Key takeaways
Fill, sign, and submit ZA UI-27 from any browser — or have AI generate a custom version in seconds. No installs, no printing, no back-and-forth.
- The Unemployment Insurance Fund Remuneration Statement certifies pay received by South African employees during specific leave periods.
- Employers are responsible for completing and signing this document to verify a contributor's income and leave status.
- The form requires the contributor's full names, South African ID number, and the employer's UIF reference number.
- It captures detailed gross remuneration figures for relevant periods alongside expected and actual return-to-work dates.
- This statement covers leave taken for reasons such as illness, maternity, or the adoption of a child.
- Employers must indicate the specific reason for leave using the provided checkboxes to ensure accurate benefit processing.
What is ZA UI-27?
Unemployment Insurance Fund Remuneration Statement is a certification document used by employers to record the gross remuneration received by an employee during a period of leave. This form is specifically designed for contributors who are absent from work due to illness, maternity, or child adoption. By providing a formal account of earnings for specific periods, the statement ensures that the employee's financial information is correctly documented while they are unable to perform their regular duties in South Africa.
The document requires the employer to enter the contributor's full names, their identification number, and the employer's specific UIF reference number. It also includes sections for gross remuneration periods and checkboxes to indicate the reason for the employee's leave. Additionally, the form captures both the expected and actual return-to-work dates to maintain accurate records of the absence. The employer is required to sign and date the form to verify that all the information provided regarding the remuneration is accurate.
Issued by the relevant South African government authority.
Who needs the ZA UI-27 — and who doesn't
Not everyone files ZA UI-27. The checklist below tells you whether it applies to your situation — and points you to the right alternative if it doesn't.
You need this ZA UI-27 if…
- you are an employer who must certify the remuneration received by an employee while they are on leave due to illness.
- you are an employer who needs to report the gross remuneration and return-to-work dates for a worker on maternity leave.
- you are an employer providing a certification of remuneration for an employee taking leave for child adoption.
- you need to provide a signed statement of remuneration periods for a contributor to the Unemployment Insurance Fund.
You do not need this ZA UI-27 if…
- you are the employee (contributor) rather than the employer responsible for completing the statement.
- the employee's leave of absence is for a reason other than illness, maternity, or child adoption.
- you are not an employer registered with the Unemployment Insurance Fund.
Why you need the ZA UI-27
Why people fill out ZA UI-27, and what tends to go wrong when they don't.
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Certify Leave Remuneration This document serves to certify the gross remuneration an employee received while on leave. It is necessary for documenting financial details during periods of illness, maternity leave, or child adoption.
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Record Leave Details The form captures essential data including the contributor's ID number and specific leave types. It also tracks the expected and actual return-to-work dates to maintain accurate employment benefit records.
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Validate Employer Data The employer’s signature confirms the accuracy of the provided UIF reference number and remuneration periods. This formal verification ensures that the information submitted for the contributor is officially certified.
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Streamline Digital Completion Use pdfFiller to fill and edit this statement directly in your browser. You can add a legally binding e-signature and quickly share the completed document with others via a secure link.
What each section of ZA UI-27 means
Every section explained — what it's asking, the records you'll need on hand, and the mistakes that most often cause a rejection or follow-up request.
| Contributor Full Names | Provide the full legal names of the employee who is the contributor for this unemployment insurance claim to ensure accurate identification and processing. |
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| Employer UIF Reference | Enter the unique identification number assigned to the employer by the fund to facilitate the processing of the employee's remuneration statement and benefits. |
| Contributor ID Number | Enter the official identification number of the contributor to verify their identity and link the remuneration data to the correct individual record. |
| Gross Remuneration Periods | Record the total gross earnings the employee received during the specific timeframes associated with their absence from work for benefits calculation purposes. |
| Leave Type Checkboxes | Mark the relevant checkbox to specify if the employee's leave is due to illness, maternity requirements, or the adoption of a child. |
| Return to Work Dates | Document the date the employee is anticipated to return to their position or the actual date they resumed their professional duties after leave. |
| Employer Signature Date | The authorized employer representative must sign and provide the current date to validate the information regarding the employee's remuneration and leave status. |
How to fill out ZA UI-27 using pdfFiller
A walkthrough from the first field to the signature line. With your records in front of you, most people finish in under ten minutes.
