UIF MATERNITY MATTERS UIF Claims Made Easy

Size: px
Start display at page:

Download "UIF MATERNITY MATTERS UIF Claims Made Easy"

Transcription

1 UIF MATERNITY MATTERS UIF Claims Made Easy Postal address 9B Tyburn Way Dawncliffe, Westville, 3629 NAME & SURNAME: CELL PHONE NUMBER: HOW MANY MONTHS UIF WILL BE CLAIMED? ADDRESS PRIOR TO MATERNITY LEAVE: Please ensure you have an address where correspondence will be sent to once applicant is on maternity leave. ADDRESS WHISLT ON MATERNITY LEAVE: POSTAL ADDRESS: MATERNITY START DATE: / / DUE DATE: / / RETURN TO WORK DATE: / / DETAILS OF PREVIOUS UIF CLAIMS START DATE OF CLAIM DATE RETURNED TO WORK MATERNITY / ADOPTION OTHER Retrenchment etc *Note: if you have claimed for anything other than maternity in the last 4 years, you will NOT be able to claim again! EMPLOYMENT HISTORY: Please provide Applicants Employment History for the previous 4 (four) years EMPLOYER NAME DATE STARTED DATE TERMINATED (Applicant to Complete & Sign) Power of Attorney Andrea D Lowe T/A UIF MATERNITY MATTERS I, (Name & Surname) ID number:, Appoint AD LOWE, trading as UIF Maternity Matters, to be my lawful agent for managing and transacting my claim for maternity benefits in terms of Section 25 of the Unemployment Insurance Act 63 of 2001, in the Republic of South Africa with full powers of authority and in my name and for my account and benefit. I, acknowledge that UIF Maternity Matters is in no way responsible and has no control or influence in the process of my UIF application with the South African Department of Labour. UIF Maternity Matters is in no way responsible for or has control over the amount of UIF paid to a client and decisions made by the SA Department of Labour. I, acknowledge and understand the above and fully understand the services of UIF Maternity Matters and agree to all of the Terms and Conditions as mentioned in the below. Thus done and signed at on this day of 2015 SIGNATURE OF APPLICANT: (PLEASE RETURN JUST CURRENT PAGE TO US WITH YOUR UIF DOCUMENTATION FOR CHECKING)

2 PAYMENT OPTIONS (NOTE: Please forward us the NOTIFICATION OF PAYMENT prior to checking of forms) AMOUNT PLEASE NOTE A. STANDARD 4 MONTHS R 600 Paid in full prior to checking B. LATE REGISTRATION FEE R 700 Once baby is 5 months old. Paid in full prior to checking C. INITIAL APP ONLY R450 For claims between 1 month and 6 weeks only. Paid in full prior to checking D. 2 MONTHS ONLY R500 Paid in full prior to checking E. 3 MONTHS ONLY R550 Paid in full prior to checking F. FOLLOW UP PAYMENTS ONLY R75 / month Follow up monthly payments only, excludes initial application and only once your first payment has been received. Paid in full prior to checking BANKING DETAILS Account Name: UIF MATERNITY MATTERS FNB (Branch Code : ) Type of Account: Cheque Account Number Please use your initials, surname and first six digits of ID (Applicants Details) as reference eg: IB. SOMEONE TERMS AND CONDITIONS I, undertake to READ AND FOLLOW the instructions given to me by UIF Maternity Matters. I understand that UIF Maternity Matters cannot be held responsible for forms that are incorrectly completed by me or any other party. UIF Maternity Matters check each application prior to submission and will contact the APPLICANT should there be any problems. I, undertake to provide a UI 19 form from my Employer to UIF MATERNITY MATTERS on my return to work stating my return to work date in order for UIF MATERNITY MATTERS to finalise your claim with the Department of Labour. I, understand: that my application will NOT be submitted before the FULL amount is paid. This fee is NOT transferable or refundable. UIF Maternity Matters may however use their discretion where deemed necessary. Their decision regarding these refunds is final, and they will enter into no correspondence regarding this matter. Please note: If your baby is older than 5 months when your application reaches us, an additional R100 administration fee is charged due to the additional pressure on the system. The full fee is payable before the application will be submitted. that any previous UIF claims NOT finalised with the Department of Labour is my responsibility and UIF MATERNITY MATTERS will not be held responsible to finalise these claims. it is my responsibility to make sure that all forms and documents reach UIF Maternity Matters in time. the correct forms and documents for my application should reach UIF Maternity Matters before my baby is 5 months old. I understand that if my application reaches UIF Maternity Matters after my baby is 5 months old there is an additional administration fee of R100. all forms submitted to UIF Maternity Matters as part of the application (except the UI19 and UI2.7) should be in original form. that if I claimed from the Department of Labour for any other reason other than maternity leave in the last four years, I may not be able to claim now and I will phone the Department of labour to confirm my status before I pay any monies over to UIF Maternity Matters. If I am the owner of my own business I will first contact UIF Maternity Matters to discuss

