Forms

List of Forms in PDF format, sorted by subject, which can be completed electronically for subsequent printing and storage:

Work-related injury

Download forms Work Related Accident
Document		Download the file by language	Size
Comunicación de Datos al Pagador (Modelo 145 IRPF)		Download the document in pdf format by language:	262 kB
Solicitud de Pago Directo IT Self-employed workers		Download the document in pdf format by language:	980 kB
Solicitud de Pago Directo IT Employee Attach the appropriate form:		Download the document in pdf format by language:	1000 kB
	Company Certificate for a General Worker	Download the document in pdf format by language:	1,670 kB
	Company Certificate Regarding an Employee. Special System for Domestic Employees in the General Scheme	Download the document in pdf format by language:	550 kB
	Company Certificate Regarding an Employee. Special System for Agricultural Workers in the General Scheme	Download the document in pdf format by language:	400 kB
Application for Healthcare Assistance		Download the document in pdf format by language:	360 kB

Occupational Diseases

Download Work-related Illness Forms
Document	Format	Download the file by language	Size
Comunicación de Enfermedad Profesional		Download the document in pdf format by language:	133 kB

Non-occupational disease and non work-related injury

Download Common Illnesses and Non Work-related Accident Forms
Document		Download the file by language	Size
Comunicación de Datos al Pagador (Modelo 145 IRPF)		Download the document in pdf format by language:	262 kB
Solicitud de Pago Directo IT Self-employed workers		Download the document in pdf format by language:	980 kB
Solicitud de Pago Directo IT Employee Attach the appropriate form:		Download the document in pdf format by language:	1000 kB
	Company Certificate for a General Worker	Download the document in pdf format by language:	260 kB
	Company Certificate Regarding an Employee. Special System for Domestic Employees in the General Scheme	Download the document in pdf format by language:	550 kB
	Company Certificate Regarding an Employee. Special System for Agricultural Workers in the General Scheme	Download the document in pdf format by language:	400 kB
	Company Certificate on the date of return to work	Download the document in pdf format by language:	359 kB

Risk During Pregnancy and Risk During Breastfeeding

Download forms: Risk during Pregnancy and Risk during Breastfeeding
Document		Download the file by language	Size
Comunicación de Datos al Pagador (Modelo 145 IRPF)		Download the document in pdf format by language:	262 kB
Solicitud de Certificado Médico		Download the document in pdf format by language:	720 kB
Application for Financial Assistance for Risk During Pregnancy or Breastfeeding. Attach the appropriate form:		Download the document in pdf format by language:	650 kB
	Risk Benefit: Company Certificate for a General Worker	Download the document in pdf format by language:	900 kB
	Company Certificate Regarding an Employee. Special System for Domestic Employees in the General Scheme	Download the document in pdf format by language:	550 kB
	Company Certificate Regarding an Employee. Special System for Agricultural Workers in the General Scheme	Download the document in pdf format by language:	400 kB

Termination of Activity of Self-employed Workers

Download forms Termination of Activity of Self-employed Workers
Document	Download the file by language	Size
Request to extend the benefit for termination of activity for self-employed workers affected by the eruption of the Cumbre Vieja volcano on the island of La Palma (Article 97 of RD-Law 20/2022)	Download the document in pdf format by language:	1,158 kB
Application to request benefit for partial termination, compatible with the economic activity of the self-employed worker (ROYAL DECREE-LAW 13/2022)	Download the document in pdf format by language:	1,032 kB
Comunicación de Datos al Pagador (Modelo 145 IRPF)	Download the document in pdf format by language:	262 kB
Request for Ordinary Provision for Termination of Activity	Download the document in pdf format by language:	850 kB
TA.0521/1 Form for Choosing Cover for Work-Related Injuries and Cessation of Activity	Download the document in pdf format by language:	109 kB

Care for Minors suffering from cancer or another serious disease.

Download forms: Care for minors suffering from cancer or another serious disease
Document		Download the file by language	Size
Application for Financial Assistance for Care for minors suffering from cancer or another serious disease. Attach the appropriate form:		Download the document in pdf format by language:	500 kB
	Care for minors: Company Certificate for a General Worker	Download the document in pdf format by language:	900 kB
	Company Certificate Regarding an Employee. Special System for Domestic Employees in the General Scheme	Download the document in pdf format by language:	550 kB
	Company Certificate Regarding an Employee. Special System for Agricultural Workers in the General Scheme	Download the document in pdf format by language:	400 kB

Agricultural Workers

Download forms for Authorisations
Document	Format	Download the file by language	Size
Company Certificate Regarding an Employee. Special System for Agricultural Workers in the General Scheme		Download the document in pdf format by language:	400 kB

