Claim Korean Temporary Disability Benefits with the Official Form

Korea Forms in Real Life · Episode 1/24
Quick answer

Temporary disability benefits may replace part of your income when an approved work injury keeps you from working. Use this guide to check the claim period, wage evidence, payment account and current KCOMWEL form.

Korean temporary disability benefits: What you will finish

You will separate treatment dates from the actual no-work period, disclose wages and other compensation, prepare wage evidence, check the payment account and keep filing proof.

Korean temporary disability benefits: This guide explains how to read and prepare the official KCOMWEL claim form. Eligibility and the payable period are decided by KCOMWEL from the facts and current rules.

Temporary disability benefits: preview, download and official source

The current KCOMWEL PDF combines the temporary disability benefits claim and the injury/illness compensation pension claim. This episode uses only the temporary disability benefits sections. The official English file is a reading reference; verify the current Korean original before filing.

Review the eight form fields

How to read the temporary disability benefits claim

  1. Claim type and identity: select temporary disability benefits, then copy the worker’s legal name, resident/foreign registration number, address and contact details exactly.
  2. Claim period: enter only dates the worker could not work because of the approved treatment; treatment dates alone do not prove that every day belongs in this field.
  3. Work and income during the period: truthfully disclose any day worked, business activity and wages received. Keep payslips or employer confirmation.
  4. Average-wage evidence: for a first claim, KCOMWEL guidance says wage ledgers for the previous four months including the accident month and relevant 12-month bonus/annual-leave records may be requested.
  5. Other damages or compensation: state related payments rather than leaving a known payment out; ask the office if the categories overlap.
  6. Payment account: copy the bank, account number and holder from current records; confirm special protected-account handling directly.
  7. Attachments and signature: list evidence, read the declaration, sign only after checking every date and amount, and keep the complete signed copy.
  8. Submission proof: file with the KCOMWEL branch responsible for the treating medical institution through an accepted channel and save the receipt number.

Example only — do not submit: Mina K. copies her registration-card name, enters 1–30 April only after confirming she did no work, records zero wages received for that period. The example then attaches requested wage evidence, copies her own bank account, signs after review and saves the receipt. Replace every detail with your own verified facts.

Official Korean form preview for Claim Korean Temporary Disability Benefits with the Official Form
Official form preview. Tap to enlarge, then use the official original link below.
  1. Official form preview
  2. Official original download

    Current official temporary disability benefits claim form PDF · 3 pages · 204,078 bytes
    Official English reference form PDF · 2 pages · 63,270 bytes

  3. Official source page

    KCOMWEL current form source page · KCOMWEL online and mobile filing guide

Reverified 26 August 2026: the current three-page Korean PDF is 204,078 bytes with the PDF signature and SHA-256 recorded above. The two-page official English reference is 63,270 bytes. Both remain on KCOMWEL; BSKorean does not mirror them.

Prepare temporary disability benefits in eight steps

24 Korean phrases for temporary disability benefits

Use the learner-friendly pronunciation first and RR only as a reference. Confirm difficult sounds with Korean audio or a speaker.

Each step contains three Korean phrases. Open only the step you need; learner-friendly pronunciation is shown first and Romanization stays optional.

Step 1Claim type and identity3 Korean phrases

1. Claim type and identity

Start at the official source and confirm that this form fits your case.

Claim type and identity: select temporary disability benefits, then copy the worker's legal name, resident/foreign registration number, address and contact details exactly.

# Korean How to say it Natural meaning
1 휴업급여 청구서를 작성하고 싶습니다. hyoo-uhp-kkeu-byuh chuhng-goo-suh-reul jahk-ssuhng-hah-goh seep-sseum-nee-dah.
RR: Hyueopkkeubyeo cheongguseoreul jaksseonghago sipsseumnida.
I want to complete the temporary disability benefits claim form.
2 산재 승인 후 일을 하지 못했습니다. sahn-jeh seung-een hoo ee-reul hah-jee moh-teht-sseum-nee-dah.
RR: Sanjae seungin hu ireul haji motaetsseumnida.
I could not work after my industrial-accident claim was approved.
3 청구기간을 확인해 주세요. chuhng-goo-gee-gah-neul hwah-geen-heh joo-seh-yoh.
RR: Cheonggugiganeul hwaginhae juseyo.
Please check the claim period.
Step 2Claim period3 Korean phrases

2. Claim period

Copy names, numbers and addresses from current documents instead of memory.

