Inquiry form for the hearing impaired


​Aswer to personal inquiries on behalf of deaf or hard of hearing persons.

An inquiry on behalf of another person (child, spouse, parent) must contain his or her personal details.
A reply will be sent to you at the provided email address, if successfully identified.
I am aware that the answer that will be sent to me by email, at the address I have entered, can contain sensitive personal information about me, and I hereby discharge the National Insurance, Institute of any responsibility whatsoever in case this information arrives in someone else's hands.
I am aware that the information that will be sent to me by email is subject to modifications, by decision of the branch officer.
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Including the check digit; for inquiries pertaining to disabled child, the child's ID number must be entered.
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Email answer to personal inquiries requires a pin code If you don't have a pin code, you can order it here.

 
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דואר אלקטרוני מאד יסייע לזירוז הטיפול בפניה
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Copy paste function is disabled for this input field, please enter information manually.
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Please note, the content length of this message is limited to 1500 characters and some characters are not available, such as: + * $ < > @ ^ = & / [ ]