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Direct payment for temporary disability
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If you wish to apply for the direct payment of a benefit for temporary disability, you can either fill out the appropriate form online and print it out or print it out and fill it out, and then send it in by ordinary post or hand it in to the appropriate Provincial Directorate.
Application for temporary disability
| Documentos | Download | Fecha |
|---|---|---|
| 098180 Application for temporary disability |
(PDF,3438 KB)
|
11/03/2025 |
| 119770 Application for direct payment of Temporary Disability in the Special Scheme for Sea Workers |
(PDF,4665 KB)
|
09/04/2025 |
Company Certificate
| Documentos | Download | Fecha |
|---|---|---|
| 098181 Company Certificate |
(PDF,1746 KB)
|
10/03/2023 |
| 218315 Company certificate for partially retired persons |
(PDF,2162 KB)
|
05/04/2023 |
| 120975 Company certificate for the application for temporary disability from the Special Scheme for Sea Workers |
(PDF,2211 KB)
|
12/04/2023 |
| 230725 Company certificate on worker labour status-Art.170.2 TRLGSS |
(PDF,2280 KB)
|
17/05/2023 |
Company Certificate - Special System for Employed Agricultural Workers of the RG
| Documentos | Download | Fecha |
|---|---|---|
| 163207 Company Certificate. |
(PDF,1715 KB)
|
24/03/2023 |
Declaration of activity status- self-employed workers.
| Documentos | Download | Fecha |
|---|---|---|
| 41039 Declaration of Activity Status - Self-Employed Workers. |
(PDF,2492 KB)
|
07/03/2023 |
| 177317 Declaration of economic activities - Self-Employed individuals under the Special Seafarer's Scheme |
(PDF,2609 KB)
|
11/04/2023 |
IRPF - Notification of data
| Documentos | Download | Fecha |
|---|---|---|
| 41040 IRPF - Notification of data |
(PDF,1383 KB)
|
14/05/2012 |
| mod145IRPF IRP - Notification of data Special Scheme for Seafarers |
(PDF,1286 KB)
|
26/04/2023 |
Personal declaration of dependent children of an applicant for temporary disability benefits
| Documentos | Download | Fecha |
|---|---|---|
| 127278 Declaración personal de hijos a cargo del solicitante de la prestación de incapacidad temporal |
(PDF,1958 KB)
|
16/03/2023 |
| 177341 Declaration of dependent children - Special Seafarers' Scheme |
(PDF,2523 KB)
|
19/04/2023 |
Statement of disagreement with the medical discharge certificate issued by the INSS
| Documentos | Download | Fecha |
|---|---|---|
| 123136 Manifestación disconformidad con alta médica emitida por INSS |
(PDF,2622 KB)
|
02/03/2023 |
Statement of disagreement with the medical discharge certificate issued by the Social Marine Institute
| Documentos | Download | Fecha |
|---|---|---|
| Manif disc ISM Statement of disagreement with the medical discharge certificate issued by the ISM |
(PDF,2820 KB)
|
26/04/2023 |
Application for review of medical discharge for occupational contingencies issued by the Mutual Society or participating company.
