Email:
*
if you don't have an email address, please write: no@email.com
Your gender:
Female
Male
Other
Did you get computation from a different source? Did the employer get computation already?
*
Are you intending on leaving for good (to go home and not return to israel)? When?
Do you have a file in Kav laoved about this current issue?
yes
no
Full name:
*
First name
Last name
Home Country:
*
Philippines
India
Sri Lanka
Nepal
Ukraine
Moldova
Uzbekistan
OTHER
Date of arrival to Israel:
-
יום
-
חודש
שנה
Passport number:
*
Your telephone number:
*
Your WhatsApp number if it is different:
Name of Placement Agency:
*
City of the Placement Agency:
Name and telephone of person you talk to at the agency:
Full Name of your employer:
The following questions are specific to the current issue you need assistance with
Full address of your employer:
Who from the family paid you your salary? Please mention their name, telephone number and email if you have.
we will not use it without your permission!
When did you start working with this employer?
*
-
יום
-
חודש
שנה
When did you finish working there?
*
-
יום
-
חודש
שנה
Why did you finish?
Death of employer
Employer transferred to nursing home
They released me
I resigned
I still work there
OTHER
Did you get your salary from a BITUACH agency? If yes, please write the name, city and telephone number.
If you got your salary only from the family, please write "private"
Did you get / give a prior notice before the job was finished? on which date?
How much was your monthly salary?
Including "pocket money", but not including Shabat
Did you work live in or live out?
live in
live out
How many vacations did you take and when? Please mention the exact dates of your vacations.
If you worked more than 1 year - when was your last time you received your yearly benefits (recuperation, vacation, holidays - sometimes referred to as "bonus")?Please mention - did you get the FULL benefits?
Please mention if you worked on holidays - and how many in the last year
Would you like to report to us about any issue with the employer / agency? (including complaints about abuse, violence, sexual harassment, other?).
We remind you this is confidential.
Would you like to add anything?
SEND
Should be Empty: