Claim for a Disabled Person with a temporary disability degree This claim form is filled by a disabled person, who has already been determined by medical committee to have a temporary degree of disability, and is unable to work and has no income. A disabled person in need is paid an allowance at the rate […]
BL 200 Claim form for determining degree of disability as a result of work injury. Once injury or occupational disease is recognized by National Insurance Institute as a work casuality, form 200 is supposed to be submitted. Form should be filled up accurately and all medical documents must be attached. Once form 200 is submitted, […]
Medical Confidentiality Disclaimer This form should be filled out by those who were injured at work as a part of a volunteer activity.
Form 283 to request of providing medical treatment as a result of work injury (Self-Employed) BL 283 form is intended for providing initial medical treatment for work injury to a self employeed worker. This form is intended to cover financial expenses required for medical treatment of injury cased by work accident. To Download Self Employeed […]
Work Injuries Claim form 250 (BL 250) The form 250 is mandatory and important as it defines the victim’s claim for compensation. An employee injured in a work accident, needs to fill out form 250 for social security, to provide initial medical treatment. Work Injuries claim form 250 can be filled online or at National […]
Work Accident Form, Notice of Injury at Work and Claim for Payment of Injury Compensation Work Injury form 211 is submitted to recieve injury compensation, by an employee who injured or fell ill during his work. This form represents the initial details relevant to work injury. This form is signed by employee as well as […]
Form to Claim Recognition of an Occupation Disease or Medical Impairment Form to Claim Recognition of an Occupation Disease or Medical Impairment Social Security Form 202 is intended for salaried employees and self-employeed workers, who falls ill during work conditions. A disease caused by the working conditions is called an occupational disease. In a case […]