contributor  \u003Cbr>(YES OR  \u003Cbr>NO)   | J**  \u003Cbr>If non-  \u003Cbr>Contributor  \u003Cbr>state reason  \u003Cbr>(Use codes at  \u003Cbr>bottom of  \u003Cbr>page)   |\n| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | R   | c   |  | D   | D   | M   | M   | Y   | Y   | D   | D   | M   | M   | Y   | Y   |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n\n                          ,declare that the above information is true and correct.I  \nREASON FOR","cbCaio0kJon0ah6A","https://ap.wps.com/l/cbCaio0kJon0ah6A","pdf",552401,"English","# Employers Declaration of Employees for the month of\n## 1. Employer Details\n## 2. Employee Details\n## Reason for Termination Codes","[{\"question\":\"What information must an employer provide for the previous month under this declaration?\",\"answer\":\"The employer must submit employer contact details and employee remuneration details (including new appointments and service terminations) for the previous month to the UIF/Commissioner as required.\"},{\"question\":\"How is weekly remuneration converted to monthly remuneration?\",\"answer\":\"If remuneration is paid weekly, convert it to monthly salary using weekly remuneration multiplied by 52 and divided by 12.\"},{\"question\":\"What does the form require regarding termination and non-contribution status?\",\"answer\":\"The employer must record the reason for termination using the termination codes provided, and indicate whether each employee is a contributor or non-contributor; if non-contributor, provide the stated reason using the relevant codes.\"}]","Unemployment Insurance Act 63 of 2001 - Employers Declaration of Employees - for the month of | PDF",1791035838]