UY BAN NIlAN DAN CONG HOA xl HOI CHiT NGHiA VI:eT NAMHUYtN DAM HA. DQc I~p- TI! do- h~nh phuc

s6:J1L(OIUBND-NV Dam Ha, ngay L2 {hang 9 ndm 2017"V€ viec ra soat, b6 sung cac d6i

tUQ11gthuoc dien tinh gian bien ch~thea Nghi dinh 108/20 14/ND-CP

Kinh giri:- Cac co quan chuyen mon, dan vi su nghiep;- Uy ban nhan dan cac xa, thi tran. .

Can cir Nghi dinh s6 108/20141ND-CP ngay 20/11/2014 cua Chinh phuvS chinh sach tinh gian bien che; Thong nr lien tich s6 01120IS/TTL T-BNV­BTC ngay 14/4/2015 cua B9 N9i vu - B9 Tai chinh vS viec Huang d~n mot s6dieu cua Nghi dinh s6 108/20141ND-CP ngay 20/11/2014 cua Chinh phu vSchinh sach tinh gian bien che;

Can ctr KS hoach s6 76/KH-UBND ngay 19/6/2015 cua Uy ban nhan danhuyen D~m Ha thuc hien chinh sach tinh gian bien chS thea quy dinh tai Nghidinh s6 108/20 14/ND-CP ngay 2011112014cua Chinh phu;

Thuc hien Huang d~n s6 01IHDLN-SNV-STC-BHXH ngay 11/7/2017Huang d~n lien nganh thuc hien Nghi dinh s6 108/20141ND-CP cua Chinh phuvS chinh sach tinh gian bien chS", Uy ban nhan dan huy~n dS nghi Thu truongcac co quan, dan vi, Chu tich UBND cac xa, thi tr~n tiSp t\lC ra soat, b6 sungnhilng d6i tuqng thuQc di~n tinh gian thea Nghi dinh s6 108/20 141ND-CP ngay20111/2014 cua Chinh phu:

I. D6i tU'Q'ngap d\lng va chi tieu tinh gian- Can b9, cong ch(rc, vien chuc, nguai lam vi~c thea chS d9 hqp d6ng lao

d9ng khong xac dinh thai h9-nthea quy dinh t9-iNghi dinh s6 68/20001ND-CPngay 17/1112000 cua Chinh phu thuQc chi tieu bien chS dugc co quan co th~mquySn giao ho~c phe duy~t (sau day gQi chung la lao d9ng 1-ID 68/CP) dang lamvi~c trong cac co quan, dan vi kh6i chinh quySn.

- Cac co quan, chuyen mon, dan vi Sl,l nghi~p dam bao vi~c xay d\l'llg DSan giam 10% bien chS so v6i bien chS giao til nay dSn nam 2021

II. Cac trU'(rng hQ'p chU'a xem xet tinh gian bien ch~Can bQ, cong chuc, vien chuc, lao dQng 1-ID68/CP chua xem xet tinh gian

bien chS nSu thuQcm9t trong cac truang hqp sau:- Dang trong thai gian 6m dau co xac nh?il cua co quan y tS c~phuy~n tr6 len;- Dang trong thm gian mang thai, nghi thai san, nuoi con dum 36 thang tu6i;- Dang trong thai gian xem xet ky lu?t ho~c truy cUu trach nhi~m hinh Sl,l.

III. Trinh tl!, tho t\lc thl!c hi~n1. BU'O'c1:Xay dl;l'ng DJ an va trinh cap co tham quyJn thong qua

1

Cac co quan, dan vi xay dung DS an hoac b6 sung DS an tinh gian bienchS dSn nam 2021.

D6i voi cac co quan, dan vi, co dan vi true thuoc thirc hien xay dung DSan dan vi tnrc thuoc tnroc khi tong hop DS an chung.

Sau khi hoan thien DS an tinh gian bien chS, co quan, dan vi, gill Uy ban nhandan huyen tong hop, trinh Uy ban nhan dan tinh phe duyet.

2. BU'O'c2: Triln khai thicc hi?n lJi an tinh ginn bien chiCan cir DS an tinh gian bien che cua co quan, dan vi dii duoc Uy ban nhan

dan tinh phe duyet, cac co quan, dan vi thirc hien:Xay dung DS an tinh gian bien che dai han dSn nam 2021; KS hoach thuc

hien tinh gian bien chS tung nam, trong KS hoach neu r5 danh sach dir kien thuchien tinh gian bien chS thea tung quy

Thong bao cong khai DS an, KS hoach tinh gian bien che cua cc quan, danvi, d~ can bo, cong chirc, vien chuc va lao dQng ill) 68/CP dugc biSt.

