This form is intended for submission of a claim for income support benefit.
Please note,
You will not be entitled to a benefit if you meet one of the following criteria:
- You are single and working, and earning above NIS 3,428 (as of Jan 01, 2024) per month.
- You are studying in a Yeshiva.
- You are a member of a kibbutz or moshav - under certain conditions.
- You own or use a car (motorcycle included) worth over NIS 44,611 (as of Jan 01, 2024), unless you are using the vehicle for medical purposes or under certain conditions.
If you are married, and your spouse meet these requirements - you will not be able to qualify for the benefit.
An instructional video on how to fill out the claim form (in Hebrew)