Template for filling out order 335 Appendix 1. List of documents submitted to the territorial body of the Federal Social Insurance Fund of the Russian Federation for the assignment of benefits on paper - state institution - Kaluga regional branch of the Russian Social Insurance Fund

Appendix No. 1. Application for payment of benefits (vacation pay) Appendix No. 2. List of applications and documents necessary for the appointment and payment of relevant types of benefits to insured persons Appendix No. 3. Application for reimbursement of expenses for the payment of temporary disability benefits Appendix No. 4. Notice on the submission of missing documents or information Appendix No. 5. Decision on refusal to assign and pay benefits for temporary disability Appendix No. 6. Application for reimbursement of expenses for payment of social benefits for funeral Appendix No. 7. Application for reimbursement of expenses for paying four additional days off to one from parents (guardian, trustee) to care for disabled children Appendix No. 8. Application for reimbursement of the cost of a guaranteed list of funeral services Appendix No. 9. Decision to refuse to consider documents (information) Appendix No. 10. Certificate calculating the amount of vacation pay ( in addition to annual paid leave) for the entire period of treatment and travel to and from the place of treatment

Order of the Foundation social insurance RF dated September 17, 2012 N 335
"On approval of document forms used for payment of insurance coverage and other payments in the constituent entities in 2012 and 2013 Russian Federation participating in the implementation of a pilot project providing for the appointment and payment of insurance coverage to insured persons for compulsory social insurance in case of temporary disability and in connection with maternity and for compulsory social insurance against industrial accidents and occupational diseases, other payments and expenses by the territorial bodies of the Social Fund insurance of the Russian Federation"

a form of inventory of applications and documents necessary for the appointment and payment of relevant types of benefits to insured persons, in accordance with Appendix No. 2;

application form for reimbursement of expenses for temporary disability benefits in accordance with Appendix No. 3;

form of notification of the submission of missing documents or information in accordance with Appendix No. 4;

form of decision to refuse to assign and pay benefits for temporary disability in accordance with Appendix No. 5;

an application form for reimbursement of expenses for the payment of social benefits for funerals in accordance with Appendix No. 6;

an application form for reimbursement of expenses for paying four additional days off to one of the parents (guardian, trustee) for caring for disabled children in accordance with Appendix No. 7;

application form for reimbursement of the cost of a guaranteed list of funeral services in accordance with Appendix No. 8;

form of decision to refuse to consider documents (information) in accordance with Appendix No. 9;

a form of a certificate calculating the amount of vacation pay (in addition to annual paid leave) for the entire period of treatment and travel to the place of treatment and back in accordance with Appendix No. 10.

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In applications for payment of benefits (vacation pay) (Appendix No. 1 to the order of the Social Insurance Fund dated September 17, 2012 No. 335), employees sign in the column “Signature of the applicant / his authorized representative” with a ballpoint pen in ink of blue color. The form itself is printed from the 1C-8 program. CEO signed with a gel pen and black ink. Tell me, is it a serious violation to use blue paste only in the “Signature of the applicant” column? In January we have an FSS check. How can we be punished for this? Thank you in advance.

Answer

Answer to the question:

When filling out an application for payment of benefits (vacation pay), approved by Order of the Federal Social Insurance Fund of the Russian Federation dated September 17, 2012 N 335, the following requirements apply.

Entries are made in Russian in block letters and black ink. You can use gel, capillary, or fountain pens. The use of printing devices is allowed. Entries should not go beyond the boundaries of the cells provided for making the corresponding entries.

Decree of the Government of the Russian Federation dated April 21, 2011 N 294 does not provide for special liability in a situation where signatures are made with a blue ballpoint pen.

Meanwhile, this fact may be the basis for increasing the period for consideration by the Social Insurance Fund of an application for payment of benefits (clause 7 of Regulation 294).

So, if the FSS considers that the information is presented in an improper form, it will send the policyholder a notice of the submission of documents. And this, in turn, may affect the date of payment of benefits.

Details in the materials of the Personnel System:

Situation: How to pay benefits in the regions that are participating in the pilot project of the Federal Social Insurance Fund of Russia according to a special procedure for the assignment and payment of social benefits

Nina Kovyazina, Deputy Director of the Department medical education and personnel policy in healthcare of the Russian Ministry of Health

The pilot project provides that all types of social benefits, including temporary disability benefits, benefits for registration in the early stages of pregnancy, benefits for the birth of a child, maternity benefits, child care benefits, etc., units The Russian Social Insurance Fund pays directly to insured persons, that is, employees, bypassing employers. The payment procedure is established by Decree of the Government of the Russian Federation dated April 21, 2011 No. 294.

