Unemployment Insurance Fund (UIF), Department of Employment and Labour Edition UI-2.2 (no edition date printed; the Department's file is dated March 2020) 1 page

UI-2.2 — Application for Illness Benefits (UIF)

The Unemployment Insurance Fund claim form for contributors in South Africa who can't work because of illness.

Fill out UI-2.2 UIF illness benefits claim online View the form Free on every FileIt plan
UI-2.2 UIF illness benefits claim · Application for Illness Benefits in terms of Section 22(1) (UI-2.2)
The official Unemployment Insurance Fund (UIF), Department of Employment and Labour form, edition UI-2.2 (no edition date printed; the Department's file is dated March 2020) — blank
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UI-2.2 UIF illness benefits claim (2020) Application for Illness Benefits in terms of Section 22(1) (UI-2.2) — page 1 of 1
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Fill this form online Blank PDF from Unemployment Insurance Fund (UIF), Department of Employment and Labour

What is UI-2.2 UIF illness benefits claim?

The UI-2.2 is the Unemployment Insurance Fund's Application for Illness Benefits in terms of section 22(1) of the Unemployment Insurance Act, as amended by the UI Amendment Act 10 of 2016. A contributor who is unable to work because of illness uses it to claim illness benefits from the Fund.

The one-page landscape form has three parts that matter to you. You fill in your identity and contact details, your education, any previous application under a different ID or passport number, whether you are still employed and, if so, the date you returned to work. A registered medical practitioner completes the medical certificate on the right: their qualifications and registration number, your condition and the period you could not work, with their signature and practice stamp. You then sign the declaration: you will tell the claims officer as soon as you are re-employed and you will refund any overpayment. The shaded strip at the bottom is for the Department's official.

FileIt fills in your part of the form for you: it pre-fills your name, date of birth and e-mail from your People records, checks your South African ID number against your date of birth, and prints every ID digit in its own box. The filled official PDF is saved in your FileIt vault. You print it, take it to your doctor for the medical certificate, sign it by hand and lodge it yourself; FileIt never submits a claim to the UIF.

Who fills it
The applicant (or a proxy), plus a registered medical practitioner for the medical certificate
Given to
A Department of Employment and Labour labour centre (or claim online on uFiling instead)
When
When illness keeps you from working and you claim UIF illness benefits
Signatures
The applicant or proxy signs by hand; the doctor signs and stamps the medical certificate
Also needed
UI-2.7 from your employer if you are still employed; UI-2.8 banking details
Edition
UI-2.2 as published by the Department (no edition date printed; file dated March 2020)

Who needs to fill out UI-2.2 UIF illness benefits claim?

  • Employees who contribute to the UIF and are off work because of illness.
  • Employees still employed but not paid, or paid less, while ill (the employer also completes a UI-2.7).
  • Domestic workers who fall ill and lose income.
  • A proxy appointed by a doctor or legal representative to claim for someone too ill to apply, with proof of the appointment attached.

When to use UI-2.2 UIF illness benefits claim

  • When illness has kept you from working and your pay has stopped or dropped.
  • Before your doctor's appointment, so the doctor only has to complete the medical certificate.
  • Before you go to the labour centre, so you arrive with the form completed.

What you need before you start

  • Your 13-digit bar-coded ID document or smart ID card (or passport or permit).
  • Your postal and residential addresses with postal codes, and phone numbers.
  • Your occupation and highest level of education.
  • Details of any previous UIF application made under a different ID, passport or permit number.
  • A registered medical practitioner to complete and stamp the medical certificate.
  • If you are still employed: the UI-2.7 completed by your employer.
  • The UI-2.8 form with your banking details.

What’s on UI-2.2 UIF illness benefits claim

The 2020 edition has 1 page. FileIt asks for it in 3 parts:

  1. Your detailsApplicant
  2. EmploymentApplicant
  3. Important: declarationApplicant

How to fill out UI-2.2 UIF illness benefits claim, step by step

1 Identity and contact details

Enter your 13-digit bar-coded ID number (or passport or permit number), date of birth as dd / mm / yy, gender, first names and surname. Then your postal and residential addresses with their postal codes and telephone numbers, occupation, e-mail and fax.