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Open the Document Click Get Form to open the Unemployment Insurance Fund Remuneration Statement in the pdfFiller editor to begin certifying the employee's remuneration and leave details immediately.
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Enter Contributor Details Click the designated text fields to type the contributor's full names and their ID number, ensuring the South Africa UIF form accurately identifies the specific employee.
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Provide Employer Information Select the field for the employer's UIF reference number and enter the organization's unique identification code to link the statement to the correct employer account.
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Report Gross Remuneration Navigate to the gross remuneration periods section and click each field to enter the specific amounts received by the employee during the relevant periods of their leave.
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Indicate Leave Type Use the provided checkboxes to select the reason for the employee's absence, such as illness, maternity, or child adoption, as required by the unemployment insurance fund remuneration statement.
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Record Return Dates Click the date fields to enter both the expected and actual return-to-work dates for the contributor, providing clear timelines for the duration of the leave period.
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Sign and Date Click the signature field to add a legally binding eSignature as the employer and enter the current date to finalize the certification of the remuneration details.
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Save and Share Download the finished PDF or share it via email or link; pdfFiller keeps your documents in secure encrypted storage that is compliant with GDPR, SOC 2, and PCI DSS.
Related content
The forms, guides, and worksheets most filers reach for alongside ZA UI-27.
Key terms used in ZA UI-27
A one-sentence glossary of the ZA UI-27 terms and concepts you'll see throughout this guide.
- Contributor
- The employee who contributes to the Unemployment Insurance Fund and for whom the remuneration statement is being completed.
- Gross Remuneration
- The total payment received by an employee during specific periods before any taxes or other deductions are taken out.
- UIF Reference Number
- A unique identification code issued to an employer by the Unemployment Insurance Fund for administrative and reporting purposes.
- Remuneration Statement
- A document used by an employer to certify the pay received by an employee while they are on leave.
- Return-to-Work Date
- The specific day an employee is expected to or actually does resume their duties after a period of leave.
Frequently asked questions about ZA UI-27
Quick answers to the questions we hear most often about completing the ZA UI-27.
The Unemployment Insurance Fund Remuneration Statement is used to certify the remuneration an employee receives while on leave for illness, maternity, or child adoption. It serves as an employer certification to verify the gross remuneration periods and the specific reasons for an employee's absence from work for benefit purposes.
The employer is responsible for completing and signing the Unemployment Insurance Fund Remuneration Statement. The form requires the employer to provide their specific UIF reference number along with the contributor's full names and ID number to ensure the employment benefits form accurately reflects the employee's records.
The statement requires the employer to indicate the reason for leave using checkboxes for illness, maternity, or child adoption. Additionally, the form includes specific fields for both the expected and actual return-to-work dates, which helps document the duration of the contributor's absence.
Yes, the employer must sign and date the Unemployment Insurance Fund Remuneration Statement to certify that the provided information is correct. You can easily add a legally binding e-signature to this form using pdfFiller, which also allows you to share the completed document via link or email.
The form requires the employer to specify the gross remuneration periods relevant to the employee's leave. These fields capture the earnings of the contributor during specific timeframes, which is essential for processing sick leave, adoption leave, or maternity leave remuneration claims correctly.
Yes, you can fill out, edit, and sign the Unemployment Insurance Fund Remuneration Statement online using pdfFiller's secure platform. The service allows you to manage the document in your browser, add necessary annotations or stamps, and store the finished PDF in encrypted storage compliant with GDPR and SOC 2.
