Claim for Income Support Benefit (5619)

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)