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דלג לתפריט תחתון

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Victims of Hostilities

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Claim for commitment to pay or refund of medical care provided to hostile actions victims
Fill in Claim for commitment to pay or refund of medical care provided to hostile actions victims (נפתח בחלון חדש)
Victims of Hostilities - Notification of hostile action injury and claim to be recognized as a victim of hostilities (580)
Fill in Victims of Hostilities - Notification of hostile action injury and claim to be recognized as a victim of hostilities (580) (נפתח בחלון חדש)Download Victims of Hostilities - Notification of hostile action injury and claim to be recognized as a victim of hostilities (580)
Notification of injury for one injured in a hostile action.
Letter to hostile actions casualties (in Hebrew).
Application to Determine Degree of Disability and Payment of Disability Pension (581)
Download Application to Determine Degree of Disability and Payment of Disability Pension (581)
The form is for terrorist act victims (after the period of incapacity and payment of the medical treatment compensation), who remained physically or mentally disabled
Claim for Compensation for the Families of Those Killed in Terrorist Acts(Hebrew) (582)
Download Claim for Compensation for the Families of Those Killed in Terrorist Acts(Hebrew) (582)
Application for compensation for families of terrorist act victims.
Compensation Claim for the Families of Those Killed in Terrorist Acts(English) (584)
Download Compensation Claim for the Families of Those Killed in Terrorist Acts(English) (584)
Claim form for compensation for the families of those killed in terrorist acts.
Notification of Injury in a Terrorist Act and Claim for Medical Compensation (English) (597)
Download Notification of Injury in a Terrorist Act and Claim for Medical Compensation (English) (597)
Request for compensation for medical treatment and for loss of earning capacity for people injured in a terrorist act.
Waiver of confidentiality - Victims of Hostilities (7107)
Fill in Waiver of confidentiality - Victims of Hostilities (7107) (נפתח בחלון חדש)Download Waiver of confidentiality - Victims of Hostilities (7107)
Request for payment of benefits to widows or widowers who have remarried (583)
Download Request for payment of benefits to widows or widowers who have remarried (583)
The form is meant for widows or widowers of hostile action injury victims who have not yet received any benefits
Life certificate (588)
Download Life certificate (588)
The form is meant for hostile action casualties and bereaved families who live abroad and who are required to fill out the form once a year in order to prove that they are alive.
Request for benefit to persons lacking work/needy/on early retirement (379)
Download Request for benefit to persons lacking work/needy/on early retirement (379)
The form is meant for persons with a disability degree of at least 20% who are not capable of supporting themselves (the regular hostile action benefit is not a wage-replacing benefit). In special cases, disabled persons for whom a disability degree has not yet been determined by a medical board may also submit the request, but an authorized physician must evaluate, based on the medical documents in the file, that a disability degree of over 20% will be determined.
Declaration for purposes of medical treatment benefit (594)
Download Declaration for purposes of medical treatment benefit (594)
Meant for self-employed workers who have been injured in hostile actions, whose injury was recognized by the competent authority, and who were not able to work for the period after the injury. In such a case the injured person may claim a medical treatment benefit.
Declaration for purposes of benefit increment to bereaved parent lacking income (586)
Download Declaration for purposes of benefit increment to bereaved parent lacking income (586)

