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
(In edition of Resolutions of Council of Ministers of the Republic of Belarus of 29.08.2019 No. 575, 02.09.2023 No. 574, 30.09.2024 No. 719 (see terms effective date), 05.10.2024 No. 733)
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, Council of Ministers of the Republic of Belarus DECIDES:
1. Approve:
report form about means on compulsory insurance from labor accidents and occupational diseases it (is applied);
2. This resolution becomes effective since February 1, 2018.
Prime Minister of the Republic of Belarus
A. Kobyakov
Approved by the Resolution of Council of Ministers of the Republic of Belarus of July 19, 2017, No. 538
Form
for _______ - ______ 20 ___.
(months)
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) ___________________________________
Table 1
|
Name of indicator |
Code of line |
Since the beginning of year, people |
|
And |
B |
1 |
|
Average number of insured |
01 |
|
|
From among insured: |
|
|
|
the number of the victims as a result of labor accidents with loss of professional working capacity for 1 working day and more and from the death |
02 |
|
|
the number of the victims who got occupational diseases |
03 |
|
Table 2
(rubles with two signs after comma)
|
Name of indicator |
Code of line |
Since the beginning of year |
Including for | |||
|
I quarter |
II quarter |
III quarter |
IV quarter | |||
|
And |
B |
1 |
2 |
3 |
4 |
5 |
Disclaimer! This text was translated by AI translator and is not a valid juridical document. No warranty. No claim. More info
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The document ceased to be valid since March 1, 2026 according to Item 2 of the Resolution of Council of Ministers of the Republic of Belarus of November 21, 2025 No. 660