Enforcement Rules of the Labor Insurance Act Article 68

Anyone who applies for the payment of disability benefits in accordance to Article 53 or 54 of the Act shall prepare the following documents:1.Application forms for disability benefit payments and Receipts of benefits payment.2.Medical certificate of disability.3.Enclose check-out report and related pictures and photos where medical examination is made.To audit disability benefit payments, the insurer may designate authorized national health insurance hospital or clinic or physicians according to Article 56 of the Statute to perform re-examination, and may notify the hospital or clinic producing the medical certificate of disability to provide necessary records of examination or patient data of diagnosis and treatment.
中文原文 勞工保險條例施行細則第68條
依本條例第五十三條或第五十四條規定請領失能給付者,應備下列書件:
一、失能給付申請書及給付收據。
二、失能診斷書。
三、經醫學檢查者,附檢查報告及相關影像圖片。
保險人審核失能給付,除得依本條例第五十六條規定指定全民健康保險特約醫院或醫師複檢外,並得通知出具失能診斷書之醫院或診所檢送相關檢查紀錄或診療病歷。

English translation for reference only; the Chinese text prevails. Not legal advice.