UIF Registered Labour Practitioners

Request UIF Claims Assistance

Tell us a little about your circumstances so our Claims Division can assess your enquiry and guide you through the next steps.

This form is used for an initial assessment of your UIF claim assistance requirements. Please complete the information below as accurately as possible. Fields marked * are required.

1Personal Information

First Name *

Last Name *

Email Address *

Primary Contact Number *

Alternative Contact Number

Occupation Before Your ClaimYour occupation or job title prior to unemployment, leave, illness or retirement.

Highest Qualification

Supporting documents: You do not need to submit identification or supporting documents through this enquiry form. Our Claims Division will advise you which documents are required after reviewing your request.

2Claim Information

What type of UIF claim do you need assistance with? *

Are you currently receiving benefits from the Compensation Fund? *

NoYes

Have you received UIF benefits during the past four years? *

NoYes

Was your employment terminated as a result of a constructive dismissal matter handled through the CCMA? *

NoYes

Approximately how many months have you contributed to UIF during the past four years? *Please enter the approximate number of months, up to 48.

Claim Start Date *Please provide the applicable unemployment, maternity, illness or retirement start date.

3UIF Account Information

We only need to know whether you already have UIF online profiles. Please do not provide usernames, passwords or login details.

Do you have an existing uFiling account? *

NoYes

Do you have an existing UIF Online account? *

NoYes

Please note: Do not provide passwords or account login details on this form. If additional account information is required, our Claims Division will discuss this with you directly.

4Most Recent Employment

Please provide basic information about your most recent employment. If additional employment history is required, our Claims Division will obtain it from you during the assessment process.

Most Recent Employer / Company Name *

Employment Start Date *

Employment End Date *

Did you work for any other employers during the past four years? *

NoYes

5Additional Information

Is there anything else we should know about your claim?Please provide any additional information that may help us understand your circumstances or identify potential issues before processing begins.

6Communication Preference

How would you prefer us to contact you? *

EmailWhatsApp

What happens next?

Once your request has been received, a member of the UIF Connexion Claims Division will review the information provided and contact you regarding the next steps, supporting documents required, the process applicable to your claim and the relevant service fees.