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THE 8-STEP CLAIMS PROCESS

This is the step-by-step process on how to claim a benefit.

Step 1: CHECK YOUR DETAILS

 

Check if you may have a potentially valid claim:

  • Check Your Details
  • Call the call centre:
    • a. Inside South Africa 080 1000 240
    • b. Outside of South Africa 00 27 10 500 6186

If you may potentially have a valid claim you will be guided to the next step.

IMPORTANT:

If possible, try to make sure that you are the person doing the checking instead of asking someone else to do it for you.

 

Step 2: BOOK AN APPOINTMENT

Each claimant must book an appointment and bring their documents to claim in person.

To book your appointment at your nearest Tshiamiso lodgement office phone the call centre:

Call centre numbers:

  • South Africa – 080 1000 240
  • Number to phone if you are not in South Africa – 00 27 10 500 6186

56 lodgement offices in five countries will be set up and the call centre will book your appointment at the closest office to you so that you do not have to travel far.

IMPORTANT:

Due to COVID-19 risks please do not go to a lodgement office without making an appointment through the call centre. Appointments help us ensure that staff are available to deal with the claims booked for that day. Anyone arriving at a lodgement office without an appointment might not be able to be attended to.

 

Step 3: WHAT YOU WILL NEED TO BRING TO YOUR APPOINTMENT
  • A valid SA ID document or SADC passport
  • Industry card or document that shows the industry number if you have it
  • Service records from the mines you worked at
  • Any available medical records if you have them

If you are a dependant of a deceased mineworker you will need:

  • Your valid SA ID document or SADC passport
  • SA ID document or SADC passport of the deceased mineworker
  • Service records from the mines that the deceased mineworker worker at
  • The deceased mineworker’s death certificate and, if available, an autopsy report
  • Any available medical records of the deceased mineworker

IMPORTANT:

If you do not have some of documents mentioned above the Tshiamiso will do its best to help find them.

If you may potentially have a valid claim you will be guided to the next step.

Make sure to bring all the documents you have with you to avoid having to make another appointment to come back to bring missing documents.

The Trust will have measures in place to identify claimants to prevent fraud.

 

Step 4: BENEFIT MEDICAL EXAMINATIONS

If needed, the Trust will make an appointment for you to have a benefit medical examination.

IMPORTANT:

The Trust will let you know what medical clinic to go to for your appointment. Please be patient. There may be a waiting period due to the limited availability of medical facilities.

 

Step 5: DOCUMENT REVIEW BY THE TSHIAMISO’S MEDICAL CERTIFICATION PANEL
All your medical documents will be reviewed by Tshiamiso’s Medical Certification Panel. They will issue a Certificate of Medical Findings. If all is in order your claim will move to step 6.The panel’s decision can be taken on review within 30 days.

IMPORTANT:

If you are found not to have a compensable disease, you will not be eligible for compensation from the Tshiamiso Trust.

 

Step 6: REVIEW BY TRUST CERTIFICATION COMMITTEE

If you are diagnosed with a qualifying disease under Step 5, all your documents will be reviewed by the Trust Certification Committee. They will decide whether to certify the claim.

A negative decision may be reviewed within 30 days.

IMPORTANT:

If positive, the committee will issue a final Certificate after Step 7 is complete.

 

Step 7: REVIEW BY THE AGENT WHO REPRESENTS THE FOUNDING COMPANIES
If the Trust Certification Committee’s review is positive, the agent who represents the founding companies needs to confirm whether the record of work service information provided is complete.

IMPORTANT:

Only once this step is complete will the certification committee issue a final certificate.

 

Step 8: APPROVAL AND PAYMENT

Only if all your documents have been reviewed and approved, the Trust will validate your banking information and make a payment into your bank account.

IMPORTANT:

The Trust will also provide you with personal financial advice.