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
- 0801 516 173
- femac@ethics-line.com
- www.tip-offs.com