Huang d~n cac d6i tugng trong danh sach dV kiSn tinh gian bien chSchu~n bi h6 So' ca nhan va l~p danh sach cac d6i tugng tinh gian bien chS (theocac bilu mau 1a, 1b, 1c, 1d, bilu 2)kern thea cong van nay.

Van bim cua Co' quan, don vi dS nghi giai quySt tinh gian bien chS gui kernh6 sO'(06 bQ) vS Uy ban nhan dan huy~n t6ng hgp, bao cao HQi d6ng th~m dinh.

3. H6 sO'ca nhan tinh gian bien ch~ g6m cae thanh ph~n sao:a) Thanh phdn h6 sa ap d~ng chung cha cac a6i tU(mg:(1) So' ySu ly lich m~u 2C-BNV/2008 co xac nh~n cua cO' quan, dan vi;(2) Ban ke khai qua trinh cong tac trong cac Co' quan, dan vi co xac nh~

cua Co' quan Bao hi~m xii hQi tinh dSn thai di~m Co' quan, dan vi dS nghi giaiquYSttinh gian bien chS;

(3) Ban sao chUng thvc Quy@tdinh nang b~c luang ho?c ph\} c§p thamnien vugt khung cua 5 nam (60 thang) g~n nh§t;

(4) Ban sao s6 bao hi~m xii hQi (co cong chung ho?c xac nh~n cua Co'

quan BHXH) cua d6i tugng tinh gian d@nthai di~m l~p h6 So' tinh gian;(5) Bang tinh luang binh quan 60 thang truac thai di~m tinh gian cua tUng

d6i tugng tinh gian (theo mau sa1kem theo Cong van nay);(6) Bang tinh tiSn trg c~p cho d6i tugng (theo cac mau 2a, 2b, 2c, 2d kem

theo·Cong van nay).b)Thanhphdn h6 saap d1l-ngrieng a6i vOitimg a6i fur;mgfinh gidn bien chi- fJ6i vui h6 sa can b9, cong chuc, vien chuc tinh gidn bien chi da d6i du,

ra saat, sdp xip lr;zit6 chuc b9 may, nhan S1:f thea quyit ajnh cua cO' quan cothfm quyin (thea fJiim a, Khadn 1 fJz"iu6Nghj ajnh s6 10812014INfJ-CP), h6 sagam:

+ Ban sao chUng thvc Quy@tdinh s~p xSp l~i t6 chuc bQmay, nhan sv cuaCo' quan co th~m quySn.

2

+ Danh sach can bQ, cong clnrc, vien chirc doi du do s~p xSp lai t6 chirc,bo may cua co quan, dan vi.

- Dr5ivoi h6 sa can b9, cong chiec, vien chuc doi die do co cdu lai theo vi triviec lam, nhung khong thd br5tri, sap xip duac viec lam khac (theo Didm b, Khoan1,Di~u 6Nghi dinh sr510812014IND-CPj, h6 so gom:

+ Danh sach can bo, cong chirc, vien chirc doi dir do co cau lai doi ngilcan bo, cong chirc, vien clnrc cua co quan, dan vi.

- Dr5ivoi can bo, cong chiec, vien chicc chua dat trinh ar) dao tao thea tieuchudn chuyen mon nghiep v~ quy dinh a6i voi vi tri viec lam dang dam nhiem,nhung khong co vi tri viec lam khac phu hop ad b6 tri va khong thd b6 tri aaotc;zoic;ziad chudn hoa v~ chuyen m6n (theo Dzim c,Khoan 1,Di~u 6Nghi ainh s610812014IND-CPj, h6 so g6m:

+ Ban xac nh~n cua Thu truang co quan, dun vi vS trinh dQ chuyen mon,nghi~p Vl,l chua d?t chuk theo yeu d.u vi tri vi~c lam dang dam nhi~m.

+Ban sao chUng thl,l'cvan bing chuyen mono- D6i vOican b9, cong chuc, vien chuc co chuyen nganh aao tc;zo(theo bang

chuyen mon) khong phiL hrp v6i vi tri vi¢c lam aang aam nhi¢m nen bi hqn chi v~nang hrc hoan thanh cong vi¢c au(Ycgiao nhung kh6ng thd b6 tri vi¢c lam khac(theo Didm d, Khoan 1,Di~u 6Nghi ainh s610812014IND-CP), h6 sO"g6m:

+ Ban xac nh~n cua Thu truang co quan, dan vi vS b~ng chuyen mon c6chuyen nganh dao t?Okhong phil hgp vai vi tri vi~c lam dang dam nhi~m.

+ Ban nh~n xet, danh gia cu6i nam g~n nh~t (tinh dSn thai diSm nQph6 sO"dS nghi tinh gian) c6 xac nh~n cua Thu truang co quan, don vi.

