ORDER OF THE MINISTRY OF HEALTH AND SOCIAL DEVELOPMENT OF THE RUSSIAN FEDERATION

of November 12, 2009 No. 894n

About approval of form of calculation for the assessed and paid insurance premiums for mandatory pension insurance in the Pension Fund of the Russian Federation, to insurance premiums for compulsory medical insurance in Federal Compulsory Health Insurance Fund and territorial funds of compulsory medical insurance by the payers of insurance premiums making payments and other remunerations to physical persons

According to Item 1 of part 9 of article 15 of the Federal Law of July 24, 2009 N 212-FZ "About insurance premiums in the Pension Fund of the Russian Federation, Social Insurance Fund of the Russian Federation, Federal Compulsory Health Insurance Fund and territorial funds of compulsory medical insurance" (The Russian Federation Code, 2009, N 30, 3738) I order to the Art.:

1. Approve calculation form on the assessed and paid insurance premiums for mandatory pension insurance in the Pension Fund of the Russian Federation, to insurance premiums for compulsory medical insurance in Federal Compulsory Health Insurance Fund and territorial funds of compulsory medical insurance by the payers of insurance premiums making payments and other remunerations to physical persons (the RSV-1 form of RPF) according to appendix.

2. Determine that this order becomes effective since January 1, 2010, since representation of calculation for the assessed and paid insurance premiums for mandatory pension insurance in the Pension Fund of the Russian Federation, to insurance premiums for compulsory medical insurance in Federal Compulsory Health Insurance Fund and territorial funds of compulsory medical insurance by the payers of insurance premiums making payments and other remunerations to physical persons for the I quarter 2010.

Appendix

to the order of the Ministry of Health and Social Development of the Russian Federation of November 12, 2009 No. 894n

Calculation form on the assessed and paid insurance premiums for mandatory pension insurance in the Pension Fund of the Russian Federation, to insurance premiums for compulsory medical insurance in Federal Compulsory Health Insurance Fund and territorial funds of compulsory medical insurance by the payers of insurance premiums making payments and other remunerations to physical persons (the RSV-1 form of RPF)

It is constituted and is represented quarterly (the accruing result) to the 1st of the second calendar month following the accounting period in territorial authority of the Pension Fund of the Russian Federation (further - RPF) in place of registration the RSV-2 Form of RPF

 
                              +--------+   +--------+    +-----------+
  Регистрационный номер в ПФР |  |  |  | - |  |  |  | -  | | | | | | |
                              +--------+   +--------+    +-----------+
      +--------+
  Стр.|  |  |  |
      +--------+

                                РАСЧЕТ
    по начисленным и уплаченным страховым взносам на обязательное
    пенсионное страхование в Пенсионный фонд Российской Федерации,
     страховым взносам на обязательное медицинское страхование в
      Федеральный фонд обязательного медицинского страхования* и
    территориальные фонды обязательного медицинского страхования**
    плательщиками страховых взносов, производящими выплаты и иные
                   вознаграждения физическим лицам

                         +--------+                        +-----+
     Номер корректировки |  |  |  |  Отчетный период (код) |  |  |
                         +--------+                        +-----+
                    +-----------+
     Календарный год|  |  |  |  |
                    +-----------+

   (000 - исходная, 001-999 - номер корректировки) (03 - 1 кв, 06 -
                 полугодие, 09 - 9 месяцев, 12 - год)
+--------------------------------------------------------------------+
|                                                                    |
|                                                                    |
+--------------------------------------------------------------------+
   (наименование организации, обособленного подразделения/фамилия,
                   имя, отчество физического лица)
                    +--------------------------------------------+
     Регистрационный|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
     номер в ТФОМС  +--------------------------------------------+
                    +-----------------------------------+
                 ИНН|  |  |  |  |  |  |  |  |  |  |  |  |
                    +-----------------------------------+
                    +--------------------------+
                 КПП|  |  |  |  |  |  |  |  |  |
                    +--------------------------+
                    +--------------------------------------------+
       ОГРН (ОГРНИП)|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
                    +--------------------------------------------+
     Номер          +--------------------------------------------+
     контактного    |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
     телефона       +--------------------------------------------+
                    +--------------------------------+
     Код по         |  |  |  |  |  |  |  |  |  |  |  |
     ОКАТО          +--------------------------------+
                    +-----+ +-----+ +-----+
     Код по         |  |  |.|  |  |.|  |  |
     ОКВЭД          +-----+ +-----+ +-----+
                    +-----------------------------+
     Код по         |  |  |  |  |  |  |  |  |  |  |
     ОКПО           +-----------------------------+
     Код по         +-----+
     ОКОПФ          |  |  |
                    +-----+
     Код по         +-----+
     ОКФС           |  |  |
                    +-----+

                    +-------------------+
     почтовый индекс|                   |            Адрес регистрации
                    +-------------------+
           +---------------------------------------------------------+
     регион|                                                         |
           +---------------------------------------------------------+
           +---------------------------------------------------------+
     район |                                                         |
           +---------------------------------------------------------+
           +---------------------------------------------------------+
     город |                                                         |
           +---------------------

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