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Social Insurance Fund of the Russian Federation application for payment of benefits. How to apply for a one-time benefit at the birth of a child

How to correctly fill out an application for temporary disability benefits? What other documents are required to receive benefits? Read our article, download the sample and updated FSS form to fill out

From this article you will learn:

How to fill out an application for payment of temporary disability benefits to the Social Insurance Fund

The usual procedure for paying for a temporary disability certificate does not imply that the employee independently writes an application to the Social Insurance Fund. It is enough to submit a sick leave certificate to the HR department, and the sick time will be paid.

However, in some special cases, as well as at the personal request of the employee, he can apply for compensation directly to the Social Insurance Fund. This usually happens if:

the person, bypassing the intermediary represented by the insurer-employer, personally entered into an agreement with the Social Insurance Fund for compulsory social insurance. Since 2011, the FSS launched the “Direct Payments” project, the essence of which is that the employee receives compensation for the period of temporary disability to his own account directly from the fund;
the insured event occurred after dismissal, and although the previous employer is obliged to accept documents for sick leave payment within thirty days, he managed to cease his activities during this month;
the policyholder is currently unable to do so due to a lack of funds;
the policyholder declared himself bankrupt.

To receive sick leave payments from the Social Insurance Fund, the employee must independently write an application. If the labor situation is stable or has temporary difficulties, then the document is submitted to the employer, who is obliged to transfer it to the fund within at least five days.

If problems arise with the employer (he goes bankrupt, goes into hiding, refuses to accept the application), then the citizen has the right to submit his application directly to the territorial body of the fund at the place of registration of the policyholder (employer).

Often, employees need assistance in drawing up an application for temporary disability benefits. A competent HR employee can help him. Moreover, an incorrectly drawn up application will be returned back to the policyholder with a requirement to correct the errors within up to 5 days. This is unnecessary time and labor costs, so it is wiser to draw up the document correctly the first time, according to all the rules.

The official application form for sick leave from the Social Insurance Fund has been updated. The fund also established rules for filling out the form:

Computer or handwritten filling methods are acceptable;
when filling by hand, only black ink is used; the pen can be a ballpoint, gel, capillary, or fountain pen;
use only block letters;
corrections and blots are unacceptable;
all entries are strictly within the established cells.

Failure to comply with at least one of these points will result in the form being declared damaged and the document will be invalid.

Step-by-step procedure for filling out the form:

Step 1. Full name of the social insurance authority, without using abbreviations.

Step 2. Full name of the applicant - an employee entitled to benefits.

Step 3. Check the appropriate boxes. In this case, assign and pay temporary disability benefits.

Step 4. You need to choose a payment method. The vast majority of people choose to receive benefits into their bank account. In this case, the next column contains the name of the bank, its BIC and the recipient's account number. Almost no one chooses a postal transfer as a payment method, but, nevertheless, if they still choose it, then the columns with bank details remain empty.

Step 5. Fill out the information section about the benefit recipient - full name, date of birth, passport details or other identification document.

Step 6. Information about the place of registration is necessary to receive benefits by postal order. If the employee lives (and receives payments) not at the place of registration, then in clause VI you need to indicate the address of residence, and it is at this address that the postal transfer will be made.

Step 7. Applicant's contact number.

Step 8. Details of supporting documents - a certificate of incapacity for work on paper.

Step 9. Signature of the applicant, date of preparation of the document.

Step 10. Full name of the insured company.

Step 11. INN, SNILS of the applicant, type of employment at the enterprise.

Step 12. Calculation of the amount required to pay funds for compulsory social insurance. If it is not possible to contact the employer-insurer, and the employee fills out the application on his own, it is more advisable to leave these fields blank. An authorized FSS employee will help you enter data into them, based on the amount of insurance contributions received for this employee for the previous period.

There are many cells on the 2019 Temporary Disability Benefit application form, and not all of them require completion. There is no need to reflect any extraneous data in them.

What documents are needed to reimburse benefits for sick leave?

An application to the Social Insurance Fund for payment of temporary disability benefits in 2019 must be accompanied by supporting documents:

certificate of temporary incapacity for work;
calculation of mandatory insurance premiums for temporary disability, which were accrued and paid to the fund, as well as the costs of insurance payments in an approved form agreed with the federal authorities;
reference-calculation.

If an employee submits documents without the participation of the policyholder, it is also necessary to attach:

identification document;
documentary evidence of insurance experience (or an application for a request to the Pension Fund to obtain the necessary information).

The Social Insurance Fund makes payments within 10 calendar days from the date of receipt of the package of documents.

A one-time benefit for the birth of a child is provided to one of the parents. The payment can be provided to both the mother and the father. If the parents are officially employed, then the application can be written at the place of work of any of them, and you will need to provide a certificate from the work of the other that he did not receive the payment. If one of them does not work, then a lump sum benefit is paid at the place of employment of the working parent. If both father and mother are not officially employed, the payment is made through the Social Insurance Fund.

