Dalian Industrial Injury Social Insurance Reimbursement Process

(1) Conditions for applying for reimbursement

The employee has an accident or suffers from an occupational disease, which conforms to the provisions of Articles 14, 15 and 16 of Chapter III of the Regulations on Industrial Injury Insurance.

(2) Time limit for claim

1, time limit: within 3 days, register at the industrial injury window of the district and handle the industrial injury through train. If an employee suffers from a work-related injury, he shall apply for work-related injury identification within 30 days from the date of the accident; After the expiration of medical treatment, you can apply for labor ability appraisal; Collect and submit application materials within 30 days after the treatment of workers with work-related injuries (after work-related injuries or labor ability appraisal). 2. Cycle: review the payment procedures of work-related injury insurance from 0 to 20 every month/kloc-0, and review the work-related injury insurance before the 20th of that month.

(3) the required materials

Work-related injury identification information: 1, work-related injury identification application form; 2. List of application materials for work-related injury identification; 3. A copy of the applicant's business license; 4. A copy of the business license of the labor dispatch unit; 5. Labor dispatch agreement; 6. Labor contracts for employees with work-related injuries; 7. Identity cards and household registration books of employees with work-related injuries, originals and photocopies; 8. Diagnostic materials for the first visit; 9. Time sheet (accident unit); 10, unit certificate (the accident unit details the life accident process and clarifies the opinions of the unit); 1 1. Other materials to be provided (provided according to the actual situation) Note: provide the original and photocopy (the photocopy shall be stamped with the official seal of the company).

Labor ability appraisal: 1. Where the employer fills in the appraisal application: ① Fill in the Application Form for Labor Ability Appraisal in Dalian; Stamp the official seal of the employer; Post an inch of recent bareheaded photos of employees; (2) Enterprises and institutions shall provide the Work-related Injury Identification Decision (or previous work-related injury identification procedures) from the administrative department of labor and social security, and institutions and institutions shall provide the original and photocopy of the Work-related Injury Approval Form for Staff of State Organs and Institutions from the Personnel Bureau 1 copy; ③ Original and photocopy of employee's resident ID card 1 copy; (4) The employee's complete and continuous medical records, diagnosis certificates, physical and chemical inspection reports and other materials, and at the same time provide medical information and inspection reports of injury changes for review and identification; ⑤ For occupational diseases, provide the original and photocopy of the occupational disease diagnosis certificate; Belong to mental illness, should provide the original and copy of the "psychiatric appraisal book" of the city psychiatric diagnosis group.

2 individual workers and their immediate family members, trade unions to apply for work-related injury identification and fill in the identification application, the materials to be provided are the same as above. The "Dalian Labor Ability Appraisal Application Form" can be stamped with the official seal of the employer, but the full name, address, postal code, contact person and telephone number of the employer and the original and photocopy of the ID card of the immediate family member of the handler are required. Note: The original and photocopy of the last appraisal conclusion should be carried with the work-related injury reexamination appraisal, auxiliary appliance configuration or replacement appraisal.

(4) Handling procedures

1. Employees of units participating in work-related injury insurance shall report to the district work-related injury insurance office within 24 hours after their work-related injuries occur; 2, within 20 days, submit other materials to the work-related injury insurance window of the labor and social security department, and the security department shall make a decision on work-related injury identification within 60 days from the date of accepting the application for work-related injury identification; 3. Dalian Labor Ability Appraisal Center Address: Building 3, Employment Plaza, No.3 1 Hall, Baiyun Mountain Villa, Xigang District, Dalian.