The following are involved in the implementation of the pilot project:

 from January 1, 2012 to December 31, 2019 – Karachay-Cherkess Republic and Nizhny Novgorod region;

 from July 1, 2012 to December 31, 2019 – Astrakhan, Kurgan, Novgorod, Novosibirsk, Tambov regions and Khabarovsk region;

 from July 1, 2015 to December 31, 2019 – the Republic of Tatarstan, Belgorod, Rostov and Samara regions;

 from July 1, 2016 to December 31, 2019 – the Republic of Mordovia, Bryansk, Kaliningrad, Kaluga, Lipetsk and Ulyanovsk region;

 from July 1, 2017 to December 31, 2019 – the Republic of Adygea, the Republic of Altai, the Republic of Buryatia, the Republic of Kalmykia, Altai and Primorsky Territories, Amur, Vologda, Magadan, Omsk, Oryol, Tomsk regions and the Jewish Autonomous Region;

 from July 1, 2018 to December 31, 2019 – the Republic of Sakha (Yakutia), Trans-Baikal Territory, Vladimir, Volgograd, Voronezh, Ivanovo, Kemerovo, Kirov, Kostroma, Kursk, Ryazan, Smolensk, Tver regions;

 from July 1 to December 31, 2019 - the Republic of Dagestan, the Republic of Ingushetia, the Republic of Karelia, the Komi Republic, the Republic of North Ossetia - Alania, the Republic of Khakassia, the Kabardino-Balkarian Republic, the Udmurt Republic, the Chechen Republic, the Chuvash Republic, Arkhangelsk, Tula, Yaroslavl areas.

This follows from paragraph 2 of Decree of the Government of the Russian Federation of April 21, 2011 No. 294 and paragraph 3 of the changes approved by Decree of the Government of the Russian Federation of December 19, 2015 No. 1389.

In order for an employee to receive the sick leave benefits due to him, he must first submit all the necessary documents to his employer.

If the employee’s disability is not related to an industrial accident, he submits to the organization:

 application for payment of benefits in the form approved by order of the Federal Social Insurance Fund of Russia dated September 17, 2012 No. 335;

 certificate of incapacity for work;

 certificates of earnings from previous places of work for billing period, if they have not been submitted previously.

This procedure is established in paragraph 2 of the Regulations, approved by Decree of the Government of the Russian Federation of April 21, 2011 No. 294.

Submit the documents received from the employee within five calendar days to the FSS office of Russia at your place of registration. Attach a list of the documents being transferred. The inventory form was approved by order of the Federal Social Insurance Fund of Russia dated September 17, 2012 No. 335.

The method of transferring a set of documents depends on the average number of employees of the organization. So, if it does not exceed 25 people, documents are submitted on paper. When the average headcount is 26 people or more, electronic communication channels must be used. In this case, the information necessary for calculating benefits is submitted in the form of an electronic register. The form of the register and the procedure for filling it out were approved by order of the FSS of Russia dated June 15, 2012 No. 223.

Having received the documents, the FSS branch of Russia reviews them within 10 calendar days and makes a decision on payment of benefits or refusal of it. If the decision is positive, the money is transferred to the employee using the details that he indicated in his application. This transfer procedure applies to benefits for temporary disability, pregnancy and childbirth, at the birth of a child, for registration in early pregnancy, as well as the initial payment of child care benefits. Subsequent payments of child care benefits are made by the territorial body of the Federal Social Insurance Fund of Russia from the 1st to the 15th of the month following the month for which such benefits are paid.

This procedure is established by paragraphs 3, 4, 8, 9 of the Regulations approved by Decree of the Government of the Russian Federation of April 21, 2011 No. 294.

Please note: sickness benefits are paid by the fund in accordance with the generally established procedure. That is, if the employee himself falls ill for reasons not related to an accident at work, the fund accrues benefits starting from the fourth day of illness. The employer pays for the first three days of incapacity at his own expense. This is explained in paragraph 6 of the Regulations, approved by Decree of the Government of the Russian Federation of April 21, 2011 No. 294.

In a situation where an employee’s illness is associated with an accident at work or due to an occupational disease, similar procedure registration of documents for the Federal Social Insurance Fund of Russia. Only their list has been expanded. Additionally, a report on an industrial accident or a report on an occupational disease and copies of the investigation materials must be submitted to the fund.

This is established by paragraph 3 of the Regulations, approved by Decree of the Government of the Russian Federation of April 21, 2011 No. 294.

The FSS branch of Russia, having received the documents, conducts an examination within 10 calendar days insured event, assigns and pays benefits. If, based on the results of the examination, it is recognized that the illness is associated with an accident or is caused by an occupational disease, the benefit is assigned according to the rules established by Law No. 125-FZ of July 24, 1998. This is stated in paragraph 7 of the Regulations, approved by Decree of the Government of the Russian Federation of April 21, 2011 No. 294.

