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Increased Severe Disability Assistance

Increased Severe Disability Assistance

* indicates mandatory information
^ must have either one or both filled in

Applicant Details

Civil Status

Contact Details

Is the applicant in a gainful occupation?

Details Regarding Members of the Family

Start with applicant’s details

Please tick as appropriate your medical condition

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.

Necessary Documents

Maximum file size: 2MB

Maximum file size: 2MB

Maximum file size: 2MB

Application is submitted by

Read the Social Security Declaration

Read the Data Protection Declaration

I accept the Social Security and the Data Protection Declarations

Maximum file size: 2MB