3 my options before I pay any monies over to them. I have checked that UIF is deducted from my salary advice before I pay over any money over to UIF Maternity Matters. CONFIDENTIALLY UIF Maternity Matters (The Recipient) shall limit disclosure of Confidential Information within its own organization to its directors, officers, partners, having a need to know and shall only disclose the information to the Department of Labour for Unemployment Insurance Fund purposes. The Recipient will not disclose the confidential information obtained from the dis-closer unless required to do so by law. This Agreement imposes no obligation upon Recipient with respect to any Confidential Information (a) that was in Recipient s possession before receipt from Discloser; (b) is or becomes a matter of public knowledge through no fault of Recipient; (c) is rightfully received by Recipient from a third party not owing a duty of confidentiality to the Discloser; (d) is disclosed without a duty of confidentiality to a third party by, or with the authorization of, Discloser; or (e) is independently derived by Recipient. PLEASE NOTE: UIF Maternity Matters will not disclose or discuss any confidential information with any person (including partners, husband, and parents) other than the applicant. Your documentation will not be shared with anyone other than the Department of Labour and any remaining documents or copies will be shredded 3 month after your application is paid in full. UIF Maternity Matters undertakes the following: We provide the APPLICANT with an Information Pack containing all the forms and instructions. We advise you on how to complete the forms. We will submit your application within 1 week of receiving it, as long as your maternity leave has begun, all documents are both included and correct, as advised to by UIF Maternity Matters. We submit your continuation forms monthly until your Maternity Leave is finished. We assist you as far as possible if any problems arise regarding your UIF claim. UIF Maternity Matters has no legal agreement or affiliation with the Department of Labour regarding any UIF claim for maternity benefits, and therefore cannot be held liable for any damages as a result of any actions taken, or decisions made by the Department of Labour regarding our service or your claim. We cannot give advice on behalf of the Department of Labour. UIF Maternity Matters will not be held responsible for any payments, or non-payments, by the Department of Labour as a result of false or insufficient information supplied by you, or any other reason. I, understand that once UIF Maternity Matters has submitted the application to the Department of Labour the processing and approval of the application must follow due course, as stipulated by the Department of Labour and UIF Maternity Matters has no control over this process. I, understand that UIF Maternity Matters cannot control payments by the Department of Labour. When registering with UIF MATERNITY MATTERS the onus is on the Applicant to ensure they are eligible to claim UIF. We cannot be held responsible if your application is refused by the Department of Labour. Please note: The Department of Labour DO NOT accept applications after the baby is six months old. If UIF Maternity Matters receives the forms within two weeks of your babies six months birth date we do not take any responsibility for your application as we have to follow procedure and appointment times at the Department of Labour, however, we will undertake to do our best to submit your application in time. Once UIF Maternity Matters has received the forms they will communicate this either via: . If the Applicant does not receive confirmation the onus is on the Applicant to contact UIF Maternity Matters to confirm receipt of the forms. Please ensure an address is supplied. If you have another communication preference, please stipulate at the onset of the process.

4 GUIDELINES FOR COMPLETING UIF FORMS DO NOT DATE ANY FORMS. DO NOT USE TIPPEX OR CORRECTION PEN ON ANY OF THE FORMS. DO NOT CROSS OUT OR OVER-WRITE ON FORMS, THEN SIGN NEXT TO AMENDMENTS DO NOT SEND ORIGINALS DOCUMENTS TO US UNTIL WE HAVE CHECKED THE FORMS (Sent electronically to us) It is advisable that copies are made of all documentation prior to sending to Maternity Matters. Form UI2.3 DO NOT DATE NEXT TO YOUR SIGNATURE. YOUR DOCTOR MUST DATE etc Number of copies, completed by: Notes: 1 x original document; To be completed by the Applicant and the Doctor. Your Date of Commencement is the first day from which your Loss of Earnings occurs (ie Rate of pay changes) even if this is a Saturday, Sunday or public holiday Complete the Details of previous application section. Ignore Occ Code Complete the Are you still employed question. (If you have resigned or are not employed, please answer NO ) The Medical Certificate must be completed by your doctor (Doctor can date) Sign the form and initial in the blank area next to the date DO NOT DATE, the department will date your form on your behalf on the day it is submitted. eg: ALowe Date _[leave blank] AL UI2.8 MUST BE APPLICANTS OWN BANK ACCOUNT. NO JOINT ACCOUNTS ARE ALLOWED. UI2.7 1 x original document; T To be completed by the Applicant and the Bank 1 x original OR copy document; To be completed by the current Employer PLEASE INCLUDE A LETTER OF EMPLOYMENT FROM YOUR CURRENT EMPLOYER, on Company Letterhead. To be completed, signed and stamped by your Bank / Financial Institution. Bank can date. If your bank account is still in your maiden name, please change it to your married name first. Please only use 6 digit branch code. Applicant to Sign and Date the Applicant Section of the document. The Name of Contributor and ID number at top refer to you. The UIF Ref refers to your Employer. (This number doesn t always fit in the space provided. Either squeeze it in or write it above the blocks provided) If you are have resigned or are not employed, please do not complete this document. Example of how to complete the table on the UI2.7 (in this example, Maternity Commencement Date is 01 April 2014) (1) Gross Remuneration (Prior to Confinement) Per month or Per week Periods during which different Rates of remuneration were received Gross Remuneration that worker will receive whilst on Maternity Leave (Per month or Per week) R5000 From *01/04/14 To 30/04/14 R 1, *Must be the first day of maternity, ie first day that your Rate of Pay changes From 01/05/14 To 31/05/14 R 1, From 01/06/14 To 30/06/14 R 1, From 01/07/14 To 31/07/14 R 1, *If you are receiving NO PAY then fill in NIL in the last Column.

5 (2) Gross Remuneration (Prior to Confinement) Per month or Per week Periods during which different Rates of remuneration were received Gross Remuneration that worker will receive whilst on Maternity Leave (Per month or Per week) R5000 From 01/04/14 To 31/08/14* NIL From To From To *Must be the last day of maternity, before From To you return to your normal rate of pay. The Return to work date is 01/09/14 (in this eg) UI19 1 x original OR copy document; To be completed by each individual Employer you have worked for, over the past 4 years. Please insert UIF Reference number, PAYE Number, and company details. Please insert employee's details, including remuneration AND HOURS (even though the form states this is only for Hourly paid workers: Average working hours / month = 173 (8 hours a day * 5 days * 52 weeks = 2080 / 12 = 173) Company representative to insert name, ID number and date. Employer to enter the Start Date and Termination Date (which is the day before maternity leave begins, even if over the weekend) on this form. Please note: the following changes must also be reflected on your UI19 Company Name (provide a letter), Branch transfers, Contract changes and previous Maternity leave * see below example) UI4 5 originals. No photocopies Please send 4 with your original application and keep ONE for after baby is born. This one will be signed by you and your Gynae, to confirm baby's birth date. Please sign but DO NOT DATE Please complete all forms with your personal information, including Question 8 Date returned to work on each form (even though you have not returned to work yet - If you have resigned or are not currently employed, please ignore) Supporting Documentation Certified ID Document NO TEMPORARY ID's. Bank statement If you were married but have not yet changed your name, this will not be a problem. Must be recently certified (within last 3 months) Ensure the certification is the original stamp, not photocopied. 1 page bank statement. Allowed: ATM bank statements, ed Bank statements and Online statements (as long as your Name and Account # reflect)

6 Pay slip 1 month pay slip from prior to maternity leave. Employer's name and address & UIF deductions are to appear on the pay slip. (Or company stamp required) Certified Marriage certificate (if applicable) Ensure the certification is the original stamp, not photocopied. We often receive queries regarding the relevance of the marriage certificate. The department will not process claims without it. If you were married in a traditional ceremony and did not change your surname, this is not required. If you are not married, kindly advise me that no marriage certificate applies. Ensure the certification is the original stamp, not photocopied. Those married in traditional services do not need to submit a marriage certificate Divorce (if applicable) Ensure the certification is the original stamp, not photocopied. (Only to be sent if you are divorced and have not re-married. If you have remarried, then this does not apply)

Please use BLOCK LETTERS and place an X in the relevant boxes.

