Include P12 V2 - IMPCAT

IMPCAT.CH

 #DEFINE STR0001 FWI18NLang("IMPCAT","STR0001",1)
#DEFINE STR0002 FWI18NLang("IMPCAT","STR0002",2)
#DEFINE STR0003 FWI18NLang("IMPCAT","STR0003",3)
#DEFINE STR0004 FWI18NLang("IMPCAT","STR0004",4)
#DEFINE STR0005 FWI18NLang("IMPCAT","STR0005",5)
#DEFINE STR0006 FWI18NLang("IMPCAT","STR0006",6)
#DEFINE STR0007 FWI18NLang("IMPCAT","STR0007",7)
#DEFINE STR0008 FWI18NLang("IMPCAT","STR0008",8)
#DEFINE STR0009 FWI18NLang("IMPCAT","STR0009",9)
#DEFINE STR0010 FWI18NLang("IMPCAT","STR0010",10)
#DEFINE STR0011 FWI18NLang("IMPCAT","STR0011",11)
#DEFINE STR0012 FWI18NLang("IMPCAT","STR0012",12)
#DEFINE STR0013 FWI18NLang("IMPCAT","STR0013",13)
#DEFINE STR0014 FWI18NLang("IMPCAT","STR0014",14)
#DEFINE STR0015 FWI18NLang("IMPCAT","STR0015",15)
#DEFINE STR0016 FWI18NLang("IMPCAT","STR0016",16)
#DEFINE STR0017 FWI18NLang("IMPCAT","STR0017",17)
#DEFINE STR0018 FWI18NLang("IMPCAT","STR0018",18)
#DEFINE STR0019 FWI18NLang("IMPCAT","STR0019",19)
#DEFINE STR0020 FWI18NLang("IMPCAT","STR0020",20)
#DEFINE STR0021 FWI18NLang("IMPCAT","STR0021",21)
#DEFINE STR0022 FWI18NLang("IMPCAT","STR0022",22)
#DEFINE STR0023 FWI18NLang("IMPCAT","STR0023",23)
#DEFINE STR0024 FWI18NLang("IMPCAT","STR0024",24)
#DEFINE STR0025 FWI18NLang("IMPCAT","STR0025",25)
#DEFINE STR0026 FWI18NLang("IMPCAT","STR0026",26)
#DEFINE STR0027 FWI18NLang("IMPCAT","STR0027",27)
#DEFINE STR0028 FWI18NLang("IMPCAT","STR0028",28)
#DEFINE STR0029 FWI18NLang("IMPCAT","STR0029",29)
#DEFINE STR0030 FWI18NLang("IMPCAT","STR0030",30)
#DEFINE STR0031 FWI18NLang("IMPCAT","STR0031",31)
#DEFINE STR0032 FWI18NLang("IMPCAT","STR0032",32)
#DEFINE STR0033 FWI18NLang("IMPCAT","STR0033",33)
#DEFINE STR0034 FWI18NLang("IMPCAT","STR0034",34)
#DEFINE STR0035 FWI18NLang("IMPCAT","STR0035",35)
#DEFINE STR0036 FWI18NLang("IMPCAT","STR0036",36)
#DEFINE STR0037 FWI18NLang("IMPCAT","STR0037",37)
#DEFINE STR0038 FWI18NLang("IMPCAT","STR0038",38)
#DEFINE STR0039 FWI18NLang("IMPCAT","STR0039",39)
#DEFINE STR0040 FWI18NLang("IMPCAT","STR0040",40)
#DEFINE STR0041 FWI18NLang("IMPCAT","STR0041",41)
#DEFINE STR0042 FWI18NLang("IMPCAT","STR0042",42)
#DEFINE STR0043 FWI18NLang("IMPCAT","STR0043",43)
#DEFINE STR0044 FWI18NLang("IMPCAT","STR0044",44)
#DEFINE STR0045 FWI18NLang("IMPCAT","STR0045",45)
#DEFINE STR0046 FWI18NLang("IMPCAT","STR0046",46)
#DEFINE STR0047 FWI18NLang("IMPCAT","STR0047",47)
#DEFINE STR0048 FWI18NLang("IMPCAT","STR0048",48)
#DEFINE STR0049 FWI18NLang("IMPCAT","STR0049",49)
#DEFINE STR0050 FWI18NLang("IMPCAT","STR0050",50)
#DEFINE STR0051 FWI18NLang("IMPCAT","STR0051",51)
#DEFINE STR0052 FWI18NLang("IMPCAT","STR0052",52)
#DEFINE STR0053 FWI18NLang("IMPCAT","STR0053",53)
#DEFINE STR0054 FWI18NLang("IMPCAT","STR0054",54)
#DEFINE STR0055 FWI18NLang("IMPCAT","STR0055",55)
