Get Clem 22

The Clem 22 form is essential for reporting completed cases of work-related risks to the Mexican Social Security Institute. This guide provides comprehensive, step-by-step instructions to facilitate its completion online, ensuring clarity and accuracy.

Follow the steps to successfully complete the Clem 22 form online.

1. Press the ‘Get Form’ button to access the Clem 22 form and open it in your selected online editor.
2. Begin by filling in the registration number and verification digit in the designated fields. Ensure that you follow the specific format as indicated prior to filling out the other sections.
3. Enter the date of request for the procedure in the specified field. Use the format required by the form to avoid errors.
4. Input the contact phone number in the format provided, ensuring it is complete with the area code.
5. Provide the full name, denomination, or business name accurately, along with the complete address including the postal code, street, building number, neighborhood, municipality, or borough, and state.
6. Record the National Social Security Number (NSS) by entering the numbers sequentially as instructed, leaving the verification digit blank if unknown.
7. Fill in the Unique Population Registration Code (CURP) clearly using the 18-digit format.
8. Document the name of the insured party starting with the paternal last name, followed by the maternal last name and given names.
9. Indicate whether the case involves a relapse or reevaluation by using an asterisk in the respective section.
10. Input the date of the accident or work-related illness accurately using the required numeric formats (year, month, day). Pay attention to detail as the date determines the specifics of the submission.
11. Specify the type of risk by entering '1' for an accident at work or '3' for an occupational illness.
12. Calculate and note the total subsidized days related to the work risks in the designated area.
13. Indicate the percentage of permanent partial or total incapacity related to the injury or illness if applicable.
14. For cases of mortality, make sure to enter 'D' in the specified field if it pertains to a work-related death.
15. Record the date of medical discharge in the prescribed format. Follow the numeric guidelines as detailed in the form.
16. Once all sections are complete, review the document carefully for accuracy, then save any changes made.
17. Download, print, or share the completed form as necessary to ensure it reaches the appropriate parties.

Complete your Clem 22 form online today to ensure compliance and accurate reporting!