אישור השתתפות מתנדב

Volunteer Participation Agreement for Bituach Leumi (National Insurance)

Please fill and sign this form:

First Name

Last Name

ID/Passport Number

Home Address

Phone Number

Location of Volunteering

Date of Volunteering

I confirm that

I have private health insurance I don't have private health insurance

We kindly wish to emphasize the importance of registering in advance to secure insurance coverage through the National Insurance Institute in Israel (Bituach Leumi). However, reimbursement is solely dependent on their decision, not Leket Israel's. This insurance does NOT cover immediate injury expenses, so it is wise to consider adding private insurance for full coverage.

Signature