#DEFINE STR0056 FWI18NLang("IMPCAT","STR0056",56)
#DEFINE STR0057 FWI18NLang("IMPCAT","STR0057",57)
#DEFINE STR0058 FWI18NLang("IMPCAT","STR0058",58)
#DEFINE STR0059 FWI18NLang("IMPCAT","STR0059",59)
#DEFINE STR0060 FWI18NLang("IMPCAT","STR0060",60)
 

IMPCAT_EN.TRES

 0001#STR0001#ALL#Work Related Accident Communication - CAT
0002#STR0002#ALL#It will be printed according to the paramenters required by
0003#STR0003#ALL#the user.
0004#STR0004#ALL#Z. Form
0005#STR0005#ALL#Management
0006#STR0006#ALL#Work Related Accident Communication - CAT
0007#STR0007#ALL#| 01.Issuer  
0008#STR0008#ALL#| 1-Empployer  2-Labor Un. 3-Doctor 4-Insur./Depend. 5-Publ. Auth.|
0009#STR0009#ALL#| 02.CAT Type   
0010#STR0010#ALL#| 1-Initial    2-Reopening     3-Death communication :
0011#STR0011#ALL#+--- EMPLOYER-------------------------------------------------------------------------------------------------------------------+
0012#STR0012#ALL#|   |03.Company name / Name                                             04.Registration                       05.CNAE           |
0013#STR0013#ALL#|   |06.Address                                           Zone            ZIP       07.City              08.St 09.Telephone     |
0014#STR0014#ALL#|   +--- INJURED ---------------------------------------------------------------------------------------------------------------+
0015#STR0015#ALL#|   |10.Name:               
0016#STR0016#ALL#11. Mother name: 
0017#STR0017#ALL#|   |12.Birth date   13.Gender             14.Marit. Status    15.CTPS     Series   Issue         16.St    17.Monthly Remun.    |
0018#STR0018#ALL#| E |18.ID card       Issue                Issued by   19.St       20.PIS/PASEP/NIT                                             |
0019#STR0019#ALL#| M |21.Address (Rua/Av./Nr.)              District           Cep          22.City              23.State 24.Telephone           |
0020#STR0020#ALL#| I |25.Job title                    26.CBO             27.INSS affiliation         28.Retired?         29.Area                 |
0021#STR0021#ALL#| T +---ACCIDENT OR DISEASE ----------------------------------------------------------------------------------------------------+
0022#STR0022#ALL#|   |30.Accident date      31.Accident hr.   32.Worked hours         33.Type        34.Was there absence?    35.Last day worked |
0023#STR0023#ALL#|   |36.Accident local                    37.Local specification          38.Cgc                39.St    40.City                |
0024#STR0024#ALL#|   |41.Injured part of the body:
0025#STR0025#ALL#42.Causing Agent:   
0026#STR0026#ALL#| T |43.Description of the situation that has caused the accident or disease             44.Was there police report?            |
0027#STR0027#ALL#45.Any deaths ? 