Please use BLOCK LETTERS and place an X in the relevant boxes. Application form for Maternity Benefit Social Welfare Services MB 10 Data Classification R How to complete this application form. Please use this page as a guide to filling in this form. Please use black

More information

DOCTOR OF PHARMACY (PharmD) RHODES UNIVERSITY APPLICATION FOR ADMISSION TO POSTGRADUATE STUDIES

DOCTOR OF PHARMACY (PharmD) RHODES UNIVERSITY APPLICATION FOR ADMISSION TO POSTGRADUATE STUDIES DOCTOR OF PHARMACY (PharmD) RHODES UNIVERSITY APPLICATION FOR ADMISSION TO POSTGRADUATE STUDIES CLOSING DATES 15 August APPLICATION FEE R75,00 RHODES UNIVERSITY POSTGRADUATE APPLICATION INSTRUCTION SHEET

More information

MySmile Dental Plan Request

MySmile Dental Plan Request MySmile Dental Plan Request By completing this form I wish to commence a MySmile Dental Plan for my estimated Plan and understand and agree to the terms and conditions of the MySmile Dental Plan and Direct

More information

Application for Retirement Income Plan Guaranteed Escalator Annuity

Application for Retirement Income Plan Guaranteed Escalator Annuity Application for Retirement Income Plan Guaranteed Escalator Annuity Contact us Tel: 0860 67 5777, PO Box 653574, Benmore, 2010, www.discovery.co.za Content of this form Page 1. About the investor 1 2.

More information

Family Funeral Cover Policy Document

Family Funeral Cover Policy Document Instant Life Family Funeral Cover Policy Document Be Assured. Prosper Family Funeral Cover Welcome to Instant Life. We are a predominantly online insurance administrator operating from offices in Johannesburg,

More information

Application for the Classic or Essential Funeral Plan

Application for the Classic or Essential Funeral Plan Application for the Classic or Essential Funeral Plan Contact us Tel: 0860 00 5433, PO Box 3888, Rivonia 2128, www.discovery.co.za How to complete this form To enable Discovery to process the application

More information

Service Delivery Direct Debit Request (DDR)

Service Delivery Direct Debit Request (DDR) Section 1: Business Details Name, Person 1 Name, Person 2 Position, Person 1 Position, Person 1 Business Name Trading Name ABN Amovita Client ID Street Address Postal Address Office Phone Mobile Phone

More information

Online Banking - Terms and Conditions

Online Banking - Terms and Conditions Online Banking - Terms and Conditions (updated 12/2015) Welcome to electronic banking at Capstone Bank. This Agreement and Disclosure Statement for Online Banking Services (the "Agreement") describes the

More information

PPS TAX FREE INVESTMENT ACCOUNT APPLICATION FORM

PPS TAX FREE INVESTMENT ACCOUNT APPLICATION FORM APPLICATION FORM PROFESSIONAL PROVIDENT SOCIETY INVESTMENTS PROPRIETARY LIMITED ( PPS INVESTMENTS ) CLIENT SERVICE CENTRE CONTACT DETAILS TEL: 0860 468 777 (0860 INV PPS) FAX: 021 680 3680 EMAIL: admin@ppsinvestments.co.za

More information

ufiling system user guide

ufiling system user guide ufiling system user guide Table of Contents Table of Contents... 2 Introduction... 5 Background... 5 Purpose... 5 Quick Links... 6 ufiling Activation Process... 7 Domestic Activation Process... 8 Commercial

More information

LIFE INSURANCE POLICY DOCUMENT. Participating Employer (Universities of NZ) (the employer)

LIFE INSURANCE POLICY DOCUMENT. Participating Employer (Universities of NZ) (the employer) LIFE INSURANCE POLICY DOCUMENT For Employees (as Voluntary Insured Members) Participating Employer (Universities of NZ) (the employer) Administered by Marsh (the policy owner) Insured by Sovereign Assurance

More information

DEBT REVIEW APPLICATION FORM

DEBT REVIEW APPLICATION FORM DEBT REVIEW APPLICATION FORM Take the first step to Financial Freedom The benefits that you will enjoy through SA DEBT HELP: you will only pay one affordable monthly instalment; you will have sufficient

More information

maxima APPLICATION FORM

maxima APPLICATION FORM maxima APPLICATION FORM SECTION 1 CHOICE OF OPTION Choose ONE product option by placing x in the appropriate box MAXIMA PLUS MAXIMA EXEC MAXIMA STANDARD MAXIMA BASIS MAXIMA CORE MAXIMA ENTRYZONE MAXIMA

More information

APPLICATION FOR ADMISSION TO MASTER S AND DOCTORAL DEGREES

APPLICATION FOR ADMISSION TO MASTER S AND DOCTORAL DEGREES FOR OFFICE USE ONLY APPLICATION FOR ADMISSION TO MASTER S AND DOCTORAL DEGREES Other than Pharm D, MBA or degrees in Psychology (for which separate forms are available). http://www.ru.ac.za/administrative/registrar/forms/

More information

Current/Cheque/Savings Account and Fixed Deposit Terms www.sc.com/gh

Current/Cheque/Savings Account and Fixed Deposit Terms www.sc.com/gh Current/Cheque/Savings Account and Fixed Deposit Terms www.sc.com/gh Copyright 2015 Standard Chartered Bank Version 01/2015 Contents 1 Choosing the account that is right for you 1 2 Savings accounts 1

