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Get ZA Form WAs8 2017

RETURN OF EARNINGS W*As. 8 To be completed and submitted by all employers to Assessments Division 955 Pretoria 0001 COMPENSATION FUND COIDA 1993 ACT 130 OF 1993 Section 82 1 Compensation House The Hon* Prof* Dr. Rev* Messrs. Mr. Ms. Cnr Hamilton Street Soutpansberg Road Arcadia Call centre 0860105350 Only original document will be accepted* Information relating to earnings staff costs should be kept for at least 4 years. REFERENCE/CA NUMBER BP NO. Year of assessment 01 March 2013 to 28 February 2014 Date of issue This return must be submitted on or before 31 March 2014 THIS FORM CAN ALSO BE SUBMITTED ONLINE www.labour.gov*za REFER TO THE ENCLOSED GUIDELINES BEFORE COMPLETING THE RETURN* DO NOT SUBMIT THIS FORM IF REGISTERED ONLINE PART 1 EMPLOYER PARTICULARS Complete the white blocks only where particulars have changed* Use block letters where applicable and mark with an X 1.1 Co/CC Registration name per CIPC . Sole Proprietor Name of owner. 1.2 Trading name if applicable 1.3 Co or CC number. 1.4 Employer s ID number. 1.5 Unemployment Insurance no. 1.6 Postal address. Postal code 1.7 Physical address. Region Code Number 1.8 Telephone number. 1.9 Fax number. 1.10 Cell phone number. 1.11 E- Mail address. 1.12 Particulars of operation* a Describe the nature of business/ farming activities/ goods sold or manufactured or services rendered* in the manufacturing of goods. of construction/erection undertaken* d In case of farming indicate the nature thereof* e Do you use tractors and/or Livestock Mixed farming Yes Tillage No power-driven saws. 1.13 Status of business. a Ongoing under same ownership and control as previous year. b Ceased* Date Y M M D D c Sold with Assets only. Assets liabilities. Name Address of New owner / CC or Co. d Liquidated/Sequestrated By Court Order Quote Estate no. NO e Owner deceased* PART 2 Reference number Declaration 01 March 2013 - 28 February 2014 I the undersigned confirm that the number of employees and their earnings staff costs/salaries wages for the 12 months ending 28/02/2014 are as follows Actual Earnings 01/03/2013 - 28/02/2014 Month Number of employees and amount of earnings staff costs/salaries wages per month paid to all employees excluding directors of a Company or members of a close corporation up to a maximum of R 312 480 per person for the above period. Earnings Rands only Number of directors/members and amount of earnings staff month paid to directors of a Provisional Earnings 01/03/2014- 28/02/2015 month expected to be paid to all employees excluding directors of close corporation up to a maximum of R 332 479 per person for the above period. expected to be paid to directors of a 479 per person for the above period. only Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Total FINAL EARNINGS PAID ESTIMATED EARNINGS Total earnings of both employees and Directors/Members Total cash value of free food and/ or quarters. if applicable in Rands. GRAND TOTAL OF EARNINGS State in words the grand total of earnings Give reason where earnings differ by 30 from the previous year Declaration by employer Name Designation SIGNATURE Telephone No e-mail Address Company Banking Information Bank Name Account No Branch Code Branch Name Type of Acc Office use only - Codified* NB IT IS THE RESPONSIBILITY OF THE EMPLOYER TO ENSURE THAT THE INFORMATION DECLARED IS ACCURATE AND CORRECT THEREFORE NO REVISIONS WILL BE ENTERTAINED IT IS COMPULSORY FOR BOTH EMPLOYER AND AGENT / PAYROLL ADMINISTRATOR TO SIGN THE DECLARATIONS ABOVE* IT IS A SERIOUS OFFENCE TO MAKE A FALSE DECLARATION OR FAIL TO RENDER A RETURN WITHIN THE PRESCRIBED PERIOD. PLEASE FURNISH THIS OFFICE WITH A SWORN AFFIDAVIT IF THE NATURE OF BUSINESS CHANGED In the event that more than one return is furnished for the same assessment period this office will accept the first return as final Criminal proceedings will be instituted for misrepresentation of facts .

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