Claim Forms

Assault Questionnaire

Occupational Injuries and Diseases:

Back Injury

Occupational Injuries and Disease Compensation for Occupational Injuries and Diseases Act, 1993 As Amended

Claim For Compensation

Compensation for Occupational Injuries and Diseases Act, 1993

COID Outside RSA

Agreement In Terms of Section 23(1) Compensation for Occupational Injuries and Diseases Act, 1993

Confirmation of Banking Details

Doctors Account

Compensation for Occupational Injuries and Diseases Act,1993 as Amended

Elbow Injury

Compensation for Occupational Injuries and Diseases Act, 1993 As Amended Elbow

Employers report of accident

Employers Report of Disease

Declaration by Employer or Authorised Person

Final Eye Report 1

Progress/Final Eye Report Compensation for Occupational Injuries and Diseases Act, 1993

Final Eye Report 2

Progress/Final Eye Report and Compensation for Occupational Injuries and Diseases Act, 1993

Leg and Foot report

Compensation for Occupational Injuries and Diseases Act, 1993 As Amended Final Leg and Foot Report

Leg and Knee Medical Report

Leg and Knee Medical Report and Compensation for Occupational Injuries and Diseases Act, 1993 as Amended

Medical Report

Final Medical Report Compensation for Occupational Injuries and Diseases Act, 1993 As Amended

Occupational Disease

Final Medical Report and Compensation for Occupational Injuries and Diseases Act, 1993 As Amended

Progress Medical Report

Compensation for Occupational Injuries and Diseases Act, 1993 As Amended

Contact the

Tip-Offs Anonymous Service

FEM has a Tip-Offs Anonymous Helpline, which is available to employees 24 hours a day, seven days a week in English, and is equipped to handle all eleven official languages of the Republic of South Africa between 8am to 5pm.

The Helpline is staffed by an organisation independent of FEM, and to the extent
possible (and in conformity with regulations); callers do not have to give their name. In all cases, employee privacy will be respected to the fullest extent possible under the law. The operator will relay the information to FEM and will provide the employee with a case number and call back date if desired.

Fraud & Ethics
Contact Details