REFUND FORM RF4 CLAIM FOR REFUND OF SKILLS ... - WDA

REFUND FORM RF4CLAIM FOR REFUND OF SKILLS DEVELOPMENT LEVY UNDER THESKILLS DEVELOPMENT LEVY ACT (Cap. 306)Only one copy of this claim form is required. All items in this form must be completed. All information given will be held instrictest confidence.Please send the completed form and the requested documents to:1. Registered Name and Address of CompanySingapore Workforce Development Agency1 Marina Boulevard#16-01 One Marina BoulevardSingapore 018989Attn: Incentives Policy and Management DivisionTel : 6883 58852. Your Company’s CPF Reference No. 3. Nature of BusinessTel : _______________Fax : _______________4. Amount of overpaid Skills Development Levy claimed for : $____________________(Please show computation on Annex 1 overleaf, using attachments if necessary)5. To process your claim for refund, the following documents must be furnished with this form:i) Certified True Copy of CPF receipts (Form 90 & 90A) for the claim period;ii) Listing of the gross monthly salary of all your employees, including foreign workers (if any) for the claim period from________________to__________________.6. I declare that the facts stated in this claim and the information are true and correct to the best of my knowledge and that Ihave not withheld or distorted any material facts. Apart from this claim, no other claims have been made by us for the sameperiod disclosed in this claim form.7. I understand that I may be prosecuted under Section 11 of the Skills Development Levy Acts (Cap. 306) for making a falsereturn or giving false information in relation to my liability to pay the Skills Development Levy.Signature : __________________________________ Date : ________________________Name: __________________________________Designation : __________________________________ (Manager level and above)Ver 2PTO

Annex 1COMPUTATIONMonth/Year SDL Payable SDL Paid SDL Overpaid/UnderpaidTOTAL CLAIM FOR REFUND OF SDL : $ ______________Please use attachments if necessary