Submitting claims online

The claim for payment of accident injury allowance for an insured person who was injured in an accident (other than a work accident) and lost his functioning capacity due to the accident.

This form is for severely disable above 18 years of age who require a great deal of assistance by another person to perform daily  activities (dressing, eating, washing, mobility within the home and control of bodily functions), whether or not they receive a disability pension from the National Insurance.

Meant for those who worked as employees for a company which was given a liquidation order from a district court house, or for an employer against whom a bankruptcy warrant was served by a district court.

Please note, if you have changed your address of residence, it is important to inform the Population and Immigration Authority.

​This form is to change the bank details to which the child allowance is sent. The form is filled in online from the NII website and sent electronically.

The form is intended for insured over 18 years old who, due to a physical, intellectual or mental impairment, have lost his or her earning capacity, or whose earning capacity dropped to 50% and above.

​The form is designed for work and non-work income statement by the disabled and the spouse.

The form is sent to the insured in case of missing information regarding the income of the disabled or the spouse.

The form is designed for recipients of disabled child allowance willing to undergo a dependecy examination.​

This form is intended for those recognized as hostile actions casualties and seek to receive an allowance from the National Insurance.

In this form you will be able to submit either a "claim for medical care benefit" or a "claim to determine the degree of disability and for a disability allowance to a victim of hostile action" - depending on your medical condition.

Notification of injury for one injured in a hostile action.

Letter to hostile actions casualties (in Hebrew).

This form is intended for submission of a claim for income support benefit.

Please note,

• In light of the current situation, slower execution and error may happen upon opening the form - if so, please try again after a few minutes.
• 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).
• The benefit is paid from the month of submission of the claim. Therefore, in case of difficulties in attaching required documents, you are able to send them after submitting the claim in order to avoid postponement of the eligibility date for the benefit.

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 - under certain conditions.
• You own or use a car (motorcycle included) worth over NIS 44,611 (as of Jan 01, 2023), unless you are using the vehicle for medical purposes or under certain conditions.

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)

The form is to be filled out by persons who have a 2A visa, or a 4A visa as persons accompanying those with a 2A visa, and who wish to be recognized as residents by the National Insurance Institute (subject to completing a waiting period).

​This form is designed for the reduction of fines and linkage imposed on insured person who are self-employed or non-working.

​This form is designed to be completed by a self-employed worker and/or the earner of non-work income, who wishes to modify the advances of insurance contributions that he or she pays in the current year. One may submit such a request up to 4 times during the year.

Claim form for people who have reached retirement age, who are living at home and who need the assistance of others in performing everyday functions. ​

For your convenience, in case of modification or worsening of your medical situation, there is no need to fill out a worsening condition form.

You will be able to send the latest medical documents through the website.

​Claim to reexamine an insured person due to medical deterioration.

In the following cases the claim is an automatic one, and there is no need to submit a claim:

• A salaried employee whose employer has an automatic arrangement with the NII;
• A self-employed worker registered with the NII;
• A worker who received a risk pregnancy benefit from the NII;
• A worker who received unemployment benefit from the NII for at least one month preceding the birth.

​This form shall be filled out by women born from year 1960, whose retirement age has been raised (thus far by 4 months) and who may be entitled to a payment during those months.

Claim for income supplement in addition to the old-age pension, in order to secure for yourself an income at minimum rate.

The form is designed to Israeli residents who reached retirement age and claim for an old-age pension from the National Insurance Institute.

Meant for submitting personal claim for reservist’s benefit by people who are not employees. IDF Confirmation, form number 3010 must be enclosed.

The form is meant for single-parent who request a study grant.

Claim for unemployment benefit for employed workers who have been laid off and are seeking work through their local bureau of Employment Service.​

​Notification d'une blessure pour une personne blessée dans un acte terroriste

Lettre à l'attention d'une personne blessée dans un acte terroriste

​This form is intended to therapists who meet the criteria and are willing to join the national pool of therapists for hostile actions victims at the Rehabilitation Department of the National Insurance.

A claims form for vocational rehabilitation. Explanations are included in the form. ​

This form is designed for those who appeared before a first rank work injury medical committee and want to appeal the decision. Submit the completed form to the Work Injury Medical Committee Department at the branch to which you belong.

​This form is intended to the lawyer representing the person applying to the National Israel to request to fly in a foreign worker who is currently abroad in order to convene him to a Medical Board on work injury.

​This form is intended for checking your entitlement to a medical care not included in the health basket when your health maintenance organization (HMO) denied to cover it.

If your attending doctor at the HMO gave you a prescription for a medical care absent from the health basket, and your HMO did not approve financing the care you have been recommended, you have the possibility to contact us in order to review the HMO's decision by filing this form.