More information

STAMP PLACE HERE. PO BOX #4676 Station A. Canada, M5W 6A4. Toronto, Ontario STATE ZIP CODE CITY PROVINCE POSTAL CODE ENGROC(0214) STREET FROM

STAMP PLACE HERE. PO BOX #4676 Station A. Canada, M5W 6A4. Toronto, Ontario STATE ZIP CODE CITY PROVINCE POSTAL CODE ENGROC(0214) STREET FROM FROM STREET CITY PROVINCE POSTAL CODE ENGROC(0214) STATE ZIP CODE PO BOX #4676 Station A Toronto, Ontario Canada, M5W 6A4 PLACE STAMP HERE YARD CARD CANADA CREDIT APPLICATION APPLICANT'S INFORMATION (Please

More information

THE UNIVERSITY OF HONG KONG APPLICATION FOR TRANSCRIPT

THE UNIVERSITY OF HONG KONG APPLICATION FOR TRANSCRIPT THE UNIVERSITY OF HONG KONG APPLICATION FOR TRANSCRIPT 253/912 amended Please read the instructions carefully before submitting your application. INSTRUCTIONS TO APPLICANTS A transcript is a student s

More information

Questionnaire Cornwell-Type Claims

Questionnaire Cornwell-Type Claims Sensitive: Personal once completed Questionnaire Cornwell-Type Claims Please complete all sections of this form and enter N/A in any section that is not applicable to indicate that the question has been

More information

Online Banking Agreement and Electronic Funds Transfer Disclosure For Businesses

Online Banking Agreement and Electronic Funds Transfer Disclosure For Businesses Member FDIC Online Banking Agreement and Electronic Funds Transfer Disclosure For Businesses This Agreement and Disclosure provides information about the Jewett City Savings Bank Online Banking service

More information

Direct Debit Request Service Agreement

Direct Debit Request Service Agreement National Australia Bank Limited ABN 12 004 044 937 Direct Debit Request Service Agreement Definitions 1. Debiting your account 2. Changes by us 3. Changes by you 4. Your obligations 543-339 (2/01)_Intranet

More information

Health and Safety Benefit Forms

Health and Safety Benefit Forms Application form for Health and Safety Benefit SOCIAL WELFARE SERVICES OFFICE HSB 1 Complete this application form as follows: You must complete Parts 1 to 3 and 5 to 8. Your employer must complete and

More information

Payment Options - Telephone Banking

Payment Options - Telephone Banking Payment Options - Telephone Banking Telephone Banking How to Register Benefits This is a facility where a verbal instruction is given to a consultant or you can use our IVR system (Interactive Voice Response)

More information

LEGAL PROTECTION FOR YOUR BUSINESS

LEGAL PROTECTION FOR YOUR BUSINESS Legal Sense (PTY) Ltd. is an Authorised Financial Services Provider FSP No: 26702 LEGAL PROTECTION FOR YOUR BUSINESS Criminal Civil Labour Contracts Debt Collection www.legalsense.co.za 0861 573 673 info@legalsense.co.za

More information

Farm Management Deposit (FMD) Application Form

Farm Management Deposit (FMD) Application Form Farm Management Deposit (FMD) Application Form INSTRUCTIONS FOR COMPLETING THE FARM MANAGEMENT DEPOSIT APPLICATION FORM Please read and complete sections A, B, D, E, F, H and I in BLOCK LETTERS using black

More information

Act means the Electronic Transfer of Funds Crime Act, No. 87 of 2000 of the laws of the Republic of Trinidad and Tobago.

Act means the Electronic Transfer of Funds Crime Act, No. 87 of 2000 of the laws of the Republic of Trinidad and Tobago. SCOTIACARD CARDHOLDER AGREEMENT 1. DEFINITIONS Definitions you need to know: Act means the Electronic Transfer of Funds Crime Act, No. 87 of 2000 of the laws of the Republic of Trinidad and Tobago. Automated

More information

DEBT RELIEF MEASURES

DEBT RELIEF MEASURES DEBT ELIEF MEASUES Our MISSION is to commit ourselves to be qualified for the service we shall render and to, at the best of our abilities, render professional reliable service at all times. TAKE NOTE

More information

Title: Mr Mrs Ms Others... Family Name (in block letters):... First Names (in block letters):... NIC No:...Nationality:...

Title: Mr Mrs Ms Others... Family Name (in block letters):... First Names (in block letters):... NIC No:...Nationality:... Business Credit Card Application Form (Nominee) Nominee Details Title: Mr Mrs Ms Others... Family Name (in block letters):... First Names (in block letters):... Embossing name on card (in block letters

More information

Edge Business School. Student Loan Application. Second semester 2015. Today s Dreamers, Tomorrow s Leaders

Edge Business School. Student Loan Application. Second semester 2015. Today s Dreamers, Tomorrow s Leaders Today s Dreamers, Tomorrow s Leaders Edge Business School Student Loan Application Second semester 2015 1 P a g e S t u d e n t L o a n A p p l i c a t i o n F o r m Dear Applicant We have received your

More information

Current Account Conditions and AccounT Information.