0028#STR0028#ALL#|   +--- WITNESSES--------------------------------------------------------------------------------------------------------------+
0029#STR0029#ALL#|   |46.Name: 
0030#STR0030#ALL#|   |47.Address                               Zone  /ZIP                   48.City                 49.St         Telephone      |
0031#STR0031#ALL#|   |50.Name: 
0032#STR0032#ALL#|   |51.Address                               Zone  /ZIP                   52.City                 53.St         Telephone      |
0033#STR0033#ALL#1-Yes 2-No 
0034#STR0034#ALL#1-Urban  2-Rural
0035#STR0035#ALL#|   |                __________________________________          ________________________________________                       |
0036#STR0036#ALL#|   |                          Place and Date                        Issuer�s signature and stamp                               |
0037#STR0037#ALL#+---+--- ASSISTANCE  -----------------------------------------------------------------------------------------------------------+
0038#STR0038#ALL#| A |54.Medical Assistance Unit                                                          55.Date              56.Hour           |
0039#STR0039#ALL#| T |                                                                                       ___/___/___          ___:___        |
0040#STR0040#ALL#| E |57.Confinement?       58.Estimated length of treatment    59.Must the injured one be absent from work during the treatment?|
0041#STR0041#ALL#| S |  [ ] 1-Yes 2-No                    ______________days       [ ] 1-Yes 2-No                                                |
0042#STR0042#ALL#| T +--- LESION-----------------------------------------------------------------------------------------------------------------+
0043#STR0043#ALL#| A |60.Description and nature of the lesion                                                                                    |
0044#STR0044#ALL#| D |                                                                                                                           |
0045#STR0045#ALL#| O +--- DIAGNOSIS   -----------------------------------------------------------------------------------------------------------+
0046#STR0046#ALL#|   |61.Probable diagnosis                                                                                |62.CID-10            |
0047#STR0047#ALL#| M |                                                                                                     |                     |
0048#STR0048#ALL#| E |                                                                                                     |                     |
0049#STR0049#ALL#| D |63.Observations------------------------------------------------------------------------------------------------------------+
0050#STR0050#ALL#| I |                                                                                                                           |
0051#STR0051#ALL#| C +---------------------------------------------------------------------------------------------------------------------------+
0052#STR0052#ALL#|   |                          Place and Date                    Doctor�s signature and stamp                                   |
0053#STR0053#ALL#+---+---------------------------------------------------------------------------------------------------------------------------+
0054#STR0054#ALL#|   |64.Received on   65.Unit code         66.CAT no.  |NOTES:1- A inexatidao das declaracoes desta comunicacao implicara nas   |
0055#STR0055#ALL#| I | ___/___/___      _______________      __________ |         sanctions estimated in atrcs.171 and 299 of the Penal Code.          |
0056#STR0056#ALL#| N |67.Server registration                            |      2- Work-related accident must be communicated until    |
0057#STR0057#ALL#| S |  _____________  ________________________________ |         1st working day after the accident, under fine penalty in the form of previs-|
0058#STR0058#ALL#| S |   Registration           Signature               |         ta no art. 22 da Lei no. 8.213/91.                             |
0059#STR0059#ALL#+-------------------------------------------------------------------------------------------------------------------------------+
0060#STR0060#ALL#THE ACCIDENT COMMUNICATION IS MANDATORY, EVEN IF THERE IS NO WORK ABSENCE.                                  
 

IMPCAT_ES.TRES

 0001#STR0001#ALL#Comunicacion de Accidente en el Trabajo - CAT
0002#STR0002#ALL#Se imprimira segun los parametros solicitados por el
0003#STR0003#ALL#usuario.
