טופס הצהרה על העסקת מטפל / עובד זר לסיוע בידי הזולת – אנגלית english להורדה, הדפסה ומילוי מקוון

Form Name: Ministry of Defense Families, Commemoration, and Heritage Department - Statement for Hiring a Foreign Caregiver for Bereaved Families Permanently Residing Overseas

Purpose of the Form:
The purpose of this form is to request payment for a personal caregiver by another person on behalf of bereaved families who are permanently residing overseas and eligible for assistance from the Ministry of Defense in Israel. The form includes various sections and documents required for the application process.

Required Sections/Documents for Completion:
1. Date: The date of filling out the form.
2. File Number: A unique identification number for the case.
3. Explanation for Receiving Payment: The reason for requesting payment for a personal caregiver.
4. Functioning Form: A form that needs to be filled out by the family/geriatric doctor, including medical diagnosis, age of the eligible person, and date of form completion. It also includes a waiver of medical confidentiality and authorization to receive and provide information.
5. Confirmation of Employment of a Caregiver: This document confirms the employment of a caregiver and includes the full personal particulars of the caregiver as mentioned in their ID card.
6. Guarantee of Social Rights Form: This form is used to acknowledge that the person employing the caregiver is responsible for ensuring the caregiver's social rights and benefits, including health insurance, vacation, health allotment, illness compensation, and more.
7. Waiver of Confidentiality and Authorization to Obtain and Send Information: This document authorizes the Ministry of Defense to provide and obtain information about the applicant, including social, rehabilitation, mental, and medical status, as well as information regarding compensation, benefits, and other payments from the Ministry of Defense.
8. Declaration of Address Abroad: This section includes the first name, last name, Israeli ID number, and date. It is used to declare the address abroad for applicants residing overseas.
9. Signature: The applicant's signature is required on various sections of the form.

The form serves as a crucial tool for bereaved families permanently residing overseas to request financial assistance for hiring a caregiver and to ensure that the caregiver receives all the necessary rights and benefits.