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RESOLUTION OF COUNCIL OF MINISTERS OF THE REPUBLIC OF BELARUS

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

(as amended on 05-10-2024)

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);

The regulations on procedure for creation and submission of the report on means on compulsory insurance from labor accidents and occupational diseases (are 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

The report on means on compulsory insurance from labor accidents and occupational diseases

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) ___________________________________

Section I. The average number of insured persons and number of the victims as a result of labor accidents and got occupational diseases

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

 

 

Section II. Means on compulsory insurance from labor accidents and occupational diseases

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

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