Claim period: enter only dates the worker could not work because of the approved treatment; treatment dates alone do not prove that every day belongs in this field.

# Korean How to say it Natural meaning
4 요양으로 취업하지 못한 기간입니다. yoh-yahng-eu-roh chwee-uh-pah-jee moh-tahn gee-gah-neem-nee-dah.
RR: Yoyangeuro chwieopaji motan giganimnida.
This is the period I could not work because of medical treatment.
5 이 기간에 일을 하지 않았습니다. ee gee-gah-neh ee-reul hah-jee ahn-haht-sseum-nee-dah.
RR: I gigane ireul haji anhatsseumnida.
I did not work during this period.
6 사업을 운영하지 않았습니다. sah-uh-beul oo-nyuhng-hah-jee ahn-haht-sseum-nee-dah.
RR: Saeobeul unyeonghaji anhatsseumnida.
I did not operate a business.
Step 3Work and income during the period3 Korean phrases

3. Work and income during the period

Use dates, places, people and actions; separate facts from guesses.

Work and income during the period: truthfully disclose any day worked, business activity and wages received. Keep payslips or employer confirmation.

# Korean How to say it Natural meaning
7 회사에서 임금을 받았나요? hweh-sah-eh-suh eem-geu-meul bah-dahn-nah-yoh?
RR: Hoesaeseo imgeumeul badannayo?
Did you receive wages from the company?
8 받은 임금이 있다면 적겠습니다. bah-deun eem-geu-mee eet-ttah-myuhn juhk-kkeht-sseum-nee-dah.
RR: Badeun imgeumi itttamyeon jeokkketsseumnida.
I will state any wages I received.
9 다른 보상금을 받은 적이 있나요? dah-reun boh-sahng-geu-meul bah-deun juh-gee een-nah-yoh?
RR: Dareun bosanggeumeul badeun jeogi innayo?
Have you received any other compensation?
Step 4Average-wage evidence3 Korean phrases

4. Average-wage evidence

Keep originals and submit copies unless the receiving office asks otherwise.

Average-wage evidence: for a first claim, KCOMWEL guidance says wage ledgers for the previous four months including the accident month and relevant 12-month bonus/annual-leave records may be requested.

# Korean How to say it Natural meaning
10 다른 배상·보상 내용을 확인하겠습니다. dah-reun beh-sahng·boh-sahng neh-yohng-eul hwah-geen-hah-geht-sseum-nee-dah.
RR: Dareun baesang·bosang naeyongeul hwaginhagetsseumnida.
I will check other damages or compensation.
11 평균임금 정보를 확인해 주세요. pyuhng-gyoo-neem-geum juhng-boh-reul hwah-geen-heh joo-seh-yoh.
RR: Pyeonggyunimgeum jeongboreul hwaginhae juseyo.
Please check the average-wage information.
12 재해 전 임금대장을 준비했습니다. jeh-heh juhn eem-geum-deh-jahng-eul joon-bee-heht-sseum-nee-dah.
RR: Jaehae jeon imgeumdaejangeul junbihaetsseumnida.
I prepared the wage ledger from before the accident.
Step 5Other damages or compensation3 Korean phrases

5. Other damages or compensation

Mark required fields, conditional sections, signatures and representative details.

Other damages or compensation: state related payments rather than leaving a known payment out; ask the office if the categories overlap.

# Korean How to say it Natural meaning
13 상여금 내역을 준비했습니다. sahng-yuh-geum neh-yuh-geul joon-bee-heht-sseum-nee-dah.
RR: Sangyeogeum naeyeogeul junbihaetsseumnida.
I prepared the bonus records.
14 연차수당 내역을 준비했습니다. yuhn-chah-soo-dahng neh-yuh-geul joon-bee-heht-sseum-nee-dah.
RR: Yeonchasudang naeyeogeul junbihaetsseumnida.
I prepared the annual-leave allowance records.
15 수령할 계좌를 적겠습니다. soo-ryuhng-hahl gyeh-jwah-reul juhk-kkeht-sseum-nee-dah.
RR: Suryeonghal gyejwareul jeokkketsseumnida.
I will enter the account for payment.
Step 6Payment account3 Korean phrases

6. Payment account

Draft a short chronology, then copy it consistently into the form.

Payment account: copy the bank, account number and holder from current records; confirm special protected-account handling directly.

