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Nurses Tax Guide South Africa

Updated: June 2026 5 min read
Quick Overview: Nurses working through agencies or doing overtime may have complex tax situations. Understanding your IRP5 and possible deductions helps maximise your refund.
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Andre van Niekerk

Registered Tax Practitioner, Admin Boss

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Table of Contents
  1. Quick Answer
  2. Agency vs Permanent Employment
  3. Overtime Taxation
  4. Allowable Deductions
  5. Frequently Asked Questions
Quick Answer

If your non-salary income exceeds R30,000 per year, yes. Contact Admin Boss at adminboss.co.za/need-more-info/ for personalised advice.

Agency vs Permanent Employment

Agency nurses often receive IT3a certificates instead of IRP5s, meaning no PAYE was deducted. You must register as a provisional taxpayer and pay tax in advance.

Overtime Taxation

Overtime pay is taxed at your marginal rate along with your regular salary. It is included in your gross income on your IRP5 and subject to PAYE.

Allowable Deductions

Nurses can claim SANC registration fees, uniform costs if required, and professional indemnity insurance premiums as tax deductions.

Frequently Asked Questions

Do I need to register as a provisional taxpayer?

If your non-salary income exceeds R30,000 per year, yes. Contact Admin Boss at adminboss.co.za/need-more-info/ for personalised advice.

What records must I keep?

Keep all invoices, receipts, bank statements, logbooks, and proof of payment for at least 5 years. SARS may request these during verification.

Can I claim home office expenses?

If you work from home and meet SARS requirements (exclusive use, regularly used), you can claim a portion of home expenses. A tax practitioner can assess your specific situation.

Need Help With Your Tax?

Admin Boss is a registered tax practice with over 20 years of experience helping South African individuals and businesses navigate SARS.