Please submit the following documents to the bureau (all should be stamped)：

I.  Labor Insurance Injury or Sickness Benefits Application and Payment Receipt

※ The application form should be stamped by the insured unit according to regulations. According to the provisions of Article 20, paragraph 1 of the Labor Insurance Regulations, the insured may self-apply for Injury or Sickness Benefits under the following two circumstances. 1) If he or she cannot work within one year after the withdrawal of the insurance. 2) The application form cannot be stamped because the insured unit is under closure, dissolution, revocation, annulment, declared bankruptcy, or other circumstances.

II.  Injury or sickness certificate

III.  Other documents：

1.  If an injury occurs while going to work, getting off work, or on a business trip, applicants of occupational injury/disease benefits need to fill out an injury statement stating the injury has occurred while going to work, getting off work, or on a business trip".

2.  Relevant supporting documents (such as employer and witness certificates, attendance records, salary records, etc.).

Important notices

I.  The statute of limitation is five years starting from the first day of claim.

[Explanation]: On December 19, 2012, President Hua Zongyiyi Zi No. 10100279771 announced the amendment to the provisions of "Article 30 of the Labor Insurance Regulations". According to the provisions of Article 13 of the Central Regulations and Standards Law, it will come into effect on December 21, 2012. In addition, according to the Letter No. 1010140557 dated December 26, 2012, by the Labor Committee of the Executive Yuan, please refer to the following below:

1.  The statute of limitations of claiming the insurance is 5 years according to the regulation mentioned above.

2.  If the applicant’s right to claim insurance has not exceeded 2 years, in order to protect his or her right to claim insurance benefits, the statute of limitation will be 5 years according to the revised regulations which has taken effect on December 21, 2012.

II.  This payment may be claimed through installments or be claimed all at once after the injury has recovered and the insured has resumed back to work. Please do not apply within the 5-year limitation of the claim.

※  If the insured suffered an occupational injury or illness before April 30, 2011 (including the day), if you want to claim the benefits of occupational accident insurance in accordance with the Labor Occupational Accident Insurance and Protection Act, please download the "Labor and Occupational Accident Insurance" Benefit Application Form and fill it out use.

 

本資料僅供參考，須依照主管機關公告辦理。
The above information is for reference only, the process must be guided by the competent authority.