Current Account Conditions and AccounT Information. Current Account Conditions and AccounT Information. If you open an account with us it will be with Yorkshire Building Society (trading as Norwich & Peterborough Building Society, Norwich & Peterborough

More information

STATUTORY DURABLE POWER OF ATTORNEY

STATUTORY DURABLE POWER OF ATTORNEY STATUTORY DURABLE POWER OF ATTORNEY NOTICE: THE POWERS GRANTED BY THIS DOCUMENT ARE BROAD AND SWEEPING. THEY ARE EXPLAINED IN THE DURABLE POWER OF ATTORNEY ACT, SUBTITLE P, TITLE 2, ESTATES CODE. IF YOU

More information

How to Guide (Getting your Deferment Application Form right)

How to Guide (Getting your Deferment Application Form right) How to Guide (Getting your Deferment Application Form right) Use these notes to help you complete your student loan Deferment Application Form If you need any help, please go to www.erudiostudentloans.co.uk

More information

One-Parent Family Payment

One-Parent Family Payment Application form for One-Parent Family Payment Social Welfare Services OFP 1 Data Classification R Remember, you must have at least one dependent child living with you to qualify for One-Parent Family

More information

Change of Circumstances application form

Change of Circumstances application form Change of Circumstances application form Complete this form if your circumstances have changed in any way. The fastest and easiest way to tell us about changes is using MyStudyLink. Using a MyStudyLink

More information

Funeral Aid Insurance: Application for benefit

Funeral Aid Insurance: Application for benefit Funeral Aid Insurance: Application for benefit Employee Benefits Name of scheme Code Important: This form must be completed when: the insurance of an employee commences in terms of the policy or there

More information

THE UNEMPLOYMENT INSURANCE FUND

THE UNEMPLOYMENT INSURANCE FUND GUIDE FOR EMPLOYERS IN RESPECT OF THE UNEMPLOYMENT INSURANCE FUND TABLE OF CONTENTS TABLE OF CONTENTS 2 1 PURPOSE 3 2 SCOPE 3 3 REFERENCES 3 3.1 LEGISLATION 3 3.2 CROSS REFERENCES 3 4 DEFINITIONS AND ACRONYMS

More information

For all claims the following documents must be sent to us along with this claim form:

For all claims the following documents must be sent to us along with this claim form: IMPORTANT: please read this before you start Use the check list below to help you complete your claims form, and identify documents you will need to attach. We don t want you to miss something. Delays

More information

E.9 SALARIES AND APPOINTMENT/RETIREMENT OF STAFF

E.9 SALARIES AND APPOINTMENT/RETIREMENT OF STAFF E.9 SALARIES AND APPOINTMENT/RETIREMENT OF STAFF E.9.1 Appointment of Staff Heads of Colleges may only request staff appointments that are part of approved University Policy. Before any proposed appointment

More information

Lombard Visa Card Account Conditions of Use

Lombard Visa Card Account Conditions of Use Lombard Finance Pty Limited Phone: 1300 132 302 PO Box 6227, Baulkham Hills NSW 2153 ABN 31 099 651 877 Australian Credit Licence 247 415 V0312 Lombard Visa Card Account Conditions of Use Your contract

More information

Payment Partner (Online Bill Pay) Terms and Conditions

Payment Partner (Online Bill Pay) Terms and Conditions Payment Partner (Online Bill Pay) Terms and Conditions A. Personal Users of Payment Partner B. Small Business Users of Payment Partner Atlantic Stewardship Bank s Payment Partner Terms and Conditions are

More information

Contents. Choosing the account that is right for you. Savings accounts. Fixed deposits. Current accounts/cheque. Foreign currency.

Contents. Choosing the account that is right for you. Savings accounts. Fixed deposits. Current accounts/cheque. Foreign currency. 1 2 3 4 5 6 7 8 9 10 11 12 13 Contents Choosing the account that is right for you Savings accounts Fixed deposits Current accounts/cheque Foreign currency Minimum balances Payments into accounts Payments

More information

Travel Money Terms and Conditions ver. 1.7 (with effect from September 2, 2013)

Travel Money Terms and Conditions ver. 1.7 (with effect from September 2, 2013) Travel Money Terms and Conditions ver. 1.7 (with effect from September 2, 2013) This Product and related services are made available to you, the customer by ICICI Bank UK PLC ( ICICI Bank ) as per the

More information

METLIFE SINGLE LIFE RELEVANT LIFE POLICY TERMS AND CONDITIONS

METLIFE SINGLE LIFE RELEVANT LIFE POLICY TERMS AND CONDITIONS METLIFE SINGLE LIFE RELEVANT LIFE POLICY TERMS AND CONDITIONS Contents 1 The MetLife Single Life Relevant Life policy 4 2 Definitions 4 3 Minimum requirements for the MetLife Single Life Relevant Life

More information

Requirements and General Conditions for the Opening of Current Deposit Account

Requirements and General Conditions for the Opening of Current Deposit Account Requirements and General Conditions for the Opening of Current Deposit Account I have agreed to comply and be bounded by all relevant terms and conditions and clauses expressed in this current deposit

More information

Health and Safety Benefit

Health and Safety Benefit Application form for Health and Safety Benefit Social Welfare Services HSB 1 Data Classification R How to complete this application form. Please use this page as a guide to filling in this form. Please

More information

Transfer to Stocks and Shares ISA

Transfer to Stocks and Shares ISA Transfer to Stocks and Shares ISA Application form How to fill in this form: Please use black ink and write clearly inside the boxes provided using capital letters Mark your answers with a cross in the

More information

WRS Version 05/2004. WRS Version 05/2004 Immigration and Nationality Directorate

WRS Version 05/2004. WRS Version 05/2004 Immigration and Nationality Directorate Form WRS Version 05/2004 Immigration and Nationality Directorate Form WRS Version 05/2004 This form is for use for applications made between 1 st May 2004 and 31 st July 2004 Application for a registration

More information

Cannon SuperDogs Investment Application

Cannon SuperDogs Investment Application Cannon SuperDogs Investment Application 1. Notes and Requirements 1.1. Requirements on submission of this investment application, without which it will not be processed: 1.1.1. Verification of the identity

More information

[EMPLOYERS NAME AND ADDRESS]

[EMPLOYERS NAME AND ADDRESS] THIS CONTRACT HAS BEEN PROVIDED BY WITHY KING SOLICITORS FOR MEMBERS OF ANA THIS IS FOR GUIDANCE ONLY. IS YOUR RESPONSIBILITY TO ENSURE ITS LEGAL CONTENT. Contracts Drawing up a contract at the beginning

More information

Basic Will Questionnaire

Basic Will Questionnaire Basic Will Questionnaire This single form can be used by couples who want to make identical (mirror) Wills Basic Wills Questionnaire / August 2014 / Page 1 of 12 Guidance notes for completing the questionnaire

