This form is intended for submission of a claim for income support benefit.
Please note,
The income support benefit is subject to a means test. It is advised to use an eligibility check simulator, before submitting a claim.
If you receive an old-age or survivors pension - you need to complete an form for income supplement (430).
You will not be entitled to a benefit if you meet one of the following criteria:
- You are single and working, and earning above NIS 3,307 (as of Jan 01, 2023) per month.
- You are studying in a Yeshiva.
- You are a member of a kibbutz or moshav.
- You own or use a car (motorcycle included) worth over NIS 44,611 (as of Jan 01, 2023), that is not serving you for medical purposes.
- If you are married, and your spouse meet these requirements - you will not be able to qualify for the benefit.
An instructional video on how to fill out the claim form (in Hebrew)