Claim-document control sheet
A PERKESO claim file connects the incident record to the correct current form and its supporting evidence — but which form is current is the one unresolved piece here, so confirming the exact list directly with PERKESO before filing is worth doing rather than assuming either named set is definitely right.
- Name one person in the household to own the file and the submission log.
- Keep originals, submitted copies, and any receipt references clearly separated.
- Track every missing item against the checklist of whichever form PERKESO confirms is current.
Two form numbers, not reconciled
The 2021 domestic-worker FAQ states plainly, in answer to what documents are needed to claim benefits: the Foreign Worker Accident And Occupational Diseases Notification Form (PA-F101R1), the Foreign Worker Dependants’ And Funeral Benefit Claim Form (PA-F101R2), and a body repatriation cost claim form (PA-F101R3), plus supporting documents per each form’s own checklist.
A separate document — hosted under a general foreign-worker path rather than the domestic-worker-specific one, and bearing a filename date suggesting a mid-2025 refresh — names Form 34-PA, a single combined form covering an Accident Notice, an Occupational Disease Notice, an Invalidity Notice, and a Death Notice, with one shared checklist. Neither document states the other is outdated or has been replaced; the honest position is that the 2021 forms are the domestic-worker-specific answer as officially published, and Form 34-PA is the general foreign-worker equivalent that may since have superseded them — not something this page can resolve on its own.
What Form 34-PA’s checklist actually lists
For an accident notice, the required documents are a medical certificate or sick-leave certificate, plus — for a road accident specifically — an original or certified-copy police report. For a death notice, the checklist asks for a copy of the death certificate or burial permit, a funeral-expense receipt if the claimant isn’t a dependant, and proof of relationship to dependants, graded by who survives — a marriage certificate and the surviving spouse’s ID, or a child’s birth certificate, depending on the case.
Submission is at a PERKESO office counter, by post to the nearest PERKESO office, or another PERKESO-accepted method.
No fee, and a warning about agents — plus what a false claim risks
PERKESO’s own materials state there’s no fee to submit a claim, and explicitly warn against using the services of agents or middlemen who charge for it. The same materials also set out what a false claim risks: up to two years’ jail or a RM10,000 fine under section 93 of Act 4, separately up to 20 years or a fine of RM10,000 or five times the claim value under section 18 of the MACC Act 2009, and up to seven years under section 193 of the Penal Code.
None of that changes because of which form set is used — it’s a separate, sourced warning worth knowing regardless of the PA-F101 versus Form 34-PA question.