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HOW DO I REPORT AN ACCIDENT AND MAKE MY CLAIM ?

Under the Employment Injury Insurance Scheme :

  • All commuting and work related accidents have to be reported by completing and submitting the Accident Report Form 21. The information regarding the accidents and injuries has to be written clearly with full details.

    An employer's statement, Claim Form 10 and sick leave certificates should be attached to the completed Form 21. A police report, attendance records and a sketch map of the route indicating the place of the accident are additional requirements to report commuting accidents.

  • Where an employee is still in employment and contracted with Occupational diseases, report can be made using Form 68. However, Form 69 should be used instead, if the employee has ceased employment.

  • To claim for Temporary Disablement Benefit, the victim or the representative has to submit the following documents :

    • Claim Form 10
    • Doctor's Certificate (Form 13) or the original copy of a Medical Certificate
    • In the event of commuting accident, which involves the payment of Temporary Disablement Benefit or Permanent Disablement Benefit, the following action should be taken :

      • The employer of the insured person must be notified verbally or in writing about the accident as soon as possible either by the insured or another person acting on his behalf.
      • A police report of the accident must be made either by the insured or anyone on his behalf.
      • A copy of the police report must then be obtained and submitted to the employer either by the insured or any other person.
      • The employer of the insured person should submit the police report, sketch map of place of accident, attendance record and other documents together with the Accident Report in form 21 to SOCSO local office.

  • To claim for Permanent Disablement Benefit, the employee or worker must submit Claim Form 10 and a written application to the SOCSO local office for reference to the Medical Board. A Medical Report from the hospital or clinic which the employee is treated must also be submitted.

  • To claim for Dependants Benefit, the claimant should submit Claim Form 24 and certified copies of the following documents

    • death certificate
    • post-mortem report (if any)
    • birth certificate of all the children
    • marriage certificate
    • widow's identity card (if relevant)

    If there is no widow, widower or an eligible child, the claimant should submit Claim Form 24 and certified copies of the following documents :

    • birth certificate of the deceased
    • birth certificate of all the younger brothers and sisters where applicable
    • identity card of parents or guardian or grandparents (if relevant)
    • death certificate
    • statement of dependency

  • To claim for Funeral Benefit, the claimant should submit Claim Form 26 and return it to the SOCSO local office together with a certified copy of the death certificate.

Under the Invalidity Pension Scheme :

  • To claim for Invalidity Grant, the claimant should submit the PKS. (F)41 (Notice of Invalidity) Form and medical report together with a certified copy of identity card or birth certificate.

  • To claim for Survivor Pension of the Invalidity Pension Scheme, the claimant should submit the Claim Form 24 and certified copies of the death certificate, birth certificate of all children, marriage certificate and the widow or widower identity card where applicable.

    Where there is no eligible widow, widower or children, the claimant must submit Claim Form 24 and certified copies of death and birth certificate of the deceased employee, birth certificate of younger brothers and sisters, if relevant, identity card of parents or guardian or grandparents, if relevant.

The completed application should be sent to the nearest SOCSO local office for processing.



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