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Q

Injury Benefit

 

Injury Benefit
Application for: *
Tick as applicable (you can select more than one option as necessary)

Applicant’s Details

Gender
Civil Status
Contact Details

Application Details

Employment type
I work with a roster / shift or six days per week
Work schedule
I do not work on

Spouse / Partner Details
Does spouse / partner work full-time?

Bank Account Details


If you have a garnishee order, please inform your preferred bank about the amendment to Article 381 of the Code of Organisation and Civil Procedure (Cap.12.), to have a bank account issued in your name accordingly.

Benefit must be deposited in a Savings or Current Account, but not a Loan Account. The indicated account must be in the name of the beneficiary. The bank account details provided will also be used for all benefits that you may be currently receiving.

Case Details

Case type:
Time of Injury

Maximum file size: 5MB

Maximum file size: 5MB

Maximum file size: 5MB


Details of two witnesses of the accident

Maximum file size: 2MB

I accept the Data Protection Declaration

Data Protection Declaration The Department of Social Security collects all relevant personal information to provide its services to individuals who qualify for assistance, allowance or non-contributory pensions in accordance with the Social Security Act (Cap. 318.). The Department may verify the information submitted by you in line with article 133 (b) of the Social Security Act to ensure its accuracy in relation to the claim. Personal data may be disclosed to departments / third parties, who may also have access to your data as authorised by law. Personal information may also be exchanged with benefits institutions of other countries to combat and deter fraud, as provided for in international treaties or bilateral agreements to which Malta is a party. You will be informed in due course of the result of your claim after it has been assessed.

Pursuant to the General Data Protection Regulation (EU) 2016/679 (GDPR) and the Data Protection Act (Cap. 586.), we have a legal duty to respect and protect any personal information we collect from you and we will abide by such duty. We take all safeguards necessary to prevent unauthorised access and we do not pass on your details collected from you as a visitor and/or user, to any third party unless you give us your consent to do so or as authorised by law. You may request in writing to access information held about you, and eventually to rectify, and where applicable to erase incorrect information. Such a request is to be addressed to “The Data Controller”, Department of Social Security, 38, Ordnance Street, Valletta VLT 1021 or by e-mail to dpsocialsecurity.dss@gov.mt and appropriate action would be taken at the earliest possible time. In making such a request, kindly quote your identity card number, social security number, your name and address and other relevant documentation to identify your case.
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