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Q

Sickness Assistance

Sickness Assistance

Claim Details

Type of Claim
Type of Sickness

Applicant’s Details

Civil Status

Contact Details

Employment Details

Are you employed?
Type of Employment
Is Spouse / Partner employed?
Type of Employment (Spouse / Partner)

Bank Deposits / Funds held in local and foreign banks

Applicant’s Capital Resources and Income
%

Pensions

Applicant’s Capital Resources and Income - Do not include applicant’s Social Security Pension

Applicant’s Capital Resources and Income

Urban or Rural Properties
Do not include house of residence or summer residence

Household - Applicant's Income Details

Are there children residing in the same household that are unemployed?

Household - Income details of members within the same household

Necessary Documents

Maximum file size: 2MB

Maximum file size: 2MB

Maximum file size: 2MB

Maximum file size: 3MB

Maximum file size: 3MB

Maximum file size: 2MB

Maximum file size: 2MB

Maximum file size: 2MB

Maximum file size: 3MB

Bank Account Details

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.

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.

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

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