0004#STR0004#ALL#A Rayado
0005#STR0005#ALL#Administracion
0006#STR0006#ALL#Comunicacion de Accidente en el Trabajo - CAT
0007#STR0007#ALL#| 01.Emitente
0008#STR0008#ALL#| 1-Emplegador 2-Sindicato 3-Medico 4-Segur./Depend. 5-Aut.publica|
0009#STR0009#ALL#| 02.Tipo de CAT
0010#STR0010#ALL#| 1-Inicial    2-Reapertura    3-Comunicacion de Muerte:
0011#STR0011#ALL#+--- EMPLEADOR ----------------------------------------------------------------------------------------------------------------+
0012#STR0012#ALL#|   |03.Razon Social / Nombre                                             04.Inscripcion                        05.CNAE           |
0013#STR0013#ALL#|   |06.Direccion                                          Barrio          CEP       07.Municipio         08.UF 09.Telefono      |
0014#STR0014#ALL#|   +--- ACCIDENTADO ------------------------------------------------------------------------------------------------------------+
0015#STR0015#ALL#|   |10.Nombre del Accidentado: 
0016#STR0016#ALL#11. Nombre de la Madre: 
0017#STR0017#ALL#|   |12.Nacimiento   13.Sexo               14.Estado Civil     15.CTPS     Serie    Emision       16.UF    17.Remun.Mensual      |
0018#STR0018#ALL#| E |18.Identidad    Emision               Organo Exp.  19.UF       20.PIS/PASEP/NIT                                             |
0019#STR0019#ALL#| M |21.Direccion (Calle/Av./No.)             Barrio             Cp          22,Municipio           23,UF  24,Telefono            |
0020#STR0020#ALL#| I |25.Nombre de la Ocupacion             26.CBO             27.Afiliacion INSS            28.�Jubilado?      29.Area           |
0021#STR0021#ALL#| T +--- ACCIDENTE O ENFERMEDAD -------------------------------------------------------------------------------------------------+
0022#STR0022#ALL#|   |30.Fecha Accidente      31.Hr Acidente    32.Hrs Trabajadas      33.Tipo        34.Hubo Alejamiento?    35.Ultimo dia Trab. |
0023#STR0023#ALL#|   |36.Local Accidente                    37.Especificacion Local          38.N.Contribuyente            39.UF    40.Municipio  |
0024#STR0024#ALL#|   |41.Parte del cuerpo afectada: 
0025#STR0025#ALL#42.Agente Causador: 
0026#STR0026#ALL#| T |43.Descripcion de la Situacion Generadora del Accidente o enfermedad                         44.Hubo Registro Policiaco?    |
0027#STR0027#ALL#45.Hube Muerte? 
0028#STR0028#ALL#|   +--- TESTIGOS ---------------------------------------------------------------------------------------------------------------+
0029#STR0029#ALL#|   |46.Nombre: 
0030#STR0030#ALL#|   |47.Direccion                              Barrio/CP                   48.Municipio            49.UF         Telefono       |
0031#STR0031#ALL#|   |50.Nombre: 
0032#STR0032#ALL#|   |51.Direccion                              Barrio/CP                   52.Municipio            53.UF         Telefono       |
0033#STR0033#ALL#1-Si 2-No
0034#STR0034#ALL#1-Urbana 2-Rural
0035#STR0035#ALL#|   |                __________________________________          ________________________________________                       |
0036#STR0036#ALL#|   |                          Local y Fecha                          Firma y sello del Emitente                                |
0037#STR0037#ALL#+---+--- ATENCI�N--- -----------------------------------------------------------------------------------------------------------+
0038#STR0038#ALL#| A |54.Unidad de Atencion Medica                                                         55.Fecha             56.Hora          |
0039#STR0039#ALL#| T |                                                                                       ___/___/___          ___:___        |
0040#STR0040#ALL#| E |57.Hubo Hospitalizacion? 58.Duracion Probable del Tratamiento 59.El accidentado se alejara del trabajo durante tratamiento?|
0041#STR0041#ALL#| S |  [ ] 1-Si 2-No                   ______________Dias       [ ] 1-Si 2-No                                                   |
0042#STR0042#ALL#| T +--- LESION -----------------------------------------------------------------------------------------------------------------+
0043#STR0043#ALL#| A |60.Descripcion y Modalidad de la Lesion                                                                                    |
0044#STR0044#ALL#| D |                                                                                                                           |
0045#STR0045#ALL#| O +--- DIAGNOSTICO -----------------------------------------------------------------------------------------------------------+
0046#STR0046#ALL#|   |61.Diagnostico Probable                                                                              |62.CID-10            |