More information

RULES FOR FILING A CLAIM AND APPEAL RIGHTS

RULES FOR FILING A CLAIM AND APPEAL RIGHTS DIVISION OF TEMPORARY DISABILITY INSURANCE APPLICATION FOR FAMILY LEAVE INSURANCE BENEFITS (FL-1) DETACH THIS PAGE AND KEEP FOR YOUR RECORDS RULES FOR FILING A CLAIM AND APPEAL RIGHTS 1. It is your responsibility

More information

Special Conditions / Expenses

Special Conditions / Expenses RETURN TO: Head Office: 5 th Floor Edgbaston House, 3 Duchess Place Birmingham B16 8NN T: 0121 452 2041 F: 08703305942 Client Address: Site Address: Charge Rates (Ex VAT): Skill: Start Date: Special Conditions

More information

Current/Cheque/Savings Account and Fixed Deposit Terms

Current/Cheque/Savings Account and Fixed Deposit Terms Current/Cheque/Savings Account and Fixed Deposit Terms www.sc.com/sl Copyright 2015 Standard Chartered Bank Version 1.0-2015 Contents 1 Choosing the account that is right for you 1 2 Savings accounts 1

More information

Companies and Intellectual Property Commission Republic of South Africa

Companies and Intellectual Property Commission Republic of South Africa Form CoR 14.1 This form is issued in terms of section 13 of the Companies Act, 2008 and Regulation 14 of the Companies Regulations, A profit company may be incorporate by an organ of state, or by one or

More information

ELECTRONIC FUND TRANSFERS AGREEMENT AND DISCLOSURE

ELECTRONIC FUND TRANSFERS AGREEMENT AND DISCLOSURE ELECTRONIC FUND TRANSFERS AGREEMENT AND DISCLOSURE This Electronic Fund Transfers Agreement and Disclosure is the contract which covers your and our rights and responsibilities concerning the electronic

More information

ABN: 256 523 26121 PH: 07 5592 5800 FAX: 07 5592 5855 DIRECT DEBIT REQUEST - NEW CUSTOMER

ABN: 256 523 26121 PH: 07 5592 5800 FAX: 07 5592 5855 DIRECT DEBIT REQUEST - NEW CUSTOMER DIRECT DEBIT REQUEST - NEW CUSTOMER Business: Kidz Kingdom Childcare Centre ABN/ACN: 46092385343 Customer Reference: *Surname: *First Name: Mobile Phone: *Email: *Address: * indicates a mandatory field.

More information

Who may apply for financial aid? South African citizens.

Who may apply for financial aid? South African citizens. 1 APPLICATION FORM FOR NEW NSFAS APPLICANTS Who may apply for financial aid? South African citizens. General Instructions Please read these notes carefully before completing the application form. Make

More information

Stocks and Shares ISA. Application form 2015/16

Stocks and Shares ISA. Application form 2015/16 Stocks and Shares ISA Application form 2015/16 10057 Stocks and Shares ISA Application form 2015/16 You can also apply for a Stocks and Shares ISA online at www.alliancetrustsavings.co.uk/isa This form

More information

EXTERNAL GUIDE CHANGE OF BANKING DETAILS

EXTERNAL GUIDE CHANGE OF BANKING DETAILS TABLE OF CONTENTS 1 PURPOSE 3 2 INTRODUCTION 3 3 REQUIRED SUPPORTING DOCUMENTATION 4 4 ESTATES 9 5 TAXPAYER/EMPLOYER/VENDOR WHO IS INCAPACITATED/TERMINALLY ILL 10 6 TAXPAYER/EMPLOYER/VENDOR WHO IS IMPRISONED

More information

Asda Van Insurance. Terms of Business. money

Asda Van Insurance. Terms of Business. money Asda Van Insurance Terms of Business money Contents page number TERMS OF BUSINESS... 3 About The Service we Provide... 3 Our Status and the Services Provided... 3 The Capacity in Which We re Acting...

More information

SSAS application form

SSAS application form SSAS application form By completing this form together with the Trust Deed you agree to appoint Bespoke Pension Management as Scheme Practitioner to your SSAS Scheme. You understand that we will assume

More information

TERMS OF BUSINESS FOR THE INTRODUCTION OF PERMANENT OR CONTRACT STAFF TO BE DIRECTLY EMPLOYED BY THE CLIENT

TERMS OF BUSINESS FOR THE INTRODUCTION OF PERMANENT OR CONTRACT STAFF TO BE DIRECTLY EMPLOYED BY THE CLIENT TERMS OF BUSINESS FOR THE INTRODUCTION OF PERMANENT OR CONTRACT STAFF TO BE DIRECTLY EMPLOYED BY THE CLIENT 1 DEFINITIONS 1.1 In these Terms of Business the following definitions apply: Applicant Client

More information

Standard Conditions for Recruitment Services

Standard Conditions for Recruitment Services Standard Terms & Conditions for Temporary Workers TC7MPSC Effective from 06.03.2012 Page 1/6 Temporary Workers are engaged by Michael Page International Recruitment Limited (including Michael Page International

More information

Dealing with Employee Claims

Dealing with Employee Claims STATEMENT OF INSOLVENCY PRACTICE S15B Dealing with Employee Claims Contents Paragraphs Introduction 1 4 Statutory Entitlements 5 6 Redundancy Payments Acts 1967 to 2003 7 11 Protection of Employees (Employers

More information

TERMS & CONDITIONS FOR EBS DEMAND SAVINGS ACCOUNTS

TERMS & CONDITIONS FOR EBS DEMAND SAVINGS ACCOUNTS TERMS & CONDITIONS FOR EBS DEMAND SAVINGS ACCOUNTS Conditions 1. These Conditions apply to the operation of Demand Accounts. Capitalised terms used in these Conditions are defined at the end of this document

More information

Follow these easy steps to apply for an account by mail:

Follow these easy steps to apply for an account by mail: Follow these easy steps to apply for an account by mail: 1. All information is required unless otherwise indicated. Federal law requires all financial institutions to obtain, verify, and record information

More information

How To Claim UIF. Claiming UIF made Easy

How To Claim UIF. Claiming UIF made Easy How To Claim UIF Claiming UIF made Easy Your FREE a step-by-step guide on How To Claim Your UIF first time round! No repeat trips to your local labour department, expensive parking charges or slow-moving

