Get Caja De Seguro Social Direccin Ejecutiva Nacional De - Css Org

This guide will help you complete the CAJA DE SEGURO SOCIAL DIRECCIN EJECUTIVA NACIONAL DE form online, ensuring you provide all necessary information accurately. Follow the clear and detailed instructions to assist you in filling out each section effectively.

Follow the steps to complete the form accurately.

1. Press the ‘Get Form’ button to obtain the form and open it in your editor.
2. Fill in the name of the person who suffered the incident in the designated space. Ensure that you accurately enter their Seguro Social number before proceeding.
3. Record the individual's identification number and contact telephone number in the provided fields.
4. Indicate whether the individual experienced a work-related accident or a professional illness by selecting the appropriate checkbox.
5. Enter the date of the initial incident in the format of day, month, and year.
6. Complete the fields showing the duration of recovery, detailing the date of reintegration into work after the initial incident.
7. Document the date of the latest recurrence of the incident by providing the specific date.
8. Describe the circumstances surrounding the recurrence in the provided section, making sure to offer clear, concise details.
9. Fill in the working hours at the time of the recurrence and specify the regular day off during that week.
10. Indicate the time the individual worked on the day of the recurrence and the total hours worked per week.
11. Complete the salary field accurately to reflect the individual's earnings.
12. If applicable, provide information concerning any inability to report the incident due to leaving the company.
13. Have the authorized signatory provide their name and title, as well as the company name and employer ID number.
14. Finally, save your changes, then download, print, or share the completed form as needed.

Complete your documents online with ease today.