0047#STR0047#ALL#| M |                                                                                                     |                     |
0048#STR0048#ALL#| E |                                                                                                     |                     |
0049#STR0049#ALL#| D |63.Observaiones ------------------------------------------------------------------------------------------------------------+
0050#STR0050#ALL#| I |                                                                                                                           |
0051#STR0051#ALL#| C +---------------------------------------------------------------------------------------------------------------------------+
0052#STR0052#ALL#|   |                          Local y Fecha                      Firma y sello del Medico con CRM                              |
0053#STR0053#ALL#+---+---------------------------------------------------------------------------------------------------------------------------+
0054#STR0054#ALL#|   |64.Recibida en   65.Cod. de la Unidad   66.No.CAT   |NOTAS:1-La inexatitud en declaraciones de esta comunicacion implica en|
0055#STR0055#ALL#| I | ___/___/___      _______________      __________ |         las sanciones previstas en los arts.171 y 299 del Codigo Penal.|
0056#STR0056#ALL#| N |67,Matricula del Servidor                          |      2- La comunicacion de accidente de trabajo se debera hacer hasta el   |
0057#STR0057#ALL#| S |  _____________  ________________________________ |         hasta el 1o. Dia habil tras el accidente,bajo pena de multa en |
0058#STR0058#ALL#| S |    Matricula       Firma del Servidor            |         la forma prevista en el art. 22 de la Ley no. 8.213/91.        |
0059#STR0059#ALL#+-------------------------------------------------------------------------------------------------------------------------------+
0060#STR0060#ALL#LA COMUNICACION DEL ACCIDENTE ES OBLIGATORIA, AUNQUE QUE NO HAYA ALEJAMIENTO DEL TRABAJO.                                  
 

IMPCAT_PT-BR.TRES

 0001#STR0001#ALL#Comunicacao de Acidente do Trabalho - CAT
0002#STR0002#ALL#Ser� impresso de acordo com os parametros solicitados pelo
0003#STR0003#ALL#usuario.
0004#STR0004#ALL#Zebrado
0005#STR0005#ALL#Administra�ao
0006#STR0006#ALL#Comunicacao de Acidente do Trabalho - CAT
0007#STR0007#ALL#| 01.Emitente
0008#STR0008#ALL#| 1-Empregador 2-Sindicato 3-Medico 4-Segur./Depend. 5-Aut.publica|
0009#STR0009#ALL#| 02.Tipo de CAT
0010#STR0010#ALL#| 1-Inicial    2-Reabertura    3-Comunicacao de Obito:
0011#STR0011#ALL#+--- EMPREGADOR ----------------------------------------------------------------------------------------------------------------+
0012#STR0012#ALL#|   |03.Razao Social / Nome                                             04.Inscricao                          05.CNAE           |
0013#STR0013#ALL#|   |06.Endereco                                          Bairro          CEP       07.Municipio         08.UF 09.Telefone      |
0014#STR0014#ALL#|   +--- ACIDENTADO ------------------------------------------------------------------------------------------------------------+
0015#STR0015#ALL#|   |10.Nome do Acidentado: 
0016#STR0016#ALL#11. Nome da Mae: 
0017#STR0017#ALL#|   |12.Nascimento   13.Sexo               14.Estado Civil     15.CTPS     Serie    Emissao       16.UF    17.Remun.Mensal      |
0018#STR0018#ALL#| E |18.Identidade    Emissao              Orgao Exp.  19.UF       20.PIS/PASEP/NIT                                             |
0019#STR0019#ALL#| M |21.Endereco (Rua/Av./No.)             Bairro             Cep          22.Municipio           23.UF  24.Telefone            |
0020#STR0020#ALL#| I |25.Nome da Ocupacao             26.CBO             27.Filiacao INSS            28.Aposentado?      29.Area                 |
0021#STR0021#ALL#| T +--- ACIDENTE OU DOENCA ----------------------------------------------------------------------------------------------------+
0022#STR0022#ALL#|   |30.Data Acidente      31.Hr Acidente    32.Hrs Trabalhadas      33.Tipo        34.Houve Afastamento?    35.Ultimo dia Trab.|
0023#STR0023#ALL#|   |36.Local Acidente                    37.Especificacao Local          38.Cgc                39.UF    40.Municipio           |
0024#STR0024#ALL#|   |41.Parte do corpo atingida: 
0025#STR0025#ALL#42.Agente Causador: 
0026#STR0026#ALL#| T |43.Descricao da Situacao Geradora do Acidente ou doenca                             44.Houve Registro Policial?            |
0027#STR0027#ALL#45.Houve Morte? 