Workers posted abroad

Download forms for Employees posted abroad
Document	Format	Download the file by language	Size
TA.300 Displaced Workers. Request for Information on the Applicable Social Security Legislation		Download the document in pdf format by language:	253 kB
Forms for Posted Workers		Download the document in pdf format by language:	-

Domestic Employees

Download forms for Domestic Employees
Document	Download the file by language	Size
TA.2/S 0138 Solicitud de alta, baja o variación de datos del Empleado de Hogar	Download the document in pdf format by language:	490 kB
TA.6 Solicitud de inscripción en el Sistema de la Seguridad Social	Download the document in pdf format by language:	320 kB
TA.6 - 0138_HOGAR Application for contribution account code for employers in the special system for household employees, cancellation and modification of data	Download the document in pdf format by language:	251 kB
TA.7 Solicitud de alta, baja y variación de datos de cuenta de cotización	Download the document in pdf format by language:	251 kB
Company Certificate Regarding an Employee. Special System for Domestic Employees in the General Scheme	Download the document in pdf format by language:	550 kB

Special Benefits

Instructions for additional documentation required for each type of benefit

Download forms for Special Benefits
Document	Format	Download the file by language	Size
Solicitud de Prestación Especial		Download the document in pdf format by language:	240 kB

Benefits accrued and not received due to death

Download forms for RED System
Document	Format	Download the file by language	Size
Application for Benefits accrued and not received due to death		Download the document in pdf format by language:	875kB

Information on how to Join FREMAP

If you wish to become a member, you will find all the necessary documentation to do so below.

If you would like us to help you join, file your application online.

Download forms Association
Type	Document	Download the file by language	Size
Register newly established company	TA.6 Solicitud de inscripción en el Sistema de la Seguridad Social	Download the document in pdf format by language:	320 kB
Change company from another Mutual Society to FREMAP	Application to Join	Download the document in pdf format by language:	2,700 kB
	Termination Request Letter	Download the document in pdf format by language:	276 kB
	Informe del Comité de Empresa	Download the document in pdf format by language:	34.4 kB
	Company Report without Committee	Download the document in pdf format by language:	34.4 kB
Change company from INSS to FREMAP	Application to Join	Download the document in pdf format by language:	2,700 kB
Change company from INSS to FREMAP	Termination Request Letter INSS	Download the document in pdf format by language:	216 kB
Coverage change Temporary Disability due to Non Work-related Injuries and Diseases of the INSS to FREMAP	Annexe to the Application to Join	Download the document in pdf format by language:	542 kB
Register newly established self-employed worker	TA.0521/1 Simplified application for workers not covered by the subsequent paragraphs	Download the document in pdf format by language:	428 kB
	TA.0521/2 Familiar colaborador del titular de la explotación	Download the document in pdf format by language:	459 kB
	TA.0521/4 Socios de cooperativas de trabajo asociado	Download the document in pdf format by language:	460 kB
	TA.0521/5 Members, relatives of members, or members of the administrative bodies of mercantile companies	Download the document in pdf format by language:	489 kB
	TA.0521/6 Members of owners' association, civil societies, collectives, or limited societies	Download the document in pdf format by language:	389 kB
	TA.0521/7 Solicitud de trabajadores por cuenta propia agrarios	Download the document in pdf format by language:	592 kB
	TA.0521/8 Solicitud de trabajadores autónomos económicamente dependientes	Download the document in pdf format by language:	252 kB
	TA.0521 Hoja Adicional	Download the document in pdf format by language:	110 kB
Change self-employed worker from a mutual society to FREMAP	Withdrawal request letter	Download the document in pdf format by language:	160 kB
Change self-employed worker from a mutual society to FREMAP	Membership request	Download the document in pdf format by language:	364 kB
Change self-employed worker from INSS to FREMAP	Membership request	Download the document in pdf format by language:	364 kB
Update of details in Social Security Institute	TA7 Application for medical discharge, sick leave and amendment of details of contribution account number	Download the document in pdf format by language:	3.86 MB

RED System

Download forms for RED System
Document	Format	Download the file by language	Size
FR.103 Autorización para actuar en representación de un afiliado (NAF)		Download the document in pdf format by language:	91 kB
FR.107 - Request for Change of titleholder and/or Company Name for a RED System authorisation.		Download the document in pdf format by language:	90 kB

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Tools

Forms

Forms

Work-related injury

Occupational Diseases

Non-occupational disease and non work-related injury

Risk During Pregnancy and Risk During Breastfeeding

Termination of Activity of Self-employed Workers

Care for Minors suffering from cancer or another serious disease.

Agricultural Workers

Workers posted abroad

Domestic Employees

Special Benefits

Benefits accrued and not received due to death

Information on how to Join FREMAP

RED System

Supplementary information

Useful Links

FREMAP website

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Forms

Supplementary information

Useful Links