Social Security Work Injury Treatment Section and Information Section

Sample of industrial injury certificate

The Ministry of Labor wrote:

Decision on xx-x industrial injury

Xx-x works in xx-x, and XXX occurs in X+X, 2065438. Through investigation and study, xx-x belongs to work-related injury and enjoys work-related injury treatment.

1, application for work-related injury identification

Go to the insurance department of the labor bureau to receive the application form for work-related injury identification and the description of work-related injury application. Submit the application according to the following materials:

(1) Fill in the Application Form for Work-related Injury Identification of Enterprise Employees (in quadruplicate).

② Fill in the personal information form.

(3) proof of labor relations (copy of labor contract or proof of receiving wages, that is, copy of salary slip or written proof of workers, etc.). )

④ Certificate of first diagnosis in emergency hospital/certificate of occupational disease diagnosis.

⑤ Copy of ID card

⑥ In case of traffic accident or violent injury, submit a written ruling of the public security department and relevant handling certificates/if the whereabouts are unknown, submit a written ruling of the judicial department.

⑦ The demobilized soldiers have a relapse of old injuries, and I have a revolutionary disabled soldier's certificate.

The courageous, submit proof materials to the civil affairs department.

Pet-name ruby industrial injury proof materials

Attending two-inch photos 1.

⑾ Copy of business license and others.

⑿ Brief description after injury.

Items 6, 7, 8 and 9 in the above-mentioned 1 1 materials or statements are only available in specific events, and are generally unnecessary. 12 is the approval of work-related injuries, and now it is informationization. The injury needs to be simply entered into the system, and we need to enter the computer to quote directly. Note: The hospital diagnosis certificate is very important and plays an important role in identification, appraisal and reimbursement.

After the insurance department of the Labor Bureau examines and confirms the work-related injury, it will issue a notice of work-related injury conclusion and a work-related injury certificate.

2. Application for labor ability appraisal and confirmation

After the work-related injury is identified, a notice of work-related injury identification conclusion and a work-related injury identification book shall be issued. At this time, you can go to the social security center to register the workers with work-related injuries, and then reimburse the medical expenses for work-related injuries. However, under normal circumstances, we will first complete the labor ability appraisal and determine the level of work-related injuries, and then go to the social security center to register employees with work-related injuries and approve work-related injuries.

Submit the materials from 1 to 10 every month, and then wait for the time notified by the Labor Bureau for appraisal:

(1) Application for Identification of Industrial Injury of Enterprise Employees

(2) Notice of industrial injury conclusion

③ Certificate of full payment of industrial injury insurance (issued by social security)

④ Work-related injury certificate (original)

⑤ A copy of the preliminary diagnosis certificate issued by the industrial injury medical institution.

⑥ Fill in a complete Application Form for Confirmation of Labor Ability Appraisal with complete signature.

After the labor ability appraisal reaches the prescribed disability registration, the conclusion of labor ability appraisal shall be issued and the description of disability grade shall be added to the work-related injury certificate.

3, industrial injury social security registration and treatment approval

After completing the work-related injury identification, labor ability appraisal and work-related injury rating in the insurance department of the Labor Bureau, you can go to the social security center for work-related injury registration and treatment approval.

Registration of workers with work-related injuries:

① Work-related injury certificate (original)

② Application Form for Identification of Work-related Injury

(3) Work-related injury identification conclusion table

④ conclusion of labor ability appraisal

⑤ Certificate of average monthly payment of wages for 12 months before my injury or death, which shall be sealed by the endowment insurance department.

⑥ Roster of personnel participating in the system (spanning two years)

⑦ Registration Form for Workers Injured at Work in Beijing (table 1)

Treatment approval (this is from Beijing):

(1) Approval Form for Treatment of Workers with Work-related Injury in Beijing (Table 9) (fill in disability grade); Or "Examination and Approval Form for Work-related Injury Treatment of Workers in Beijing" (Work Table 10) (declaration of work-related injury death)

(2) Monthly Report of Beijing Industrial Injury Insurance Fund Payment (Table 2) and Summary of Monthly Report of Beijing Industrial Injury Insurance Fund Payment (Table 3) (reported once in the month; If there is a monthly payment, it must be filled out every month)

The roster of participants in the system (which must be assembled for two years every year) was previously stipulated, and now it is all online, so it is estimated that it is unnecessary. There is no new work-related injury business recently, and it is not clear.

The level of work-related injury and disability is divided into ten levels, and 1-4 level means complete loss of working ability. In this case, you should keep the labor relationship and resign, and enjoy the treatment: one-time disability allowance (18-24 months average salary before work injury, social security payment); And pay monthly disability allowance (75%-90% before injury, 65438+February, social security payment) until retirement.

Grade 5-6 means that most of them lose their ability to work and enjoy treatment: one-time disability allowance (14-65438+ average salary in June before injury, 65438+February, social security payment); If the company can't arrange a job, there are two solutions: one is to pay the disability allowance (65438+ 60%-70% of the average salary in February before the injury) on a monthly basis until retirement; Second, upon the laborer's own proposal, the labor relationship can be terminated, and the employer will pay the one-time medical subsidy for work-related injuries and disability employment subsidy. See provincial and municipal regulations for specific standards.

Grade 7- 10 is partial loss of working ability, and enjoys treatment: one-time disability allowance (6-65438+ average salary in February before injury, paid by social security); If the contract expires or the employee proposes to terminate the labor contract, the employer shall pay a one-time work-related injury medical subsidy and disability employment subsidy. See provincial and municipal regulations for specific standards.

Those who die at work are entitled to treatment: funeral subsidies (social security was paid in June last year); Pension for dependent relatives (the specific standard is complicated, omitted here, and paid by social security); One-time work death subsidy (social salary and social security payment in the previous year from April to June).