0028#STR0028#ALL#|   +--- TESTEMUNHAS -----------------------------------------------------------------------------------------------------------+
0029#STR0029#ALL#|   |46.Nome: 
0030#STR0030#ALL#|   |47.Endereco                              Bairro/CEP                   48.Municipio            49.UF         Telefone       |
0031#STR0031#ALL#|   |50.Nome: 
0032#STR0032#ALL#|   |51.Endereco                              Bairro/CEP                   52.Municipio            53.UF         Telefone       |
0033#STR0033#ALL#1-Sim 2-Nao
0034#STR0034#ALL#1-Urbana 2-Rural
0035#STR0035#ALL#|   |                __________________________________          ________________________________________                       |
0036#STR0036#ALL#|   |                          Local e Data                          Assinatura e carimbo do Emitente                           |
0037#STR0037#ALL#+---+--- ATENDIMENTO -----------------------------------------------------------------------------------------------------------+
0038#STR0038#ALL#| A |54.Unidade de Atendimento Medico                                                    55.Data              56.Hora           |
0039#STR0039#ALL#| T |                                                                                       ___/___/___          ___:___        |
0040#STR0040#ALL#| E |57.Houve Internacao?  58.Duracao Provavel do Tratamento   59.Devera o acidentado afastar-se do trabalho durante tratamento?|
0041#STR0041#ALL#| S |  [ ] 1-Sim 2-Nao                   ______________Dias       [ ] 1-Sim 2-Nao                                               |
0042#STR0042#ALL#| T +--- LESAO -----------------------------------------------------------------------------------------------------------------+
0043#STR0043#ALL#| A |60.Descricao e Natureza da Lesao                                                                                           |
0044#STR0044#ALL#| D |                                                                                                                           |
0045#STR0045#ALL#| O +--- DIAGNOSTICO -----------------------------------------------------------------------------------------------------------+
0046#STR0046#ALL#|   |61.Diagnostico Provavel                                                                              |62.CID-10            |
0047#STR0047#ALL#| M |                                                                                                     |                     |
0048#STR0048#ALL#| E |                                                                                                     |                     |
0049#STR0049#ALL#| D |63.Observacoes ------------------------------------------------------------------------------------------------------------+
0050#STR0050#ALL#| I |                                                                                                                           |
0051#STR0051#ALL#| C +---------------------------------------------------------------------------------------------------------------------------+
0052#STR0052#ALL#|   |                          Local e Data                      Assinatura e carimbo do Medico com CRM                         |
0053#STR0053#ALL#+---+---------------------------------------------------------------------------------------------------------------------------+
0054#STR0054#ALL#|   |64.Recebida em   65.Cod. da Unidade   66.No.CAT   |NOTAS:1- A inexatidao das declaracoes desta comunicacao implicara nas   |
0055#STR0055#ALL#| I | ___/___/___      _______________      __________ |         sancoes previstas nos arts.171 e 299 do Codigo Penal.          |
0056#STR0056#ALL#| N |67.Matricula do Servidor                          |      2- A comunicacao de acidente do trabalho devera ser feita ate o   |
0057#STR0057#ALL#| S |  _____________  ________________________________ |         1o. dia util apos o acidente,sob pena de multa na forma previs-|
0058#STR0058#ALL#| S |    Matricula        Assinatura do Servidor       |         ta no art. 22 da Lei no. 8.213/91.                             |
0059#STR0059#ALL#+-------------------------------------------------------------------------------------------------------------------------------+
0060#STR0060#ALL#A COMUNICACAO DO ACIDENTE E OBRIGATORIA, MESMO NO CASO EM QUE NAO HAJA AFASTAMENTO DO TRABALHO.                                  
