Anda di halaman 1dari 2

To submit the following documents to the nearest SOCSO office:

1. Employment Injury Scheme

a. SOCSO Form 21
b. SOCSO Form 10
c. SOCSO Form PKS (F) 1 Pin 1/91
d. Original Police Report
e. Original Medical Certificate
f. Photocopy of identity Card
g. Photocopy of Duty Roster/Punch Card
h. Photocopy of Salary Statement
i. Photocopy of SOCSO Monthly Contribution Report
j. Map of Place Accident Occurred

2. Permanent Disablement Benefit

a. SOCSO Form 10
b. SOCSO Form PKS (P) 6 Pin 1/91
c. SOCSO Form PKS (F) 1 Pin 1/91
d. Original Medical Report
e. Photocopy of Police Report
f. A written application to SOCSO Local Office for
reference to the Medical Board

3. Invalidity Pension Scheme

a. SOCSO Form PKS (F) 41 Pin 1/91


b. SOCSO Form PKS (F) 43 Pin 1/91
c. Photocopy of Identity Card
d. Photocopy of Birth Certificate
e. Original Medical Report
f. Photocopy of Salary Statement
g. Photocopy of SOCSO Monthly Contribution Report

4. Fatal Case

a. SOCSO Form 21
b. SOCSO Form PKS (F) 1 Pin 1/91
c. SOCSO Form PKS (F) 43 Pin 1/91
d. Photocopy of Identity Card
e. Photocopy of Duty Roster/Punch Card
f. Map of Place Accident Occurred
g. Original Police report
h. Approval Letter for funeral
i. Original Death Certificate
j. Photocopies of Beneficiaries IC/Birth Certificate
k. Photocopy of Medical Report (if relevant)
l. Original Funeral receipt
m. Photocopy of Salary Statement
n. Photocopy of SOCSO Monthly Contribution Report

When the deceased employee does not leave any spouse or child, the following
additional documents are required.

a. Photocopy of Identity Card/Birth Certificate of every sibling.


b. Photocopy of Identity of each parent or guardian or grandfather and/or
grandmother.

5. Survivor Pension Scheme (Death Due to Illness)

a. SOCSO Form 24
b. SOCSO Form 26
c. SOCSO Form PKS (F) 43 Pin 1/91
d. Photocopy of Appointment Letter
e. Photocopy of Salary Statement
f. Death Certificate
g. Marriage Certificate (if relevant)
h. Photocopy of Widow Identity Card (if relevant)
i. Photocopy of All Children Identity Card/Birth Certificate (if relevant)
j.

Anda mungkin juga menyukai