of July 19, 2017 No. 538
About approval of report form about means on compulsory insurance from labor accidents and occupational diseases and Regulations on procedure for its creation and representation
Based on the paragraph of the twelfth Item 285 of the Regulations on insurance activity in the Republic of Belarus approved by the Presidential decree of the Republic of Belarus of August 25, 2006 No. 530 "About insurance activity" the Council of Ministers of the Republic of Belarus DECIDES:
1. Approve enclosed:
Prime Minister of the Republic of Belarus
Approved by the Resolution of Council of Ministers of the Republic of Belarus of July 19, 2017, No. 538
for _______ - ______ 20 ___.
The abbreviated name of the legal entity, surname, own name, middle name (if that is available) physical person
Abbreviated name of separate division of the legal entity _________
Location (residence) ____________________________________________
E-mail address (e-mail) ______________________________________________________
Accounting Number of the Payer (ANP) ______________________________________________
Registration number in the Belarusian republican unitary insurance enterprise Belgosstrakh (further – Belgosstrakh) ___________________________________
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