What is the form of declaration of participation, adjustment of information on social insurance and health insurance in Vietnam and how to fill out the form? – The Anh (Ba Ria Vung Tau, Vietnam)
Article table of contents
Form of declaration of participation, adjustment of information on social insurance and health insurance in Vietnam (Internet image)
1. Form of declaration of participation, adjustment of information on social insurance and health insurance in Vietnam
The declaration of participation and adjustment of information on social insurance and health insurance is Form TK1-TS issued together with Decision 505/QD-BHXH.
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Form of declaration of participation in adjusting information for social insurance and health insurance |
2. Responsibility for making declarations of participation and adjustments of information on social insurance and health insurance in Vietnam
Participants or parents/guardians (for children under 6 years old) are responsible for making a declaration of participation and updating information on social insurance and health insurance.
3. When to use the declaration of participation and adjustment of information on social insurance and health insurance in Vietnam?
Participants of social insurance and health insurance use the declaration of participation and adjustment of information on social insurance and health insurance when the social insurance number is not found or there is a request for adjustment of information on social insurance and health insurance.
4. How to make a declaration of participation, adjustment of information on social insurance and health insurance
Section I: Applicable to participants who do not find the compulsory social insurance code declared from item [1] to item [11] (except for item [8] to participate in social insurance and health insurance as follows:
[01]. Full name: Enter the participant's full name, middle name, and first name in capital letters with the participant's stamp.
[02]. Gender: Enter the participant's gender (if male, enter the word "male" or if female, enter the word "female").
[03]. Date of birth: Fill in the full date of birth as it appears on the birth certificate, identity card/citizen identification/passport.
[04]. Nationality: Enter the participant's nationality as in the birth certificate or identity card/citizen identification/passport.
[05]. Ethnicity: Enter the participant's ethnicity as in the birth certificate or identity card/citizen identification/passport.
[06]. ID/CCCD/Passport number: Enter the participant's identity card/citizen identification number/passport number issued by the competent authority (including children under 6 years old who are assigned a personal identification number) .
[07]. Phone: Enter the participant's phone number or phone number to contact the participant.
[08]. Email: Enter the participant's email address or email address to contact the participant (if any).
[09]. Place of birth registration: Specify the name of the commune (ward/town); district (district/town/city of province); province (city directly under the Central Government) registered the birth of the participant. If the place of birth registration cannot be determined, the original place of birth or the address of permanent/temporary residence (according to 3 levels similar to the place of birth registration);
[10]. Full name of parent/guardian (for children under 6 years old): Enter full name of father or mother or guardian for participants who are children under 6 years old.
[11]. Address to receive results: Specify and complete address where you live (house number, street/street, hamlet/hamlet; commune/ward/township; district/district/town/city of province; province; province/city directly under the Central Government) for the social insurance agency to return the dossier, social insurance book, health insurance card or the results of other administrative procedures.
[12]. Declare the Household Member Annex (attached appendix) for participants who do not see the social insurance number and those who participate in health insurance by household to deduct the payment according to the instructions.
Section II: Applies to survey participants who already have a social insurance number and request for registration or adjustment of information recorded in the social insurance book or health insurance card as follows:
[13]. Social insurance number: Enter the social insurance number issued to the participant by the social insurance agency.
[14]. Adjustment of personal information: Only declare one of the personal information requested for adjustment, specifically:
[14.1]. Full name: Enter the participant's full name, middle name and first name in capital letters with the participant's stamp.
[14.2]. Gender: Enter the participant's gender (if male, enter the word "male" or if female, enter the word "female").
[14.3]. Date of birth: Fill in the full date of birth as in the birth certificate or identity card/citizen identification/passport.
[14.4]. Place of birth registration: Specify the name of the commune (ward/town); district (district/town/city of province); province (city directly under the Central Government) registered the birth of the participant. If the place of birth registration cannot be determined, the original place of birth or the address of permanent/temporary residence (according to 3 levels similar to the place of birth registration);
[14.5]. ID/CCCD/Passport number: Enter the participant's identity card/citizen identification number/passport number issued by the competent authority (including children under 6 years old who are assigned a personal identification number) .
[15]. Amount of payment (applicable to participants who register/adjust voluntary social insurance premiums): Enter the monthly income selected by the participants of voluntary social insurance.
[16]. Payment method (applicable to participants who register/adjust voluntary social insurance payment method): Specify the participant's payment method as prescribed (for example: 03 months or 06 months,... ).
[17]. Place of initial medical examination and treatment registration (applicable to the insured who registers/changes the place of initial medical examination and treatment): Indicate the place of initial registration of medical examination and treatment with health insurance, selected by the participant according to the guidance of the social insurance agency.
[18]. Changed content, other requirements: Write down the content of the request for change or adjustment, such as: re-issuance of social insurance books, health insurance cards, job title, address to receive results, phone, email, ...
[19]. Attached documents:
- For the person who adjusts the information, write the types of proof.
- For participants who enjoy higher health insurance benefits, write proofs.
After completing the declaration:
+ Participants write down the following information: they have searched without finding the social insurance number, voluntarily declare and provide relevant papers to ensure the accuracy of information; and take responsibility before the law for the declared content; Sign and write full name.
+ The employer (employees who are reserving the time of paying social insurance premiums are not required to certify) write the following information: confirm that the participant's adjusted information is correct with the management file and take responsibility before the law for the certified content; Sign, seal, and write your full name.
Nguyen Thi Diem My
