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Contact us

Contact us

Phone
0700 16 166

On the territory of Bulgaria

International number
+359 700 16 166

International line

Health care
0700 11 555

Health line

Offices and centers

Offices and centers


Damage help

In case of health problem

БГ

Permanent disability due to an accident (including occupational accident)

What should I do?

Needed Documents

  1. Claim Request Form Л3-53 - an original with all particulars
  2. Accident Information Form ЛЗ 51 – an original
  3. Medical documents, evidencing rendered first aid and treatment conducted:
    - discharge summaries,
    - outpatient cards for examinations,
    - test results,
    - consultations with physicians-specialists in the field of injuries, sustained by the Insuree prior to his/her being certified by the Insurance Medical Committee etc.
  4. All medical documents, stated above - copies
  5. Upon a road accident*: A Document from the control authorities that have visited the accident scene - a copy
  6. Upon a road accident*: A document for a taken blood sample for alcohol testing and its results, if the injured person is a vehicle driver - a copy
  7. An official document, containing the Insuree’s bank account, if it has not been indicated in Form ЛЗ 53 - a copy. For sums over BGN 10,000, the submission of an official document certifying the IBAN number of a bank account is mandatory.
  8. Upon individual insurance:
    • Insurance Policy
  9. Upon group insurance:
    - Company Certificate from the Employer that the person is insured - an original
  10. Upon group insurance at the Insurees’ expense:
    - A copy of the insurance policy and a list of Insurees’ names
  11. Upon an accident at work the following additional documents are required:
    - Declaration Statement to the National Social Security Institute about an accident at work
    - NSSI order about an acknowledged accident at work

    In case the sums will not be received by the eligible person:

    Notarized power of attorney from the entitled person, if the sums will be received by another person. The power of attorney must contain a statement (text) that the eligible person has been notified that he is entitled to receive the sums in person.