Work-related injury treatment is the core of work-related injury insurance, and the handling personnel need to thoroughly understand the policy and let the employees make themselves clear; To handle the required materials, contact the insurance department of the Labor Bureau and the work-related injury payment window of the Social Security Center. After all, there are few cases of work-related injuries, and the handling procedures and materials have changed, which shall prevail.

4. Compensation for work-related injuries

Medical expenses related to work-related injuries can be reimbursed after the social security staff has issued a work-related injury certificate and registered it. All eligible expenses can be fully reimbursed.

① Fill in the Approval Form for Medical Expense Reimbursement of Workers with Work Injury in Beijing,

(2) Receipt, prescription, examination and treatment expense details (special seal for hospital charges must be affixed)

The accident proved that on the morning of September 23rd, the coal mine was in urgent need of rice husk (hole). At about eight o'clock in the morning, we rode a motorcycle to Changshan store to buy 100 silk thread, sent it to the coal mine, and arranged for us (Li Gang, Li Long, Chen Guangjun and Zhou Ziren) to install rice husk in Changshan rice mill. Because the coal mine was in urgent need, the four of us didn't have a lunch break, so we asked (Kong) to order at the snack bar. At twelve noon, we (Li Gang, Li Long, Chen Guangjun, Zhou Ziren and Kong Xiangfu). Five people go to a snack bar to eat. After eating for more than ten minutes, three coal miners (Na, Sun and Fan) came to the snack bar for dinner because they didn't bring any food at noon. They bought their own food and ate it together. At that time, we all had jobs and didn't drink much (Kong probably drank two or two glasses of white wine and half a bottle of beer). About one o'clock, the coal mine called (answered the phone) and said that there was work to be done in the coal mine, so it was arranged for the four of us to finish it as soon as possible without delay. Several other people and I rode motorcycles back to the coal mine, but something happened when we passed the West Bridge on our way back to the mine. Even people and cars fell under the bridge. We heard the news in the processing factory that the people who arrived at the scene were already lying under the bridge, surrounded by accident certificates.

Zhang San is the operator of XXXX Company in China. He accidentally burned his left leg when he was engaged in steel rolling in XX, XX. Diagnosed by XXX Hospital: 50%XX degree burn of left calf.

The provisions of the preceding paragraph shall apply to the accident process of applying for work-related injury identification.

2

1 Handling of industrial accidents

Handler:

1, industrial accident report

(1) If an industrial accident occurs in an enterprise (including state-owned, collective, township, private individual and foreign-funded enterprise) within the jurisdiction of this administrative region, it shall be reported by the unit where the industrial accident occurred on the same day at the latest on the second working day.

(2) The accident express can be reported by telephone, orally or in writing.

(3) The accident unit shall report to the competent department of labor and social security (or industry management department) (which has invested in industrial injury insurance), and the death accident shall also report to the District Federation of Trade Unions and the District Public Security Bureau.

(4) If an industrial accident is reported by an individual, the holder shall provide a written report, indicating the name, address, legal representative, economic type, telephone numbers of both parties, details of the accident and relevant witnesses and evidence.

(5) After receiving the accident report, the reporter shall report to the relevant person in charge in time, and ask the accident unit to receive 3 industrial accident report forms, and 1 for the uninsured. The Work-related Accident Report Form shall be delivered to insurance, retirement, labor and social security companies within 15 days, and signed by the recipient.

2. Identification of work-related injuries

(1) After receiving the accident investigation report, it shall be confirmed within the time limit for closing the case stipulated in Decree No.75 of the State Council (generally 90 days for closing the case, and the longest time shall not exceed 180 days). The fatal accident shall be confirmed as soon as possible after the site investigation, generally not exceeding 15 days, and the longest time limit for closing the case shall not exceed the legal time limit.

(2) If industrial injury insurance has been handled, the agent shall fill in the Application Form for Identification of Industrial Injury, which shall be issued by the person in charge (or the leader in charge) and stamped with the special seal for safety supervision.

(3) explain the situation to the accident unit, the injured or their families.

(4) Occupational diseases should be diagnosed according to the diagnosis certificate of the Municipal Occupational Disease Diagnosis Group.

(5) If a party refuses to accept the conclusion, he may bring an administrative reconsideration to the Linhe District People's Government or the Bashi Labor and Social Security Bureau or bring an administrative lawsuit to the people's court according to law within 60 days from the date of receiving the approval of the work-related injury.

3. Disability identification

(1) For the injured, if they are disabled or have dysfunction after medical treatment, they should obtain the Medical Termination Appraisal Form and the Labor Ability Appraisal Form in triplicate from the undergraduate department after the work-related injury is identified.

(2) After the relevant forms are filled in and stamped, the injured person's ID card, medical record certificate, various examination and diagnosis materials 1 copy, and color photos of the injured part 1 piece (four inches) shall be provided and sent to the insurance retirement department for review. After the materials are complete, the entrusted appraisal procedures can be handled, and then the district labor ability appraisal Committee can handle the disability grade appraisal. If it is necessary to apply for disability grade certificate, provide 1 inch bareheaded photo 1.

(3) If there is any objection to the appraisal conclusion of disability grade, it shall be reviewed within 15 days after receiving the appraisal conclusion or directly applied to the provincial labor ability appraisal committee for re-appraisal.

4. Reply and close the case

Industrial accidents are usually closed within 90 days, and special circumstances do not exceed 180 days. The death certificate shall be issued by the District Labor and Social Security Bureau.

Further reading: How to buy insurance, which is good, and teach you how to avoid these "pits" of insurance.