2 Education and previous application

Mark your highest level of education: special school certificate, below grade 8, grade 8 to 9, grade 10 to 11, grade 12 or above grade 12. If you applied before under a different ID, passport or permit number, give the name and number you used.

3 Are you still employed?

Mark Yes or No. If you are still employed, the form says your employer must also complete form UI-2.7. If you have returned to work, give the date.

4 Medical certificate

The registered medical practitioner completes this part: their name, qualification and registration number, what you are suffering from and the dates you were not capable of performing work. They sign and date it and add their practice stamp if available. FileIt leaves this part blank.

5 Declaration and signature

Read the 'Important' section: you undertake to tell the claims officer as soon as you are re-employed, and to refund the full amount of any overpayment. Sign by hand at SIGNATURE OF APPLICANT / PROXY and date it. Where a proxy was appointed by a doctor or legal representative, attach proof.

Common mistakes to avoid

  • Lodging the form without the doctor's completed and stamped medical certificate.
  • Forgetting the UI-2.7 from your employer when you are still employed.
  • A date of birth that doesn't match the first six digits of your ID number. FileIt checks this, and the ID number's check digit.
  • Not telling the claims officer when you go back to work, which the form says constitutes fraud.
  • Signing as a proxy without attaching proof of the appointment.

After you fill it out

Print the filled UI-2.2 from your FileIt vault and have a registered medical practitioner complete, sign and stamp the medical certificate.

Sign the declaration by hand and lodge the form at a labour centre with your ID, the UI-2.8 banking details, the UI-2.7 from your employer if you are still employed, and any other documents the labour centre asks for. You can also claim online on uFiling instead.

Keep a copy, and tell the claims officer as soon as you return to work.

Fill out UI-2.2 UIF illness benefits claim online with FileIt

  1. Pick the person. Choose someone from People and FileIt fills in their name, date of birth, address and other details it already knows.
  2. Answer plain-language questions. One part of the form at a time, with the official help text beside each question — 19 fields in all. Your answers save as you go.
  3. Check the live preview. Watch your answers land on the real Unemployment Insurance Fund (UIF), Department of Employment and Labour form, and let FileIt do any worksheet arithmetic.
  4. Generate the official PDF. FileIt prints your answers into the agency’s own PDF and files it in that person’s folder in your vault.

FileIt fills the form — it never files or submits anything for you. Deliver the finished form to whoever asked for it, the way the form’s instructions say.

Start UI-2.2 UIF illness benefits claim now — it’s free

UI-2.2 UIF illness benefits claim: frequently asked questions

What is the UI-2.2 form?

It is the Unemployment Insurance Fund's application for illness benefits under section 22(1) of the Unemployment Insurance Act, for contributors who can't work because of illness.

Does my doctor need to complete part of the UI-2.2?

Yes. The medical certificate on the form is completed by a registered medical practitioner, who confirms your condition and the period you were not capable of working, signs it and adds the practice stamp if available.

I'm still employed. Do I need anything else?

Yes. The form says that if you are still employed, your employer must also complete form UI-2.7, which shows what you were paid while ill.

Can someone else apply for me?

The form has a signature line for the applicant or a proxy. Where a proxy was appointed by a doctor or legal representative, proof must be attached.

Can I fill in the UI-2.2 online with FileIt?

Yes, your part of it. FileIt guides you through each box, checks your ID number and dates, and prints everything on the official PDF, which is saved in your vault. You then have the doctor complete the medical certificate, sign the form by hand and lodge it yourself. FileIt does not submit claims to the UIF.

Official sources

FileIt is not affiliated with or endorsed by Unemployment Insurance Fund (UIF), Department of Employment and Labour or any government. This page explains the form in general terms and is not legal, tax or immigration advice. Always read the official instructions, and check that you are using the edition the recipient accepts. Page last reviewed 2026-10-01.

Fill out UI-2.2 UIF illness benefits claim online