Get Modulo Per La Certificazione Inail (in Formato Pdf)

This guide provides a step-by-step approach to filling out the Modulo Per La Certificazione INAIL online. Whether you are an experienced user or new to digital forms, each section and field will be explained clearly to assist you in completing the document accurately.

Follow the steps to successfully complete the form.

1. Press the ‘Get Form’ button to obtain the form and open it in your preferred PDF editor.
2. Begin by filling out the personal information section. Enter your surname (cognome), first name (nome), place of birth (nato a - Comune), and province (prov). Ensure you provide your current residence details as well, including your municipality and postal code (CAP).
3. Provide your nationality and home address (indirizzo), including street name and house number (n. civico). Include your ISTAT code, ASL code, and personal tax code (codice fiscale).
4. Indicate the date of the incident (l’evento è avvenuto il), including the municipality or foreign state where it occurred.
5. Fill in your current employer’s details: name or business name, address, and municipality. Specify your work sector (settore lavorativo) by selecting the relevant option from the provided categories.
6. Describe your current job role (attività lavorativa attuale) and any previous job experiences. Note down the circumstances and causes of the injury (descrizione delle cause e circostanze dell’infortunio).
7. Sign the form and add the date when you left work, along with the time of departure.
8. Enter the diagnosis and prognosis information, including temporary inability dates, and ensure the doctor’s stamp and signature are present.
9. If applicable, complete additional medical observations, prior health conditions, and any relevant notes from the physician.
10. Once all sections are completed, save changes to the form. You can also download, print, or share the completed document as needed.

Complete your forms online today for efficient and accurate processing.