# Korean How to say it Natural meaning
16 예금주가 본인과 같습니다. yeh-geum-joo-gah boh-neen-gwah gaht-sseum-nee-dah.
RR: Yegeumjuga boningwa gatsseumnida.
The account holder is me.
17 압류방지통장인가요? ahp-ryoo-bahng-jee-tohng-jahng-een-gah-yoh?
RR: Apryubangjitongjangingayo?
Is this a protected account?
18 최초 청구에 필요한 서류가 무엇인가요? chweh-choh chuhng-goo-eh pee-ryoh-hahn suh-ryoo-gah moo-uh-seen-gah-yoh?
RR: Choecho cheonggue piryohan seoryuga mueosingayo?
What documents are needed for the first claim?
Step 7Attachments and signature3 Korean phrases

7. Attachments and signature

Check evidence names, page order, personal data and any consent statement.

Attachments and signature: list evidence, read the declaration, sign only after checking every date and amount, and keep the complete signed copy.

# Korean How to say it Natural meaning
19 의료기관 관할 지사를 알려 주세요. ui-ryoh-gee-gwahn gwahn-hahl jee-sah-reul ahl-ryuh joo-seh-yoh.
RR: Uiryogigwan gwanhal jisareul alryeo juseyo.
Please tell me the KCOMWEL branch for the medical institution.
20 방문, 우편, 팩스로 제출할 수 있나요? bahng-moon, oo-pyuhn, pehk-sseu-roh jeh-chool-hahl soo een-nah-yoh?
RR: Bangmun, upyeon, paeksseuro jechulhal su innayo?
Can I submit in person, by mail or by fax?
21 온라인으로도 신청할 수 있나요? ohn-rah-ee-neu-roh-doh seen-chuhng-hahl soo een-nah-yoh?
RR: Onraineurodo sincheonghal su innayo?
Can I also apply online?
Step 8Submission proof3 Korean phrases

8. Submission proof

Use an accepted channel, keep a complete copy and record the receipt number.

Submission proof: file with the KCOMWEL branch responsible for the treating medical institution through an accepted channel and save the receipt number.

# Korean How to say it Natural meaning
22 서명한 사본을 보관하겠습니다. suh-myuhng-hahn sah-boh-neul boh-gwahn-hah-geht-sseum-nee-dah.
RR: Seomyeonghan saboneul bogwanhagetsseumnida.
I will keep a signed copy.
23 접수번호를 알려 주세요. juhp-ssoo-buhn-hoh-reul ahl-ryuh joo-seh-yoh.
RR: Jeopssubeonhoreul alryeo juseyo.
Please tell me the receipt number.
24 지급 결정 상태를 확인하고 싶습니다. jee-geup gyuhl-juhng sahng-teh-reul hwah-geen-hah-goh seep-sseum-nee-dah.
RR: Jigeup gyeoljeong sangtaereul hwaginhago sipsseumnida.
I want to check the payment-decision status.
20 words to recognize

20 words to recognize

# Korean Pronunciation Meaning
1 휴업급여 hyoo-uhp-kkeu-byuh
RR: Hyueopkkeubyeo
temporary disability benefits
2 청구서 chuhng-goo-suh
RR: Cheongguseo
claim form
3 청구기간 chuhng-goo-gee-gahn
RR: Cheonggugigan
claim period
4 요양기간 yoh-yahng-gee-gahn
RR: Yoyanggigan
medical treatment period
5 취업하지 못한 기간 chwee-uh-pah-jee moh-tahn gee-gahn
RR: Chwieopaji motan gigan
period unable to work
6 평균임금 pyuhng-gyoo-neem-geum
RR: Pyeonggyunimgeum
average wage
7 임금대장 eem-geum-deh-jahng
RR: Imgeumdaejang
wage ledger
8 상여금 sahng-yuh-geum
RR: Sangyeogeum
bonus
9 연차수당 yuhn-chah-soo-dahng
RR: Yeonchasudang
annual-leave allowance
10 수령계좌 soo-ryuhng-gyeh-jwah
RR: Suryeonggyejwa
payment account
11 예금주 yeh-geum-joo
RR: Yegeumju
account holder
12 압류방지통장 ahp-ryoo-bahng-jee-tohng-jahng
RR: Apryubangjitongjang
protected account
13 다른 배상·보상 dah-reun beh-sahng·boh-sahng
RR: Dareun baesang·bosang
other damages or compensation
14 의료기관 관할 지사 ui-ryoh-gee-gwahn gwahn-hahl jee-sah
RR: Uiryogigwan gwanhal jisa
responsible KCOMWEL branch
15 첨부서류 chuhm-boo-suh-ryoo
RR: Cheombuseoryu
attachments
16 서명 suh-myuhng
RR: Seomyeong
signature
17 접수번호 juhp-ssoo-buhn-hoh
RR: Jeopssubeonho
receipt number
18 지급 결정 jee-geup gyuhl-juhng
RR: Jigeup gyeoljeong
payment decision
19 부지급 boo-jee-geup
RR: Bujigeup
non-payment
20 토탈서비스 toh-tahl-suh-bee-seu
RR: Totalseobiseu
Total Service
Replies you may hear

