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.
|Company Certificate||(PDF,1746 KB)||10/03/2023|
|Company certificate for partially retired persons||(PDF,2162 KB)||05/04/2023|
|Company certificate for the application for temporary disability from the Special Scheme for Sea Workers||(PDF,2211 KB)||12/04/2023|
|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
Declaration of activity status- self-employed workers.
IRPF - Notification of data
Personal declaration of dependent children of an applicant for temporary disability benefits
Statement of disagreement with the medical discharge certificate issued by the INSS
Statement of disagreement with the medical discharge certificate issued by the Social Marine Institute
|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.
|Application for review of medical discharge for occupational contingencies issued by the Mutual Society or participating company||(PDF,4503 KB)||02/03/2023|
|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
|Application for reimbursement of TD benefits paid via delegated payment, which has not been deducted||(PDF,2507 KB)||03/04/2023|
|Request for reimbursement of temporary disability benefits paid and not deducted - Special Seafarers' Scheme||(PDF,2908 KB)||24/05/2023|
TD contingency calculation request
Employer's certificate for worker applications from the special system of domestic employees.
|Certificado del empleador para solicitudes de trabajadores del Sistema especial de empleados de hogar||(PDF,2274 KB)||17/05/2023|
Relapses in temporary disability processes
|Solicitud de expedición de baja médica por recaída en procesos de IT de duración inferior a 365 días||(PDF,3119 KB)||01/03/2023|
|Solicitud de expedición de baja médica por recaídas en procesos de IT a partir de 365 días||(PDF,3310 KB)||01/03/2023|
|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|
|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|
|Application for sick leave for relapses in TD processes after 365 days. Special Scheme for Sea Workers.||(PDF,3875 KB)||16/05/2023|
|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 the surcharge on financial benefits derived from work-related injury or occupational disease, due to a lack of occupational health and safety measures.
|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,2948 KB)||12/12/2022|
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)