To apply for assistance from the state, you will need to prepare an application for a lump sum payment at the birth of a child and you will need to provide additional documents with it:

ID card of father and mother;
child's birth certificate;
a certificate of birth of a child from the registry office, which is issued at the time of registration;
marriage certificate;
divorce certificate if parents are divorced;
certificate from the second parent’s place of work. If he is not officially employed, he needs to contact the social protection authorities and request such a certificate there.

How to fill

The paper is drawn up in writing, or in any form. A sample application for a lump sum benefit for the birth of a child can be downloaded below.

Step 1. In the “header” you must indicate the name of the organization if applying from an employer. If in the FSS, then the territorial office to which you are applying.

Step 2. Enter the full name of the manager in the genitive case and your details.

Step 3. State your request for one-time cash assistance. In this case, it is necessary to indicate the full name and date when the baby was born.

Step 4. Be sure to include in the sample application for payment of a lump sum birth benefit a list of all attached documents.

Step 5. Be sure to date and sign the lump sum payment application.

Sample application for child birth benefits

Who is entitled to payment

Almost all categories of citizens can count on financial assistance:

officially employed persons subject to compulsory social insurance in case of temporary disability and in connection with maternity clause 27 Pr. Ministry of Health and Social Development No. 1012N;
persons without a permanent place of work, or students, on the basis of clause 29 of Pr. Ministry of Health and Social Development No. 1012N;
foreign citizens who live on the territory of the Russian Federation and are subject to compulsory social insurance on the basis of Article 2 of Federal Law No. 255;
pizza, who adopted the baby in accordance with paragraph 25 of Pr. Ministry of Health and Social Development No. 1012N.

When and how much will they pay?

The money is paid one time for each newborn. If twins or triplets were born, you can indicate all of them in the application at once.

The amount is indexed every year, from 02/01/18 its amount is 16,759.09 rubles.

If the appeal is written at the place of work, then the benefit by law must be paid within 10 days. But if through government services - until the 25th of the next month.

To get help, you need to provide documents no later than six months after the baby is born!

Its size has increased to 7,500 rubles. Accordingly, the amount of Social Security benefits calculated from the minimum wage has also changed. Sickness and maternity benefits cannot be lower than the minimum amount, so their amount will increase for those whose salaries are low, as well as for workers whose work experience at the beginning of maternity leave or sick leave is less than six months. Let's consider the amounts in which benefits are now accrued and how to receive their reimbursement from the Social Insurance Fund.

Table of benefit amounts in the Social Insurance Fund

The new minimum wage will affect benefits that are calculated from July 1, 2016. We present the current amounts of Social Security benefits in the table:

	Size from 07/01/2016
	Minimum	Maximum
Child care (monthly)		RUB 21,554.82
For pregnancy and childbirth	RUB 28,555.40 (RUB 39,569.62 – for multiple pregnancies; RUB 31,818.87 – during complicated childbirth)	RUB 248,164.00 (RUB 343,884.40 – for multiple pregnancies; RUB 276,525.60 – during complicated childbirth)
Child care up to one and a half years old	RUB 3,000.00 - for the first child RUB 5,817.24 – for the second child and subsequent children
At the birth of a child (one-time)	15,512.65 rub.
When registering in early pregnancy
Average daily earnings for calculating benefits	Minimum – 246.58 rubles. Maximum – 1772.60 rubles.
Minimum wage	7500.00 rub.
Period used to calculate temporary disability benefits in 2016	2014 - 2015

Application form for payment of benefits to the Social Insurance Fund

Today, 20 regions of the Russian Federation have already joined the pilot project of the Social Insurance Fund, according to which the employee receives benefits directly from social insurance, and not from the employer. The Social Insurance Fund itself calculates benefits and pays them directly to an individual to a personal bank account, or sends them by postal order. The first 3 days of illness are still paid by the employer from his own funds.

Together with supporting documents (sick leave, birth certificate, etc.), the employee submits to the employer an application indicating his details for transferring benefits. The employer sends supporting documents and an application to Social Insurance within 5 days, and the fund decides on the payment of benefits to the employee within 10 days from the date of receipt. The employee should fill out an application for payment of benefits for the Social Insurance Fund, the form of which was approved by Order No. 335 dated September 17, 2012.

Where the pilot project is not yet in effect, employers continue to transfer the difference between accrued insurance premiums and paid benefits to the Social Insurance Fund. If the amount of benefits exceeds the amount of accrued contributions, the company has the right to apply to the Social Insurance Fund with an application for reimbursement of expenses incurred for benefits. The application is accompanied by a calculation in form 4-FSS, as well as documents confirming the accrual of benefits. After a desk audit, if the fund makes a decision to allocate funds, they are transferred to the employer within 10 days. The application form must contain the required details and data: registration number in the Social Insurance Fund, OKVED, data on the amount of debt, if any, a list of benefits paid for a certain period, date and signatures of officials.

