Ui 2 7 Form PDF Details

The UI-2.7 form, a pivotal document within unemployment insurance systems, serves a crucial role by detailing the remuneration received by employees who find themselves unable to work due to specific circumstances such as illness, maternity leave, or the adoption of a child. By design, this form communicates vital information to the Claims Officer, including the employee's full name, their employment identification details, and a thorough account of the employee's earnings both before and during their leave. The form meticulously catalogs the gross remuneration and the periods over which different rates of remuneration were received, providing a comprehensive view of the employee's financial status during their non-working period. It is structured to comply with sections 19(1), 24(2), and 27(3) of the governing Act, ensuring all parties adhere to the legal framework established for such situations. Additionally, it contains projections about the employee's return to work, making it an indispensable tool for managing and forecasting the workforce needs and financial commitments of an organization. Employers or their authorized agents are mandated to complete and sign the UI-2.7 form, often necessitating a business stamp for validation, underscoring the form's official and binding nature. The importance of this document extends beyond mere administrative duty; it underscores the rights of employees to certain benefits during periods of vulnerability and the responsibilities of employers towards their workforce in such times.

QuestionAnswer
Form NameUi 2 7 Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesui 2 7 form word, ui 2 7 form, ui2 7 form, ui2 7 form 2021 word download

Form Preview Example

UI-2.7

UNEMPLOYMENT INSURANCE FUND

REMUNERATION RECEIVED BY THE EMPLOYEE WHILST STILL IN

EMPLOYMENT

To: The Claims Officer

Statement in respect of payment made to the undermentioned Contributor who is still in my employment but is unable to work due to Illness, Maternity leave or the Adoption of a child.

Full names of contributor:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Employers UIF Reference No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

/

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ID No of contributor

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(A) In terms of section 19(1), 24(2) and 27(3) of the abovementioned Act,

 

 

 

 

 

 

 

 

I hereby certify that since (full date)

 

/

/

 

 

 

, the contributor is on

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Sick leave

 

 

 

 

 

 

Maternity leave

 

 

Leave due to the adoption of a child and

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

has

 

 

 

 

 

will

 

 

receive(d) the following remuneration

 

 

 

 

 

 

 

 

 

 

 

Gross remuneration

 

 

 

 

Periods during which different rates of

 

Gross remuneration

(prior to confinement)

 

 

 

 

 

 

remuneration were received

 

 

 

 

 

 

received whilst on leave

Per Month / Per Week

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(PM/PW)

 

 

 

 

 

 

From

 

 

To

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

From

 

 

To

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

From

 

 

To

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

From

 

 

To

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

From

 

 

To

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

From

 

 

To

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(B)The contributor is expected to return to work on __________/__________/___________.

(C)The contributor returned to work on __________/__________/___________.

DATE: ____________________

_________________________________________________

 

SIGNATURE OF EMPLOYER OR AUTHORISED AGENT

 

 

 

 

 

BUSINESS STAMP

 

 

 

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