 

IMPCAT_PT-PT.TRES

 0001#STR0001#ALL#Comunica��o De Acidente Do Trabalho - Cat
0002#STR0002#ALL#Sera impresso de acordo com os par�metro s solicitados pelo
0003#STR0003#ALL#Utilizador.
0004#STR0004#ALL#C�digo de barras
0005#STR0005#ALL#Administra��o
0006#STR0006#ALL#Comunica��o De Acidente Do Trabalho - Cat
0007#STR0007#ALL#| 01.emitente
0008#STR0008#ALL#| 1-empregador 2-sindicato 3-medico 4-segur./depend. 5-aut.publica|
0009#STR0009#ALL#| 02.tipo De Cat
0010#STR0010#ALL#| 1-inicial    2-reabertura    3-comunica��o De Obito:
0011#STR0011#ALL#+--- empregador ----------------------------------------------------------------------------------------------------------------+
0012#STR0012#ALL#|   |03.razao social / nome                                             04.inscri��o                          05.cnae           |
0013#STR0013#ALL#|   |06.morada                                    freguesia          cep       07.concelho         08.uf 09.telefone      |
0014#STR0014#ALL#|   +--- acidentado ------------------------------------------------------------------------------------------------------------+
0015#STR0015#ALL#|   |10.nome do acidentado: 
0016#STR0016#ALL#11. nome da mae: 
0017#STR0017#ALL#|   |12.nascimento   13.sexo               14.estado civil     15.ctps     serie    emiss�o       16.uf    17.remun.mensal      |
0018#STR0018#ALL#| e |18.identidade    emiss�o              orgao exp.  19.uf       20.pis/pasep/nit                                             |
0019#STR0019#ALL#| M |21.Morada (Rua/Av./Nr.)             Freguesia          CP          22.Concelho           23.UF  24.Telefone            |
0020#STR0020#ALL#| i |25.nome da ocupa��o             26.cbo             27.filia��o inss            28.aposentado?      29.area                 |
0021#STR0021#ALL#| t +--- acidente ou doenca ----------------------------------------------------------------------------------------------------+
0022#STR0022#ALL#|   |30.data Acidente      31.hr Acidente    32.hrs Trabalhadas      33.tipo        34.houve Afastamento?    35.�ltimo Dia Trab.|
0023#STR0023#ALL#|   |36.local acidente                    37.especifica��o local          38.cgc                39.uf    40.municipio           |
0024#STR0024#ALL#|   |41.parte do corpo atingida: 
0025#STR0025#ALL#42.agente causador: 
0026#STR0026#ALL#| t |43.descri��o da situa��o criadora do acidente ou doenca                             44.houve registo policial?            |
0027#STR0027#ALL#45.houve morte? 
