Work disability form - online

1. Whoever is recognized as a work injury, will receive injury compensation - payment, for the first three months from the date of the injury, for all the days he is absent from work, following the accident.

2. If the victim is left with a disability as a result of the accident, he can appear before a committee to determine the degree of disability, which will evaluate and determine the rate of the remaining disability. According to this determination, he may become entitled to temporary or permanent financial compensation, as follows:​

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• A disabled worker who has been assigned a temporary degree of disability at a rate of 9% - 100% - will receive a monthly allowance.

• A disabled worker who has been assigned a permanent disability degree at a rate of 9% - 19.99% - will receive a one-time grant.

• A disabled worker who has been assigned a permanent disability degree of 20% - 100% - will receive a monthly allowance.

• A disabled worker who has been determined to have a degree of permanent disability at a rate of less than 9% is not entitled to an allowance.

1. A resident of Israel.

2. With no income or income lower than 60% of the average salary, NIS 6,331 (as of January 1, 2020).

3. He was assigned a weighted medical disability of 60% or 40% in the case where the disability percentage of one of the deficiencies is at least 25% . (detail what medical disability is)

4. It was determined that he was unable to work or his ability to earn was reduced by at least 50%, and he was assigned a degree of incapacity in one of these rates: 60%, 65%, 74% or 100%. (Specify what disability is in these degrees)

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Of the four conditions mentioned, two are the ones that will determine in the medical and functional aspect whether a disability allowance will be received: determination of weighted medical disability and determination of loss of earning capacity and function.

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