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. 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.

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.


The above information is for reference only, the process must be guided by the competent authority.