0028#STR0028#ALL#|   +--- testemunhas -----------------------------------------------------------------------------------------------------------+
0029#STR0029#ALL#|   |46.nome: 
0030#STR0030#ALL#|   |47.morada                            freguesia/cep                   48.concelho            49.uf         telefone       |
0031#STR0031#ALL#|   |50.nome: 
0032#STR0032#ALL#|   |51.morada                              freguesia/cep                   52.concelho            53.uf         telefone       |
0033#STR0033#ALL#1-sim 2-nao
0034#STR0034#ALL#1-urbana 2-rural
0036#STR0036#ALL#|   |                          local e data                          assinatura e carimbo do emitente                           |
0037#STR0037#ALL#+---+--- atendimento -----------------------------------------------------------------------------------------------------------+
0038#STR0038#ALL#| a |54.unidade de atendimento medico                                                    55.data              56.hora           |
0039#STR0039#ALL#| t |                                                                                       ___/___/___          ___:___        |
0040#STR0040#ALL#| e |57.houve interna��o?  58.dura��o provavel do tratamento   59.devera o acidentado afastar-se do trabalho durante tratamento?|
0041#STR0041#ALL#| s |  [ ] 1-sim 2-n�o                   ______________dias       [ ] 1-sim 2-n�o                                               |
0042#STR0042#ALL#| t +--- les�o -----------------------------------------------------------------------------------------------------------------+
0043#STR0043#ALL#| a |60.descri��o e natureza da les�o                                                                                           |
0044#STR0044#ALL#| d |                                                                                                                           |
0045#STR0045#ALL#| o +--- diagnostico -----------------------------------------------------------------------------------------------------------+
0046#STR0046#ALL#|   |61.diagnostico provavel                                                                              |62.cid-10            |
0047#STR0047#ALL#| m |                                                                                                     |                     |
0048#STR0048#ALL#| e |                                                                                                     |                     |
0049#STR0049#ALL#| d |63.observa��es ------------------------------------------------------------------------------------------------------------+
0050#STR0050#ALL#| i |                                                                                                                           |
0051#STR0051#ALL#| c +---------------------------------------------------------------------------------------------------------------------------+
0052#STR0052#ALL#|   |                          local e data                      assinatura e carimbo do medico com crm                         |
0054#STR0054#ALL#|   |64.recebida em   65.cod. da unidade   66.no.cat   |notas:1- a inexatidao das declara��es desta comunica��o implicara nas   |
0055#STR0055#ALL#| i | ___/___/___      _______________      __________ |         san��es previstas nos arts.171 e 299 do c�digo  penal.          |
0056#STR0056#ALL#| N |67.Matr�cula do Servidor                          |      2- A comunica��o de acidente do trabalho dever� ser feita at� o   |
0057#STR0057#ALL#| s |  _____________  ________________________________ |         1o. dia util apos o acidente,sob pena de multa na forma previs-|
0058#STR0058#ALL#| s |    matricula        assinatura do servidor       |         ta no art. 22 da lei no. 8.213/91.                             |
0060#STR0060#ALL#A comunica��o do acidente e obrigatoria, mesmo no caso em que n�o haja afastamento do trabalho.                                  
 

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0043#STR0043#ALL#| A |60.�������� � �������� ���������                                                                                    |
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0046#STR0046#ALL#|   |61.��������� �������                                                                               |62.CID-10            |
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0051#STR0051#ALL#| C +---------------------------------------------------------------------------------------------------------------------------+
0052#STR0052#ALL#|   |                          ����� � �����                        ������� � ���� �����                                |
0053#STR0053#ALL#+---+---------------------------------------------------------------------------------------------------------------------------+
0054#STR0054#ALL#|   |64.��������   65.��� �������.         66.� CAT  |����������:1- A inexatidao das declaracoes desta comunicacao implicara nas |
0055#STR0055#ALL#| I | ___/___/___      _______________      __________ |      �������, ��������������� �������� 1971 � 299 ���������� �������.       |
0056#STR0056#ALL#| N |67.����������� �������                            |      2-� ����. ������ �� ������ ���������� ����������������    |
0057#STR0057#ALL#| S |  _____________  ________________________________ |         1-� ������� ���� ����� �����������  ������, ��� ������� ������ � ����� -|
0058#STR0058#ALL#| S |   �����������          �������               |         ta no art. 22 da Lei no. 8.213/91.                             |
0059#STR0059#ALL#+-------------------------------------------------------------------------------------------------------------------------------+
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