Most often, the HR department is provided with a sick leave along with an application for payment of material resources, but there may be a case when sick leave is submitted immediately upon illness. According to the law, an employee can bring sick leave within six months after its closure, at the same time an application for payment of money must be written. The HR department sends documents to social insurance within 5 days. As for HR department employees, they have only five days during which they send documents to the social insurance fund. In this case, the employee must bring a sheet and a completed application. If the application is not completed, you can fill it out using the sample in the HR department, or print it and then simply sign it.

Samples of filling out an application for benefits (vacation pay)

List of documents for compensation of the Social Insurance Fund 2018 The necessary set of documents for the social insurance fund in order to cover social benefits paid to employees was approved by order of the Ministry of Health and Social Development dated December 4, 2009 No. 951n. These are the following papers (clause 9 of article 431 of the Tax Code, clause 3 of article 4.6 of the Federal Law of December 29, 2006 No. 255-FZ, annex to the order of the Ministry of Health and Social Development of December 4, 2009 No. 951n):

application in the form from the letter of the Federal Social Insurance Fund of Russia dated December 7, 2016 No. 02-09-11/04-03-27029. Please note: for reimbursement of benefits for periods starting from January 1, 2017, this certificate is a mandatory document (clause
2.1 of the list approved by order of the Ministry of Health and Social Development of Russia dated December 4, 2009 No. 951n). The application contains two annexes. This is a calculation certificate (Appendix 1) and a breakdown of expenses (Appendix 2). We will talk in more detail about each of them separately below.

Sample applications (forms)

There are certain rules for filling out an application for payment of sick leave through the Social Insurance Fund:

All entries must be black and written using a gel or capillary pen, or typewritten.
Blots, corrections, crossing out, covering up, etching are not allowed.
Only those sections for which the applicant has information should be completed.

The procedure for filling out the form to receive direct payment of sick leave benefits for temporary disability:

In the header, in the appropriate columns, the full name of the territorial body of the Social Insurance Fund is written.
The header indicates who the application is coming from.
After the words “In connection with the occurrence of an insured event, I request you to assign and pay (pay)” the type of insured event is indicated with a tick.

Sample application for payment of sick leave, description of the application

With the launch of the “Direct Payments” pilot project, the number of workers wishing to receive “sick leave”, “maternity” and other amounts directly from social insurance authorities is growing. In this case, the application must be written. How can an employee fill out and submit a form for payment to the Social Insurance Fund? The application for direct payment to the Social Insurance Fund is filled out by the employee independently and submitted along with the sick leave to the employer.
The employer is obliged to submit it to the Social Insurance Fund authorities within five days of receiving such a form. The form of the form is approved by Order of the Social Insurance Fund of the Russian Federation dated November 24, 2017 N 578. It can be downloaded from the official website of the Social Insurance Fund.

Application for compensation for sick leave in the Social Insurance Fund + sample filling

The application is completed with visas of the responsible persons - the director of the company (IP), the chief accountant (if any). Indicate the details of the document on the basis of which the official representative of the policyholder acts. In the last line, the FSS employee puts the date and signature with the transcript, so just leave it blank, don’t touch it.

From June 1 - 3 important changes that directly relate to salary issues and salary documents:

The Ministry of Labor canceled bonuses
The FSS introduced a new salary certificate instead of 182n
Courts against paying vacation pay 3 days before vacation

Especially for site visitors, we opened the articles of the June issue of the magazine “Salary” ahead of schedule. Activate access to read articles. Activate access How to fill out a certificate of calculation - Appendix 1 to the application to the Social Insurance Fund The form of such a document as a certificate of calculation in the Social Insurance Fund is not independent.

Important

For example, payslips for the last two years. Such a statement in accordance with Art. 62 Labor Codes are reviewed within three working days. If you receive a refusal or do not receive a response at all, there is the possibility of challenging it in court or appealing to other authorities. Example of registration Download a sample application for payment of benefits from a former employer after dismissal - word.

Attention

Conclusions The basis for payment of temporary disability benefits is sick leave. There is no need to write any additional statement for the employer. The application is written only if the insured person has chosen the direct route of receiving payment through the Social Insurance Fund.

Then a standard form is used, which, after filling out, is submitted to the place of work, then the employer transfers it to the Social Insurance Fund.

Application for FSS sick leave (form and sample)

Application form for reimbursement in 2018 to an insured registered with the territorial bodies of the Social Insurance Fund of the Russian Federation located on the territory of the constituent entities of the Russian Federation participating in the implementation of the pilot project for expenses incurred to pay for preventive measures to reduce industrial injuries and occupational diseases of workers and sanatorium-resort treatment of workers engaged in work with harmful and (or) hazardous production factors (annex to the Order of the Ministry of Health and Social Development of Russia dated July 11, 2011.