Sickness Assistance

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This application may also be used for Leprosy Assistance and Tuberculosis Assistance





Details of Head of Household


Contact Details


Details about the Head of Household's / Spouse's Employment

If Head of Household is employed on Part-Time basis,
kindly attach copy of last Payslip:
 
  

If Spouse is employed on Part-Time basis,
kindly attach copy of last Payslip:
 
  

If you were Employed

Employer's Details



If you were Gainfully Occupied


Details of the Household's Capital Resources and Income (required for Sickness Assistance only)

Bank Deposits / Funds held in local and foreign banks. (Quote Bank Account numbers or other references)






Money kept at home, lent to or kept by third parties (required for Sickness Assistance only)


Urban or Rural Properties (Do not include house of residence or summer residence) (required for Sickness Assistance only)






Pensions (Do not include Head of Household’s Social Security Pension) (required for Sickness Assistance only)





Other Income (required for Sickness Assistance only)


Details about the Family Setup

Head of Household Details


Family Details






Bank Account Details

If you have a bank garnishee order, provide an official document and payment will be made by cheque. If you do not have a bank garnishee order, fill in the below bank details.

Copy of Garnishee Order if you have blocked Bank Accounts:   

Allowance should be deposited in a Savings or Current Account, but not in a Loan Account. The indicated account has to be in the name of the beneficiary.



Necessary Documents

Copies of Stocks and Shares

Stocks:   
Shares:   

An official document from an Architect declaring the current capital value of any mentioned unrented property

Document from an Architect:   

Copy of the Land Registration Booklet

Land Registration Booklet:   

Copy of document showing actual income from foreign pensions

Income from Foreign Pensions:   

Copy of rent documents for any rented property

Rented Property:   

Details about the Patient (To be filled by Medical Doctor and attach document)

Doctor's Report:*   

Declaration

Signed Declaration Form:*   

To receive a copy of the application, type your email address below


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 Contact 
      Department of Social Security
      38, Ordnance Street
      Valletta VLT 1021
 
 Contact Numbers
      Freephone 153


      International Calls
      +356 21255153*
      * This is not a freephone number
 
 E-mail