| Documentos | Download | Fecha |
|---|---|---|
| 123164 Application for review of medical discharge for occupational contingencies issued by the Mutual Society or participating company |
(PDF,4503 KB)
|
02/03/2023 |
| 124155 Request for review of medical discharge for occupational contingencies under the Special Scheme for Sea Workers. |
(PDF,4637 KB)
|
17/05/2023 |
Application for reimbursement of TD benefits paid via delegated payment, which has not been deducted from the contribution forms
| Documentos | Download | Fecha |
|---|---|---|
| 129492 Application for reimbursement of TD benefits paid via delegated payment, which has not been deducted |
(PDF,2507 KB)
|
03/04/2023 |
| 177487 Request for reimbursement of temporary disability benefits paid and not deducted - Special Seafarers' Scheme |
(PDF,2908 KB)
|
24/05/2023 |
TD contingency calculation request
| Documentos | Download | Fecha |
|---|---|---|
| 189095 TD application to determine contingency |
(PDF,2580 KB)
|
13/03/2024 |
| 194159 Application to determine contingency - Special Seafarers' Scheme |
(PDF,3209 KB)
|
01/04/2025 |
Relapses in temporary disability processes
| Documentos | Download | Fecha |
|---|---|---|
| SolicituddeexpediciondebajamedicaporrecaidaenprocesosdeITdeduracioninferiora365dias Solicitud de expedición de baja médica por recaída en procesos de IT de duración inferior a 365 días |
(PDF,3119 KB)
|
01/03/2023 |
| SolicituddeexpediciondebajamedicaporrecaidaenprocesosdeITapartirde365dias Solicitud de expedición de baja médica por recaídas en procesos de IT a partir de 365 días |
(PDF,3310 KB)
|
01/03/2023 |
| SolicituddeexpediciondebajamedicaporrecaidaposterioraladenegaciondeIP Solicitud de expedicion de baja medica por recaida posterior a la denegación de Incapacidad Permanente en procesos de IT de menos de 545 días |
(PDF,3795 KB)
|
02/03/2023 |
| Recaidainferior365 Application for the issuing of sick leave due to a relapse in TD processes lasting less than 365 days. Special Scheme for Seafarers |
(PDF,2971 KB)
|
16/05/2023 |
| Recaidaapartir365 Application for sick leave for relapses in TD processes after 365 days. Special Scheme for Sea Workers. |
(PDF,3875 KB)
|
16/05/2023 |
| Recaidamenos545 Application for sick leave for relapse after the refusal of Permanent Disability in TD processes of less than 545 days. Special Scheme for Sea Workers. |
(PDF,3788 KB)
|
16/05/2023 |
Application for compensation for transportation expenses for medical examination
| Documentos | Download | Fecha |
|---|---|---|
| compgastotranspIT Solicitud de compensación de gastos de transporte por reconocimiento médico |
(PDF,2595 KB)
|
11/01/2024 |
Application for the surcharge on financial benefits derived from work-related injury or occupational disease, due to a lack of occupational health and safety measures.
| Documentos | Download | Fecha |
|---|---|---|
| SolicRecargPrestac Solicitud de recargo de las prestaciones económicas derivadas de accidente de trabajo o enfermedad profesional, por falta de medias de seguridad y salud laboral |
(PDF,3096 KB)
|
08/08/2024 |
Application for reimbursement of orthopaedic and prosthetic expenses due to occupational hazards by the INSS (Spanish National Social Security Institute).
This service makes it possible to request reimbursement of the expenses incurred by individuals for the supply and renewal of all orthopaedic appliances and prostheses prescribed by doctors, when these benefits are caused by an occupational contingency, and these contingencies are covered by the Spanish National Social Security Institute.
In order to claim reimbursement, it is not necessary that a temporary disability benefit has been recognised for the accident or illness.
The application must be accompanied by the medical report of the Public Health Service prescribing the orthopaedic material, as well as the invoices paid by the individual, with proof of payment.
The application may be submitted through the electronic office or the platform without a Social Security certificate:
- If the applicant has a digital means of identification (digital certificate, cl@ve system or electronic ID), he/she can request this procedure through the electronic headquarters, in the section Citizens / Variation of data / Submission of other documents, applications and communications. They can access from the following link: Citizens (seg-social.gob.es)
- If you do not have this means of digital identification, through the platform for applications and procedures without a certificate, locating the form in Procedures on Temporary Disability / Application for return of orthopaedic and prosthetic expenses due to professional contingencies of the INSS. You can access from the following link: Application and procedures for social security (seg-social.es)
| Documentos | Download | Fecha |
|---|---|---|
| gastortop Solicitud de reintegro de gastos ortoprotésicos |
(PDF,3205 KB)
|
08/08/2024 |