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Foreign Worker Levy Waiver Application (Singapore)

Foreign Worker Levy Waiver Application (Singapore)

[Application Date]

To: Work Pass Division

Ministry of Manpower, Singapore

FOREIGN WORKER LEVY WAIVER APPLICATION

Employment of Foreign Manpower Act 1990

Employer: [Employer Name] (UEN: [Employer UEN])

Address: [Employer Address]

Contact: [Contact Person]

1. WORKER DETAILS

Name: [Worker Name]

FIN: [Worker FIN]

Work Permit No.: [Work Permit Number]

Designation: [Worker Designation]

2. LEVY WAIVER APPLICATION

Ground for Waiver: [Waiver Ground]

Waiver Period: [Waiver Start Date] to [Waiver End Date]

Hospital: [Hospital Name]

Levy Amount Claimed: SGD [Levy Amount Claimed]

Supporting documents attached: [Supporting Documents]

3. DECLARATION

I, [Contact Person], declare on behalf of [Employer Name] (UEN: [Employer UEN]) that the information provided in this application is true and correct to the best of my knowledge. I understand that providing false information is an offence under the Employment of Foreign Manpower Act 1990 and may result in prosecution and recovery of any levy waiver granted in error.

[Employer Name]

Date: [Application Date]

Employer Authorised Signatory

________________

Signature

Maintained by Vladislav Sergienko, Founder·Template last modified: ·Report an error

What Is a Foreign Worker Levy Waiver Application (Singapore)?

A Foreign Worker Levy Waiver Application in Singapore sets out the particulars an applicant must provide to obtain the approval concerned.

The Employment of Foreign Manpower (Work Passes) Regulations prescribe the qualifying grounds for levy waivers, which fall into three primary categories. Hospitalisation waivers apply when the foreign worker is admitted to a hospital or medical facility in Singapore or overseas for a continuous period, with documentary evidence from the attending medical practitioner required. Incapacity waivers cover situations where the worker is medically certified as unfit for work for an extended period, including injuries sustained during employment that may trigger parallel obligations under the Work Injury Compensation Act 2019 (Cap. 354). Overseas leave waivers apply when the worker is on authorised leave outside Singapore, though MOM imposes conditions on the duration and documentation requirements for such waivers.

MOM processes levy waiver applications through the Work Permit Online (WPOL) system, and employers must submit supporting documentation within the prescribed timeframe — typically within three months of the qualifying event. The Central Provident Fund Board continues to collect levy payments during the application processing period, and approved waivers result in a refund or credit against future levy payments. The Ministry of Manpower’s Foreign Manpower Management Division reviews applications and may request additional documentation before making a determination.

Singapore’s levy waiver framework operates alongside the employer’s obligations under the Employment of Foreign Manpower Act 1990 (Cap. 91A) to maintain valid medical insurance coverage for foreign workers. The employer remains responsible for the worker’s medical expenses during the waiver period, and the Workplace Safety and Health Act (Cap. 354A) obligations continue to apply for work-related injuries that precipitated the levy waiver application.

The Tripartite Alliance for Fair and Progressive Employment Practices (TAFEP) publishes advisory guidelines that supplement the Employment Act 1968 (Cap. 91) framework, and employers who deviate from TAFEP guidelines risk adverse findings that affect work pass approval rates and access to government subsidies administered by Workforce Singapore (WSG). The Employment Claims Tribunal (ECT), established under the Employment Claims Act 2016, provides a fast-track dispute resolution forum for employment-related claims up to S$20,000 (or S$30,000 with union assistance from the National Trades Union Congress, NTUC), and employees must attempt mediation through the Tripartite Alliance for Dispute Management (TADM) before filing ECT claims. Singapore’s employment regulatory framework also intersects with the Personal Data Protection Act 2012 (PDPA), which requires employers to comply with data protection obligations when collecting, using, and disclosing employee personal data, including information gathered through HR processes and workplace monitoring systems.

When Do You Need a Foreign Worker Levy Waiver Application (Singapore)?

A Foreign Worker Levy Waiver Application in Singapore is needed whenever an employer seeks temporary relief from levy payments for a foreign worker who cannot perform work duties due to qualifying circumstances under the Employment of Foreign Manpower Act 1990 (Cap. 91A).

Employers whose foreign workers are hospitalised in Singapore for surgery, illness, or injury requiring extended inpatient care submit levy waiver applications covering the hospitalisation period. MOM requires a hospital admission letter or medical report from the attending physician confirming the admission dates and expected discharge date. The waiver covers the continuous hospitalisation period, and employers must reapply if the hospitalisation extends beyond the initially declared period.

Construction and marine sector employers with workers injured on-site and certified as medically unfit for work under the Work Injury Compensation Act 2019 (Cap. 354) apply for incapacity levy waivers while workers undergo treatment and rehabilitation. The Workplace Safety and Health Act (Cap. 354A) requires employers to report workplace injuries to MOM within specified timeframes, and the injury report documentation supports the levy waiver application.

Employers granting extended compassionate or personal leave to foreign workers returning to their home countries for family emergencies apply for overseas leave waivers. MOM requires documentary evidence of the worker’s departure from Singapore (immigration records or flight documentation) and the employer’s written authorisation of the leave period.

Employers whose foreign workers are repatriated for medical treatment in their home country due to conditions that cannot be adequately treated in Singapore submit levy waivers for the overseas treatment period. The employer must maintain valid medical insurance covering the worker during the overseas treatment.

Employers should also review the related Employment Contract for base employment terms, the Employment Pass Appeal Letter for pass-related disputes, and the Workplace Safety Incident Report for documenting injuries that may support a levy waiver application.

Employees in Singapore’s financial services sector regulated by the Monetary Authority of Singapore (MAS) face additional regulatory requirements that may interact with this document. MAS-regulated employees subject to the Guidelines on Individual Accountability and Conduct must document workplace arrangements and obligations with particular care, as MAS examines employment documentation during supervisory reviews of financial institutions.

What to Include in Your Foreign Worker Levy Waiver Application (Singapore)

A Foreign Worker Levy Waiver Application in Singapore submitted to MOM under the Employment of Foreign Manpower Act 1990 (Cap. 91A) must include accurate employer information, foreign worker details, waiver grounds documentation, and supporting evidence to receive approval.

Employer details require the ACRA-registered company name, Unique Entity Number (UEN), registered business address, sector classification, and the designated contact person responsible for foreign worker administration. MOM cross-references employer details with ACRA records and existing work pass information during application processing.

Foreign worker details specify the worker’s full name as appearing on the work pass, work permit or S Pass number, FIN (Foreign Identification Number), nationality, occupation, date of work commencement, and current levy tier classification. The worker’s passport details and date of birth must match MOM’s work pass records exactly, as discrepancies may delay application processing.

Waiver grounds and period documentation identifies the specific qualifying ground (hospitalisation, medical incapacity, or authorised overseas leave), the start date and expected end date of the waiver period, and a detailed description of the circumstances giving rise to the application. For hospitalisation waivers, the employer must provide hospital admission documentation from the medical facility. For incapacity waivers, a medical certificate from a Singapore-registered medical practitioner specifying the diagnosis, treatment plan, and expected duration of unfitness is required. For overseas leave waivers, departure records and the employer’s written leave authorisation letter must accompany the application.

The forms-legal.com Foreign Worker Levy Waiver Application template includes structured sections for each waiver category with document checklists specific to the qualifying ground. Supporting documentation requirements differ by waiver type — hospitalisation waivers require hospital bills and discharge summaries, incapacity waivers require specialist medical reports and Work Injury Compensation Act 2019 (Cap. 354) claim documentation where applicable, and overseas leave waivers require immigration departure records.

The declaration section requires the employer’s authorised representative to certify the accuracy of all information and acknowledge that false or misleading declarations constitute an offence under Section 22 of the Employment of Foreign Manpower Act 1990 (Cap. 91A), carrying penalties including fines up to S$20,000 and imprisonment up to 12 months. MOM reserves the right to verify the information provided through hospital records, immigration data, and site inspections conducted by the Foreign Manpower Management Division.

Compliance with the Central Provident Fund Act (Cap. 36) requires employers to account for CPF contributions in all employment-related documentation. The CPF Board mandates employer contributions at the current rate of 17% and employee contributions at 20% for workers aged 55 and below earning above the minimum threshold, with contributions calculated on ordinary wages up to the monthly ceiling of S$6,800. The Employment (Key Employment Terms) Regulations 2016 require employers to issue written KETs to all employees within 14 days of employment commencement, covering 14 mandatory items including job title, salary period, working hours, overtime arrangements, rest days, and termination notice requirements. Non-compliance with the KETs Regulations constitutes an offence under the Employment Act 1968 (Cap. 91) and may result in fines imposed by MOM.

Signature and execution requirements for this document follow Singapore’s standard contractual execution practices. Individual signatories should sign using their full legal name as appearing on their NRIC or passport, with the date of signing recorded beside the signature. Corporate signatories should sign in accordance with the company’s Constitution — typically requiring a director and the company secretary, or two directors, under the Companies Act 1967 (Cap. 50). While witness attestation is not mandatory for most contracts in Singapore, having an independent witness sign improves the evidentiary value of the document in court proceedings under the Evidence Act (Cap. 97). For documents intended for use in foreign jurisdictions, notarisation by a Singapore Notary Public under the Notaries Public Act (Cap. 208) and apostille certification by the Singapore Academy of Law (SAL) may be required.

Cite this page

Reference this free template in an article, syllabus, or research note:

APA

Forms Legal. (2026). Foreign Worker Levy Waiver Application (Singapore) (Singapore) [Legal document template]. Forms Legal. https://forms-legal.com/singapore/employment/forms/foreign-worker-levy-waiver-application-singapore

MLA

"Foreign Worker Levy Waiver Application (Singapore) (Singapore)." Forms Legal, 2026, https://forms-legal.com/singapore/employment/forms/foreign-worker-levy-waiver-application-singapore.

BibTeX
@misc{formslegal-foreign-worker-levy-waiver-application-singapore,
  author       = {{Forms Legal}},
  title        = {Foreign Worker Levy Waiver Application (Singapore) (Singapore)},
  year         = {2026},
  howpublished = {\url{https://forms-legal.com/singapore/employment/forms/foreign-worker-levy-waiver-application-singapore}},
  note         = {Free legal document template. Based on Employment Act 1968 (Cap. 91)}
}

Frequently Asked Questions

Based on Employment Act 1968 (Cap. 91) — Template last modified June 2026Verify the source →

This template is provided for informational purposes only and does not constitute legal advice. Laws vary by jurisdiction and change over time. Consult a qualified attorney for advice specific to your situation.Full disclaimer

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