This form is intended for bereaved parents whose income is below NIS 500 per month (400 NIS/month for a single parent), and who need a supplement to their monthly allowance.
Refund Claim for Damage Caused to Prescription Spectacles, Hearing Aid (605)
Download Refund Claim for Damage Caused to Prescription Spectacles, Hearing Aid (605)
The form is designed for the use of those who suffered damage to a medical device (not bodily injury), as a result of a terror act. Such medical devices include prescription glasses and hearing aids used by the claimant before the terror act. The refund is made after the certifying authority recognizes the event as an act of terror, and the amount awarded is according to Health Ministry tariffs.
Claim for deterioration of condition according to paragraph 73 of the Disabilities Law, Compensation and Rehabilitation (603)
Download Claim for deterioration of condition according to paragraph 73 of the Disabilities Law, Compensation and Rehabilitation (603)
This form is for victims of terrorism whose condition has deteriorated, and who request to have their % medical disability re-assessed. For your information, you may only appeal the last medical committee's decision within 6 months. After this time the decision may no longer be appealed, and a request for re-examination must be submitted on this form.
Claims form for payment of age 30 grant/orphan's marriage (600)
Download Claims form for payment of age 30 grant/orphans marriage (600)
The form is for those orphaned by terrorist activity who want to claim a marriage grant or the grant for turning 30 (if they are not yet married).
Request for the exceptions committee or assistance by law (596)
Download Request for the exceptions committee or assistance by law (596)
The form is for bereaved families who want the Exceptions Committee to examine their eligibility for increased benefits for financial assistance. The committee examines their eligibility by law.
Request for Grant/Loan (590)
Download Request for Grant/Loan (590)
Registration application to participate to the "Songs in their remembrance" night event at Knesset Israel (592)
Download Registration application to participate to the Songs in their remembrance night event at Knesset Israel (592)
Claim for payment of housing grant to an orphan (601)
Download Claim for payment of housing grant to an orphan (601)
Questionnaire to Victims Claiming a Mental Injury Caused by the Succession of Security Events (577)
Download Questionnaire to Victims Claiming a Mental Injury Caused by the Succession of Security Events (577)
This form is a questionnaire to a victim of hostilities who claims to suffer from a mental injury as a result of the succession of security events.
Aid request for a collective commemoration (373)
Download Aid request for a collective commemoration (373)

The form must be completed by representatives of public institutions and municipal authorities interested in holding a collective memorial event for victims of hostile actions.

Eligibility for this financial aid and its amount will be determined by the Commission for Aid to Collective Commemorations for the Victims of Hostile Actions.
Statement of family members of a person hospitalzied due to a hostile action (295)
Download Statement of family members of a person hospitalzied due to a hostile action (295)
Claim for return of expenses for complementary or alternative care (570)
Download Claim for return of expenses for complementary or alternative care (570)
Claim for financial participation in expenses related to complementary care (alternative) for the hostile actions disabled receiving a monthly allowance, recognized as suffering from PTSD, mental illness and head trauma. The treatment is intended to help and relieve the syndromes of the injury.
Claim for compensation of medical treatment for hostile actions casualties (571)
Download Claim for compensation of medical treatment for hostile actions casualties (571)
Refund for complementary medicine treatments to hostile actions vitims (378)
Download Refund for complementary medicine treatments to hostile actions vitims (378)
Hostile actions casualties and hostages back from captivity are entitled to complementary treatments (alternative medicine), to facilitate their healing.
Claim for benefits to those engaged to a hostile actions casualty (377)
Download Claim for benefits to those engaged to a hostile actions casualty (377)
This is a claim for benefits to the person engaged to a hostile actions casualty, according to regulation no. 42 of the Benefits to Hostile Actions Casualties Law (as of 7.10.23 onwards).
Claim for partial medical treatment benefit for a prolonged medical condition of person disabled in hostile actions (572)
חלופה נגישה Claim for partial medical treatment benefit for a prolonged medical condition of person disabled in hostile actions (572) Download Claim for partial medical treatment benefit for a prolonged medical condition of person disabled in hostile actions (572)
Benefit to the disabled who, due to his medical condition resulting from a hostile action, saw his earning capacity decrease and is only able to work part time at 50% or 75%.
Notification of injury in a hostile action and claim to be recognized as hostile actions casualties (580)
Fill in Notification of injury in a hostile action and claim to be recognized as hostile actions casualties (580) (נפתח בחלון חדש)
Notification of injury to a person injured in a hostile action.
Letter to those injured in a hostile actions (in Hebrew)