Work Injury

Claim to combine disabilities to a work disabled person, for whom  a number of disability degrees was determined due to a number of work injuries, and regarding whom the accumulative character of the disabilities has substantially hurt his earning capacity.

Claim form for a work disabled person for whom a medical committee determined a temporary disability degree and who cannot perform any work, has no income from work or business, is not eligible for sick days and  requests to be recognized as a "disabled person in need".

This form is designed for those who appeared before a first rank work injury medical committee and want to appeal the decision. Submit the completed form to the Work Injury Medical Committee Department at the branch to which you belong.

​This form is designed for a salaried employee. The form shall be filled out and signed by the employer.

This form shall be attached to the claim for work-injury benefit in case of submission by online form, or when the information is missing from the claim in its paper form version.

​This form is intended for checking your entitlement to a medical care not included in the health basket when your health maintenance organization (HMO) denied to cover it.

If your attending doctor at the HMO gave you a prescription for a medical care absent from the health basket, and your HMO did not approve financing the care you have been recommended, you have the possibility to contact us in order to review the HMO's decision by filing this form.

​This form is intended to the lawyer representing the person applying to the National Israel to request to fly in a foreign worker who is currently abroad in order to convene him to a Medical Board on work injury.