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Metals Earnings Declaration Form - 2025 Final

The document is an Earnings Declaration Form for Metals, created for compliance with ISO 9001:2015 standards. It outlines the process for employers to declare actual and budgeted earnings for employees, including mandatory fields and submission requirements. The form also specifies maximum earnings limits per person for various periods and emphasizes adherence to the Protection of Personal Information Act.

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brightkidsacademy21
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37 views

Metals Earnings Declaration Form - 2025 Final

The document is an Earnings Declaration Form for Metals, created for compliance with ISO 9001:2015 standards. It outlines the process for employers to declare actual and budgeted earnings for employees, including mandatory fields and submission requirements. The form also specifies maximum earnings limits per person for various periods and emphasizes adherence to the Protection of Personal Information Act.

Uploaded by

brightkidsacademy21
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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Title RAND MUTUAL ASSURANCE: FORM

File Ref ISO 9001:2015


Document
Earnings Declaration Form For Metals
Title
Created 2024/09/06 Last Edit 2025/02/01 Document Owner Membership Manager
Head of Membership and
Doc. No. QM.8.2-OB-1.4.1.1.6 Earnings Declaration Form for Metals-F005 Rev. no. 1 Approver
Collections
How to Complete the form:
*Please complete in black ink. Employer Name and Employer Number are Mandatory Fields
*Please print clearly
*Please insert one letter per block
*Once complete and signed please email to [email protected]
I, the undersigned, confirm that the actual and budgeted employees to be insured and their respective earnings for each period, are as follows:
NB: You are required to submit for all periods if you have not previously submitted to RMA. The earnings submitted should not exceed the COID maximum earnings for each period per person per annum.

Employer Name:
Employer Number:
The earnings declared must include all salaries & wages, bonuses, Overtime and Allowances paid to employees, management and directors of the employer.
NB:SARS EMP 501 Document must be provide should there be a variance >15%<-15%. This will be flagged for an audit.
Declaration Period with COIDA Maximum Earnings No of Months Average Employees
1 March 2019 - 29 February 2020 Actual Earnings
(Up to a maximium of R458 520 per person for the above period)
1 March 2020 - 28 February 2021 Actual Earnings
(Up to a maximium of R484 200 per person for the above period)
1 March 2021 - 28 February 2022 Actual Earnings
(Up to a maximium of R506 473 per person for the above period)
1 March 2022 - 28 February 2023 Actual Earnings
(Up to a maximium of R529 264 per person for the above period)
1 March 2023 - 29 February 2024 Actual Earnings
(Up to a maximium of R568 959 per person for the above period)
1 March 2024 - 28 February 2025 Actual Earnings
(Up to a maximium of R597 328 per person for the above period)
1 March 2025 - 28 February 2026 Budgeted Earnings
(Up to a maximium of R597 328 per person for the above period)
I, the undersigned declare that I am duly authorised to complete the earnings declaration form on behalf of the company and solemnly confirm that the information provided represents accurately the provisions defined in terms of sections 63
of COIDA, 130 of 1993. I declare that my submission is in line with the maximum COID earnings limit for each period.

Authorised representative signature (Documents must be signed (handwritten or electronically or have a company stamp) / Date /
RMA Group respects your privacy and acknowledge that this document could contain personal details, which may belong to you, others and/or to your company (personal information). By receiving this report, you expressly agree to store and/or process the personal information contained in this document in accordance with the requirements of
the Protection of Personal Information Act 4 of 2013 (POPI) and the RMA Group’s Privacy Policy.
Please complete below:
Submitted by: Director Details:
Name: Name:

Capacity: ID No:
Date: Date:
Tel: Tel:

Contact Person's Email:


Director's Email:

Business
Address:
Code:
Province:

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