Download the official form to request the economic benefit for Temporary Incapacity for self-employed workers in PDF format.
Temporary Incapacity for self-employed is the situation caused by a common, professional illness or an accident, whether work-related or not, that impedes the worker from carrying out his or their activity and requires health care, which is commonly known as a situation of “sick leave for the self-employed”.
What should be submitted to process the benefit for Temporary Incapacity for self-employed?
The documentation to present the Temporary Incapacity for self-employed benefit is the following:
- Direct payment application form for temporary disability benefits for self-employed workers.
- A photocopy of the National Identity Document (DNI or NIE).
- In the case of sick leave due to common contingencies, a photocopy of the medical sick leave report, the last confirmation report, and, if necessary, the medical discharge is required.
- Form 145 IRPF Withholdings on income from work completed and signed by the interested party (art. 82 of the Personal Income Tax regulations).
- Photocopy of the last contribution form.
- Activity Declaration Form.
- In case of proving debt, it is necessary to submit the certificate of payment status of quotas and the request or copy of the deferral agreement of the same. This documentation must be requested at the General Social Security Treasury (TGSS).
The deadline for submitting this documentation is 15 working days from the date of withdrawal, and it must be presented at any Mutual Assistance Center.
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