A Guide to Fill Panduan Mengisi Borang 34 PERKESO

Workplace accidents and occupational illnesses can happen unexpectedly. Knowing how to manage compensation claims quickly is essential for HR and businesses. One of the key documents required in this process is PERKESO Form 34, used to notify and claim benefits under SOCSO’s Employment Injury Scheme.

Read more below on what PERKESO Form 34 is, why it matters, the benefits covered, and a complete guide on how to fill and submit it correctly.

What is PERKESO Form 34 (Borang 34)?

PERKESO Form 34 (officially known as the Notice and Benefit Claim Form) is a document used to report work-related accidents, occupational diseases, permanent disability, or death to the Social Security Organisation (SOCSO/PERKESO). It is also used to claim benefits under the Employment Injury Scheme.

The form collects detailed information about the insured employee, the employer, salary history, and details of the incident or illness. It can be submitted by the employer, the employee, or (in cases of death) the dependents of the employee.

What is the Employment Injury Scheme?

The Employment Injury Scheme is part of Malaysia’s social security protection. It covers employees who suffer accidents at work, while commuting to and from work, or during emergencies at the workplace, as well as occupational diseases listed under the Employees’ Social Security Act 1969.

Through this scheme, affected employees or their families can receive medical care, financial compensation, rehabilitation support, and even education benefits for dependents.

Why Do You Need Form 34?

Form 34 is the first step to claim benefits from PERKESO. Without submitting it, SOCSO cannot process any medical or compensation benefits. Submitting this form ensures that the employee or their dependents can access support such as temporary disablement allowance, permanent disability compensation, or funeral benefits when needed.

Types of Benefits You Can Claim with Form 34

Form 34 is used to claim a range of benefits under the Employment Injury Scheme, including:

Temporary Disablement Benefit: Income replacement for workers temporarily unable to work due to injury.
Medical Benefit: Coverage for treatment costs at SOCSO panel clinics or government hospitals.
Permanent Disablement Benefit: Compensation for permanent loss of work capacity.
Constant Attendance Allowance: Monthly allowance for workers who need daily assistance due to severe disability.
Rehabilitation Services: Physical or vocational rehabilitation to help employees recover and return to work.
Dependents’ Benefit: Monthly benefit for family members if the insured worker passes away due to the accident or illness.
Funeral Benefit: A lump sum to help cover funeral expenses.
Education Benefit: Education loans or support for children of deceased insured workers.

How to Fill in PERKESO Form 34

The form is divided into sections, and the required parts depend on the type of incident being reported (accident, occupational disease, permanent disability, or death). Based on SOCSO’s official Guide to Filling Form 34, here are what you need to do:

Select the notice type. Is it accident, occupational disease, permanent disability, or death?
Section A: Employee Details (Insured Person). Fill the full name, IC number, date of birth, address, occupation, and contact details.
Section B: Employer Details. Fill the company name, employer code, company address, and phone number.
Section C: Employee Wages. Mention the salary details for the past six months prior to the incident, required for benefit calculation.
Section D/E/F/G: Incident or Illness Details. It depends on the claim type:
- Section D: Accident details (date, time, place, cause).
- Section E: Occupational disease details.
- Section F: Permanent disability details.
- Section G: Death details (including cause and date of death).
Section H: SOCSO Office. Indicate the SOCSO office handling the case.
Section I: Employer Certification. Signed and stamped by the employer (mandatory for accident and death cases).
Section J: Employee/Dependent Declaration: Signed by the insured person, dependent, or representative. Include active bank account details for benefit payments (no joint accounts allowed).

Use black or blue ink and make sure all information is complete and accurate to avoid delays.

Checklist of Documents to Submit with Form 34

According to SOCSO’s official checklist, these documents must accompany Form 34:

Completed Form 34
Copy of the insured person’s IC (front and back)
Medical certificate or medical report
Police report (for road traffic accidents)
Death certificate (for death claims).
Supporting documents for dependents (marriage certificate, birth certificates of children, etc.)
Copy of bank passbook cover or bank statement (active account, not joint)
Funeral expense receipts (if applicable)

All photocopies must be on A4 size paper, and claims should be submitted as soon as possible to avoid processing delays.

Where to Download PERKESO Form 34

The form can be downloaded from the official SOCSO website: Click here

How to Submit Form 34

There are two main ways to submit Form 34:

Submit directly in person to a PERKESO office. Bring the completed form and required documents to the nearest SOCSO branch.
Send by post. Send the completed form and supporting documents to your local SOCSO office (keep a copy for your records).

You can check the status of your claim later via the SOCSO portal or by contacting their hotline.

More Information:

For questions or support:

Hotline: 1-300-22-8000
Email: [email protected]
Website: https://www.perkeso.gov.my

Source of The Article

FAQs

Who should submit Form 34?

Usually, the employer submits it, but in some cases, the insured person or dependents can do so.

When should I submit the form?

Submit as soon as possible after the accident, illness diagnosis, or death to avoid delays.

What if the form is submitted late?

Late submissions can delay processing or result in rejection of the claim.

Can foreign workers use Form 34?

Yes, as long as they are covered under SOCSO’s Employment Injury Scheme.

Is medical leave confirmation required before submitting?

Yes, most claims require confirmation from a medical report or certificate.

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