Replies you may hear

  • 요양 때문에 취업하지 못한 기간만 적어 주세요. – Enter only the period you could not work because of treatment.
  • 청구기간 중 일하거나 사업을 운영한 날이 있으면 사실대로 표시하세요. – Report truthfully any day you worked or operated a business during the claim period.
  • 회사에서 받은 임금이 있으면 금액을 적어 주세요. – Enter any wages received from the company.
  • 최초 청구에는 평균임금 확인 자료가 필요할 수 있습니다. – A first claim may require documents confirming the average wage.
  • 재해 발생월을 포함한 이전 4개월 임금대장을 준비해 주세요. – Prepare the wage ledger for the previous four months, including the accident month.
  • 상여금·연차수당은 이전 12개월 내역을 확인합니다. – Bonus and annual-leave allowance records for the previous 12 months are checked.
  • 계좌번호와 예금주를 다시 확인해 주세요. – Check the account number and holder again.
  • 접수 후 진행 상태는 토탈서비스에서 확인할 수 있습니다. – After filing, progress can be checked through Total Service.
Two form-preparation dialogues

Two form-preparation dialogues

1

근로자: 산재 치료 때문에 한 달 동안 일을 못 했습니다.

담당자: 실제로 취업하지 못한 기간을 청구기간에 적어 주세요.

근로자: 그 기간에 회사에서 받은 임금은 없습니다.

담당자: 최초 청구라면 임금대장 등 확인 자료가 필요할 수 있습니다.

근로자: 확인해서 청구서와 함께 제출하겠습니다.

The worker identifies the real no-work period and checks which wage records may be required.

2

근로자: 휴업급여 청구서를 어디에 제출하나요?

담당자: 치료받은 의료기관을 관할하는 근로복지공단 지사를 확인하세요.

근로자: 온라인 신청도 가능한가요?

담당자: 토탈서비스나 모바일 신청 절차도 확인할 수 있습니다.

근로자: 서명한 사본과 접수번호를 보관하겠습니다.

The worker confirms the responsible branch, online option and proof to keep.

Temporary disability benefits: final form checklist

  • Confirm form and deadline
  • Use current official file
  • Prepare ID and contact
  • Write a dated chronology
  • Use exact names and numbers
  • Separate facts from opinion
  • List every attachment
  • Check signature and consent
  • Keep a full copy
  • Save submission proof
Scope and filing boundaries

Scope and filing boundaries

  • The form does not guarantee approval
  • Do not invent missing facts
  • Do not alter an official file
  • Protect unrelated personal data
  • Use an interpreter when accuracy is at risk
  • Confirm urgent deadlines with the receiving office

Do not claim days you worked or operated a business. Do not guess wage or account details. If the treatment period and no-work period differ, ask KCOMWEL which dates belong in the claim.

Prepared by BSKorean Content Studio. The official form revised 5 July 2023, KCOMWEL guidance and online filing information were rechecked on 26 August 2026.

Official sources checked

Temporary disability benefits: five-minute practice

Open the official form beside this guide. Draft the facts in date order, copy them into the matching fields, check the attachments and signature, then save proof of submission.

Practise these phrases in the BSKorean app →

View all 24 episodes

Temporary disability benefits: questions foreign workers often ask

What should I confirm before using this form?

Claim type and identity: select temporary disability benefits, then copy the worker's legal name, resident/foreign registration number, address and contact details exactly.

Which details should I check twice?

Claim period: enter only dates the worker could not work because of the approved treatment; treatment dates alone do not prove that every day belongs in this field.

Where should I get the form?

Use the official original and official source links in this guide. Check the form date again before filing.