More information

Air BP Credit Application

Air BP Credit Application Air BP Credit Application If filling in this form manually, please take care as cross outs or white out on the application will not be accepted. Please mail completed Credit Application forms to: Sales

More information

PPS RETIREMENT ANNUITY

PPS RETIREMENT ANNUITY PPS RETIREMENT ANNUITY APPLICATION FORM PROFESSIONAL PROVIDENT SOCIETY INVESTMENTS PROPRIETARY LIMITED ( PPS INVESTMENTS ) CLIENT SERVICE CENTRE CONTACT DETAILS TEL: 0861 777 723 (0861 PPS RAF) FAX: 021

More information

INFORMATION CONCERNING THE MEDICAL POWER OF ATTORNEY

INFORMATION CONCERNING THE MEDICAL POWER OF ATTORNEY INFORMATION CONCERNING THE MEDICAL POWER OF ATTORNEY THIS IS AN IMPORTANT LEGAL DOCUMENT. BEFORE SIGNING THIS DOCUMENT, YOU SHOULD KNOW THESE IMPORTANT FACTS: Except to the extent you state otherwise,

More information

Widow s, Widower s or Surviving Civil Partner s (Non-Contributory) Pension

Widow s, Widower s or Surviving Civil Partner s (Non-Contributory) Pension Application form for Social Welfare Services WP 1 Data Classification R Widow s, Widower s or Surviving Civil Partner s (n-contributory) Pension You need a Personal Public Service Number (PPS.) before

More information

Current/ Cheque/ Savings Account and Fixed Deposit Terms

Current/ Cheque/ Savings Account and Fixed Deposit Terms Current/ Cheque/ Savings Account and Fixed Deposit Terms www.sc.com/zm Copyright 015 Standard Chartered Bank Version 01-015 Contents 1 Choosing the account that is right for you Savings accounts Fixed

More information

Directorate of Financial Aid. National Student Financial Aid Scheme (NSFAS)

Directorate of Financial Aid. National Student Financial Aid Scheme (NSFAS) Directorate of Financial Aid National Student Financial Aid Scheme (NSFAS) Online Applications Manual for 2016 IMPORTANT INFORMATION!! 1. 2016 NSFAS Applications will be open from 1 July 2015. Closing

More information

Medical Card and GP Visit Card Application Form - People Aged 70 Years or Older MC1(a)

Medical Card and GP Visit Card Application Form - People Aged 70 Years or Older MC1(a) Medical Card and GP Visit Card Application Form - People Aged 70 Years or Older MC1(a) Who should use this form? People 70 years of age or older and their spouse or partner should use this form when applying

More information

APPLICATION FOR UNDERGRADUATE ADMISSION

APPLICATION FOR UNDERGRADUATE ADMISSION DEAN S DECISION FOR OFFICE USE ONLY APPLICATION FOR UNDERGRADUATE ADMISSION Please read the relevant section in the Undergraduate Student Handbook BEFORE completing this form. Have you previously been

More information

THE NATIONAL TREASURY REPUBLIC OF SOUTH AFRICA RSA GOVERNMENT RETAIL BOND. The smart way to save

THE NATIONAL TREASURY REPUBLIC OF SOUTH AFRICA RSA GOVERNMENT RETAIL BOND. The smart way to save THE NATIONAL TREASURY REPUBLIC OF SOUTH AFRICA RSA GOVERNMENT RETAIL BOND The smart way to save Summary of Retail Bond This booklet is a summary of the RSA Retail Bond Owner s manual and should be read

More information

Terms of Business. Murray & Spelman Ltd. Name: T/A Murray # Spelman Insurance & Finance. Name & Contact Details:

Terms of Business. Murray & Spelman Ltd. Name: T/A Murray # Spelman Insurance & Finance. Name & Contact Details: Terms of Business Murray & Spelman Ltd T/A Murray # Spelman Insurance & Finance Name & Contact Details: Name: Mr. Michael Culhane (Managing Director) Telephone Number: 091759500 Company Murray & Spelman

More information

ALWAYS LOOKING OUT FOR YOU FAMILY FUNERAL PLAN CLASSIC. usecure. 086000 8322 ubank.co.za POLICY TERMS AND CONDITIONS

ALWAYS LOOKING OUT FOR YOU FAMILY FUNERAL PLAN CLASSIC. usecure. 086000 8322 ubank.co.za POLICY TERMS AND CONDITIONS usecure Underwritten by ALWAYS LOOKING OUT FOR YOU FAMILY FUNERAL PLAN CLASSIC POLICY TERMS AND CONDITIONS 086000 8322 ubank.co.za ubank Ltd Reg No. 2000/013541/06. ubank is an authorised financial services

More information

Third Party Appointment (AA88)

Third Party Appointment (AA88) 2013 Third Party Appointment (AA88) An employers guide to the Third Party Appointment (AA88) process 1 An employers guide to the Third Party Appointment (AA88) process THIRD PARTY APPOINTMENT (AA88) GUIDE

More information

Regulations for Shareholders Safekeeping Accounts at Swiss Life

Regulations for Shareholders Safekeeping Accounts at Swiss Life Regulations for Shareholders Safekeeping Accounts at Swiss Life Regulations for Shareholders Safekeeping Accounts at Swiss Life 3 Contents 1. Entitlement / Assets in safe custody 4 2. Opening a safekeeping

More information

MBA Application Form

MBA Application Form 5043BKA APPLICATION.fh11 8/26/08 12:23 PM Page 1 MBA Application Form Introduction The North-West University (NWU) officially came into existence on 1 January 2004 following the merger of the University

More information

PAYE / PRSI for Small Employers

PAYE / PRSI for Small Employers PAYE / PRSI for Small Employers A Revenue Guide Contents Introduction 2 THE PAYE & PRSI System 3 Tax Credit System 4 Pay, Holiday Pay and Expenses 6 Treatment of Benefits 7 Taxation of Social Welfare Payments

More information

Foreign currency account

Foreign currency account Foreign currency account Terms and conditions Terms and conditions of the foreign currency account, (incorporating foreign currency current account and foreign currency deposit account) Please read and

More information

Old Dominion National Bank Consumer ebanking Access Agreement and Electronic Fund Transfer Act Disclosure

Old Dominion National Bank Consumer ebanking Access Agreement and Electronic Fund Transfer Act Disclosure Old Dominion National Bank Consumer ebanking Access Agreement and Electronic Fund Transfer Act Disclosure Agreement This Agreement is a contract which establishes the rules governing your electronic access

More information

Notice to customers approaching First National Bank requiring assistance with the restructuring of their FNB debt

Notice to customers approaching First National Bank requiring assistance with the restructuring of their FNB debt Notice to customers approaching First National Bank requiring assistance with the restructuring of their FNB debt You have approached First National Bank for assistance with your monthly repayments during

More information

METLIFE EXCEPTED GROUP LIFE POLICY TECHNICAL GUIDE

METLIFE EXCEPTED GROUP LIFE POLICY TECHNICAL GUIDE METLIFE EXCEPTED GROUP LIFE POLICY TECHNICAL GUIDE This document is a guide to the features, benefits, risks and limitations of the MetLife Excepted Group Life policy, including how the policy works and

More information

Data Classification R Supplementary Welfare Allowance Rent Supplement. You need a Personal Public Service Number (PPS No.) before you apply.

Data Classification R Supplementary Welfare Allowance Rent Supplement. You need a Personal Public Service Number (PPS No.) before you apply. Application form for You need a Personal Public Service Number (PPS.) before you apply. How to complete this application form. Please tear off this page and use as a guide to filling in this form. Please

More information

UNIT TRUST INVESTMENT APPLICATION FORM Companies, Close Corporation and other legal entities

UNIT TRUST INVESTMENT APPLICATION FORM Companies, Close Corporation and other legal entities UNIT TRUST INVESTMENT APPLICATION FORM Companies, Close Corporation and other legal entities Namibia Unit Trust Managers Limited Registration Number: 96/308 All sections must be completed in full using

More information

EXTERNAL GUIDE COMPREHENSIVE GUIDE TO THE ITR12 RETURN FOR INDIVIDUALS

EXTERNAL GUIDE COMPREHENSIVE GUIDE TO THE ITR12 RETURN FOR INDIVIDUALS EXTERNAL GUIDE TABLE OF CONTENTS 1 PURPOSE... 5 2 GENERAL INFORMATION... 5 2.1 WHO MUST COMPLETE AND SUBMIT A RETURN?... 5 2.2 WHO IS NOT REQUIRED TO SUBMIT A RETURN?... 5 2.3 HOW TO OBTAIN A RETURN?...

More information

(Chapter No. not allocated yet) SOCIAL SECURITY ORDINANCE

(Chapter No. not allocated yet) SOCIAL SECURITY ORDINANCE (Chapter No. not allocated yet) SOCIAL SECURITY ORDINANCE Non-authoritative Consolidated Text This is not an authoritative revised edition for the purposes of the Revised Edition of the Laws Ordinance;

More information

Irish benefits under the agreement on social security between Ireland and New Zealand

Irish benefits under the agreement on social security between Ireland and New Zealand Application form for Social Welfare Services IRL/NZ1 Irish benefits under the agreement on social security between Ireland and New Zealand How to complete application form for Irish benefits under the

More information

Transfer to Stocks and Shares ISA

Transfer to Stocks and Shares ISA Transfer to Stocks and Shares ISA Execution Only Application form How to fill in this form: Please use black ink and write clearly inside the boxes provided using capital letters Mark your answers with

More information

SA HEALTH SECTOR: FOREIGN RECRUITMENT POLICY: BRIEF SUMMARY

SA HEALTH SECTOR: FOREIGN RECRUITMENT POLICY: BRIEF SUMMARY Ref: G/5/1/7 Sub directorate: Foreign Workforce Management Tel no: (012) 395 8686 / 8685 Fax No: (086) 529-5305 / 6 Room 1011 Civitas Building, Private Bag X828, PRETORIA, 0001 Dear Applicant The Sub directorate:

More information

Current Account, Current Account Plus, Student Current Account, Privilege Current Account, Privilege Premier Current Account. Terms and conditions

Current Account, Current Account Plus, Student Current Account, Privilege Current Account, Privilege Premier Current Account. Terms and conditions Current Account, Current Account Plus, Student Current Account, Privilege Current Account, Privilege Premier Current Account. Terms and conditions With effect from 5 July 2015 Terms and conditions of the

More information

Transfer to Stocks and Shares ISA

Transfer to Stocks and Shares ISA Transfer to Stocks and Shares ISA Application form How to fill in this form: Please use black ink and write clearly inside the boxes provided using capital letters Mark your answers with a cross in the

More information

CORPORATE VOLUNTARY DIRECT DEBIT APPLICATION

CORPORATE VOLUNTARY DIRECT DEBIT APPLICATION CORPORATE VOLUNTARY DIRECT DEBIT APPLICATION 1. Please complete this form USING BLACK INK and write within the boxes in CAPITAL LETTERS. Mark appropriate answer boxes with a CROSS. Start at the left of

More information

business loan application packet

business loan application packet business loan application packet When you re ready to grow your business we re ready to help. We offer a full range of loan products to meet your business needs. At WECU, your business is our business.

More information

Online Banking Agreement & Disclosure

Online Banking Agreement & Disclosure Online Banking Agreement & Disclosure This Agreement provides information about the CITIZENS FIRST Online Banking service and contains the disclosures required by the Electronic Funds Transfer Act, as

More information

FNB Tanzania Cellphone Banking for Individuals Terms and Conditions

FNB Tanzania Cellphone Banking for Individuals Terms and Conditions FNB Tanzania Cellphone Banking for Individuals Terms and Conditions Cellphone Banking for Individuals Terms and Conditions Version 1.2: Feb 2011 1 These Terms and Conditions (Rules) apply to the registration

More information

This starter pack contains all the documents you will need to become one of our growing

This starter pack contains all the documents you will need to become one of our growing Welcome to Associated Sub-Contractors Starter Pack Follow these easy steps: Step 1 Complete the application form as far as you can. If you cannot answer a question, leave it blank. You must fill in your

More information