From the answer “Who should pay sick leave benefits”

With respect and wishes for comfortable work, Elena Karsetskaya,

HR System expert

Recognize as invalid the order of the Social Insurance Fund of the Russian Federation dated June 17, 2011 No. 195 “On approval of the forms of documents used for the payment of insurance coverage and other payments in 2011 in the constituent entities of the Russian Federation participating in the implementation of a pilot project providing for the appointment and payment to the insured persons with insurance coverage for compulsory social insurance in case of temporary disability and in connection with maternity and for compulsory social insurance against industrial accidents and occupational diseases, other payments and expenses by the territorial bodies of the Social Insurance Fund of the Russian Federation" (Registered by the Ministry of Justice of the Russian Federation on July 4 2011 No. 21256). In five years on Forex, I have only traded with one broker - Forex4you.

Sample applications (forms)

Home Documents

Order
Appendix No. 1. Application for payment of benefits (vacation pay)
- Information about the recipient of benefits (vacation pay)
- Details of documents attached for appointment
Appendix No. 2. List of applications and documents required for the appointment and payment of relevant types of benefits to insured persons
Appendix No. 3.
Application for reimbursement of expenses for temporary disability benefits
- Information about benefit recipients
- Information about the policyholder
Appendix No. 4. Notice of submission of missing documents or information
Appendix No. 5. Decision to refuse to assign and pay temporary disability benefits
Appendix No. 6.

Samples of applications for payment of benefits

Order of the Ministry of Health and Social Development of Russia dated July 11, 2011. No. 709n)

A sample of filling out an application for reimbursement in 2016 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 sanatoriums. resort treatment for 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 No. 709n)

DOCUMENTS RO FSS: Form of notification of the submission of missing documents or information (Appendix No. 4 to the Order of the FSS of the Russian Federation dated September 17, 2012.

About the fund

Application form for payment of benefits (vacation pay) Download (Appendix No. 1 to the Order of the Social Insurance Fund of the Russian Federation dated September 17, 2012 No. 335 “On approval of document forms used for payment of insurance coverage and other payments in 2012 and 2013 in the constituent entities of the Russian Federation participating in the implementation of a pilot project providing for the appointment and payment of insurance coverage to insured persons for compulsory social insurance in case of temporary disability and in connection with maternity and for compulsory social insurance against industrial accidents and occupational diseases, other payments and expenses by the territorial bodies of the Social Fund Insurance of the Russian Federation") comes into force on November 18, 2012.
Application for reimbursement in 2012 and 2013 to the 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 sanatoriums resort treatment for workers engaged in work with harmful and (or) hazardous production factors. 2. Application for payment of benefits (vacation) (Appendix No. 1 to Order of the Federal Social Insurance Fund of the Russian Federation dated September 17, 2012 No. 335). Download.

Sample of filling out an application for payment of temporary disability benefits.

TO THE EMPLOYEE: Application form for payment of benefits (vacation pay) (Appendix No. 1 to Order of the Federal Social Insurance Fund of the Russian Federation dated September 17, 2012 No. 335)

Samples of filling out an application for payment of benefits (vacation pay) (Appendix No. 1 to the Order of the Federal Social Insurance Fund of the Russian Federation dated September 17, 2012 No. 335)

TO THE EMPLOYER: Sample letter to the Social Insurance Fund from the policyholder with an incorrectly completed electronic register. Form of inventory of applications and documents necessary for the appointment and payment of the relevant types of benefits to the insured persons (Appendix No. 2 to the Order of the Social Insurance Fund of the Russian Federation dated September 17, 2012 No. 335)

A sample of filling out a list of applications and documents necessary for the appointment and payment of relevant types of benefits to insured persons (Appendix No. 2 to the Order of the Federal Social Insurance Fund of the Russian Federation dated September 17, 2012 No. 335)

Application form for reimbursement of expenses for payment of temporary disability benefits (Appendix No. 3 to the Order of the Federal Social Insurance Fund of the Russian Federation dated September 17, 2012.

Instructions for filling out Appendix 1 to Order 335 of September 17, 2012 FSS

Form of notification of the submission of missing documents or information in accordance with Appendix No. 4
Application form for reimbursement of expenses for temporary disability benefits in accordance with Appendix No. 3
Form of inventory of applications and documents necessary for the appointment and payment of relevant types of benefits to insured persons, according to Appendix No. 2
Application form for payment of benefits (vacation pay) according to Appendix No. 1
Sample of filling out an application for payment of monthly child care benefits
A sample of filling out an application for payment of maternity benefits, a one-time benefit for women registered with medical institutions V early dates pregnancy
sample of filling out an application for payment of a lump sum benefit upon the birth of a child

Address: 630132, Novosibirsk, st. Sibirskaya, d.

The new form “List of applications and documents required for the appointment and payment of relevant types of benefits to insured persons” was officially approved by the document Order of the Federal Social Insurance Fund of the Russian Federation dated September 17, 2012 N 335.

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