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Would you want your employer to offer a form of protection for not only yourself, but for your family
as well? Would you like to be free from financial disasters if you’re injured, or worse, pass away
due to an accident at work? Believe it or not, understanding what SOCSO is and how to make a
claim can go a long way in helping you. Here’s the information you’d need to know so that you can
make the most out of your SOCSO.
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Overview of SOCSO
SOCSO (Social Security Organization) is also known as PERKESO (Pertubuhan Keselamatan
Sosial), and is a Malaysian government agency established in 1971 under the Ministry of Human
Resources. Under the Employee’s Social Security Act 1969, it is compulsory for all private
companies in Malaysia to register itself with SOCSO in 30 days, from the day the first worker joins
the company.
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5/3/2021 Your complete guide to everything SOCSO
In addition, both parties are responsible to make contributions to SOCSO payments, with
employees committing to the smaller portions depending on their salary (the rate is 0.5% - 3%, and
the contribution is optional for employees earning a salary of above RM3,000 per month).
Employers who don’t register their companies and employees under SOCSO, or don’t make any
contributions, are now standing on the wrong side of the law – they will face steep fines and
possible incarceration.
What is it for?
The purpose of SOCSO is to provide social security protection in the form of cash payments and
benefits to employees in the private sector in the event of workplace injuries, emergencies,
occupational diseases, and even death.
As reported by Bernama, Prime Minister Datuk Seri Najib Tun Razak said that the Government has
allocated RM70mil to fund SOCSO’s financial benefit payments under the Employment Insurance
System (SIP) in 2018.
Who is eligible?
If you are an employee below the age of 60 and hold a private-sector job with a monthly salary, you
are one of the 6.5mil Malaysian registered workers covered by SOCSO schemes. If you belong to
one of the following employee categories, however, you are exempted from the coverage of
SOCSO:
Federal and State Government permanent employees
Domestic servants
Self-employed
Sole proprietor or owners of partnership
Spouse of a sole proprietor or partners
Foreign workers
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For cases of job-related injuries or death, employees themselves or their family members will want
to get the claim process started as soon as possible. It’s usually the case that the human resource
department of the company that the employee works at will help facilitate the process by pointing
them in the right direction. Therefore, always talk to the company first to get more details.
However, a deeper understanding of the claiming process will help tremendously and reduce the
chances of claims being denied. Here are the important steps you must know to increase your
SOCSO claim success rate:
1) For first-timer applying for medical benefits, compulsory documents for submission are:
Accident report Form 21 or occupational disease report Form PKS 68 or PKS69
Claims form (Form 10)
Employer’s identification letter
Work attendance record
Medical leave certificate
Employee’s identity card (photocopy)
A police report and a sketch map of journey (for accidents happen while traveling to or
from workplace)
Treatments are completely free of charge at SOCSO panel clinics or government hospitals
and clinics, once the application and submission forms are completed.
2) Additional documents are needed to receive reimbursement for non-SOCSO panel
treatments. The documents must be filled and submitted to the employee’s local SOCSO
office, and the rate of reimbursement will be determined by SOCSO. These extra documents
are:
Reimbursement Travel Claims Form – Form PKS (P) 24
Reimbursement Payment Claim Report (general) – Form PKS (P) 26
Receipt of treatment (original)
Appointment card (photocopy)
Medical report, if any (photocopy)
3) It is very important to know that once a doctor proves and certifies an employee is unfit to
work for a minimum of 4 days (including the day of workplace accident), he or she will be
qualified for temporary disablement benefit. It means the employee will receive monetary
payment during the period when he or she is unable to work.
4) When employees suffer from permanent disabilities due to workplace accidents,
regardless his/her ability to work, they can claim for permanent disablement benefits. They
must make a written application at the SOCSO office with the medical board’s reference.
Mandatory documents to bring along for this claim are:
Medical report for a hospital or a clinic where the employee was treated
Application form
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To conclude
With medical costs on the rise in Malaysia, taking full advantage of SOCSO is highly recommended
even if it does involve a considerable amount of time and paperwork. For more information and
updates, you can visit SOCSO official website or read our article 5 Things You Should Know About
SOCSO!
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