+ Ban sao chUng thl,l'cvan bing chuyen mono- D6i v6i can b9, cong chuc co 02 nam lien tiip li~n kJ tqi thai aiim xet

tinh giiin bien chi au(Ycphan loqi, aimh gia xip VaGmuc hoan thanh nhi¢m v~;nhung con hqn chi vJ nang hrc ho(jc co 01 nam hoan thcmh nhi¢m v~ nhung conhc;znchi vJ nang hrc va 01 nam khong hoan thanh nhi¢m v~ nhung kh6ng thd b6tri vi¢c lam khac phiL h(Yp (theo Didm d, Khoan 1, DiJu 6 Nghi ainh s610812014IND-CPj, h6 so g6m:

+ Ban xac nh~n cua Thu truang co quan, dun vi, vS phan lo?i, danh gia canbQ,cong chuc trong 02 nam lien tiSp liSn kS duQ'cxSp van muc hoan thanh nhi~mVl,l nhung con h?n chS vS nang ll,l'cho~c c6 01 nam hoan thanh nhi~m Vl,l nhung conh?n chS vS nang ll,l'cva 01 nam kh6ng hoan thanh nhi~m Vl,l.

. + PhiSu danh gia can bQ, cong chuc trong 02 nam lien tiSp liSn k@namthl,l'Chi~n tinh gian bien chS. '

- D6i vai vien chuc co 02 nam lien tiip liJn k~ tc;zithai aidm xet tinh gia~bien chi trong ao co 01 nam aur;rcph an loqi, aanh gia xip VaGmuc hoan thanhnhi¢m v~ va 01 nam kh6ng hoan thanh nhi¢m v~ nhung khong thd b6 tri vi¢clam khac phiL hr;rp(theo Didm e, Khoan 1, DiJu 6 Nghi ainh s6 108120141ND­CP), h6 so g6m:

3

+ Ban xac nhan cua Thu tnrong co quan, dan vi vS phan loai, danh giavien -chirc 02 nam lien ti~p liSn kS trong do c6 01 nam duoc x~p vao mire hoanthanh nhiern vu va 01 nam khong hoan thanh nhiem vu,

+ Phi~u danh gia vien chirc trong 02 nam lien ti~p liSn kS nam thuc hientinh gian bien che.

Luu y: Cac co quan, dan vi, thong nhat ket qua danh gia sir dung lam cancir thuc hien tinh gian bien che thea Nghi dinh s6 108/20 14INB-CP voi k~t quadanh gia can be, cong chirc, vien chtrc hang nam da bao cao UBND huyen.

- fJ6i voi can bo, cong chuc, vien chuc co 02 nom lien tiep litn M tai thaiaiim xet tinh gian bien chi, m6i ndm co tong s6ngay nghi lam vi¢c la s6ngay nghit6i aa do 6m aau thea quy ajnh t{;u"Khoan 1, fJitu 23 Lu(lt Bao hiim XQ h(Ji,co xacnh(ln cua co' sa kham chua b¢nh va cO' quan Bao hiim XQ h(Jichi tra tr(l cdp 6maau -theo quy ajnh hi¢n hanh (theo fJiim g, Khoan 1, Ditu 6 Nghj ajnh s610812014INfJ-CPj, h6 So' g6m: \

+ Ban sao chung thvc Gifry xac nh~n kham chua b~nh cua Co' quan y t~cfrphuy~n tra len.

+ Ban sao chung thvc Gifry xac nh~n cua cO'quan Bao hiSm xa h9i chi tn1tr9' cfrp6m dau (theo Khoan 1, DiSu 23 Lu~t Bao hiSm xa h9i ngay 2011112014).

* fJ6i vai nguai lam vi¢c theo chi a(Jh(lp a6ng lao a(Jng khong xac ajnhthCli h(;m theo Nghj ajnh s6 68120001NfJ-CP (sau aay g9i tAt la lao a(JngHfJ681CPj trong cac cO' quan hanh chinh, aan vi Sl! nghi¢p cong l(lp chua aU(lcgiao quytn tl! chu hoan toan doi du do sAp xip lr;li t6 chuc theo quyit ainh cuaco' quan co thdm quytn hogc do aan vj Sl! nghi¢p cong l(lp sAp xip 19i t6 chucb(Jmay, nhan Sl! ai thl!C hi¢n chi a(J tl! chu, tl! chju trach nhi¢m vt thl!C hi¢nnhi¢fn v~, tai chinh, t6 chu:c b(J may va nhan S'l! (theo Khoan 2, fJitu 6, Nghjajnh s6 10812014INfJ-CPj, h6 So' g6m:

+ Ban sao chung thvc Quy~t dinh sip x~p l~i t6 chuc bQmay, nhan sv cuacO'quan c6 th~m quyS~.

+Danh sach iao dQng fID68/CP d6i du do sip x~p l~i t6 chuc, bQmay cuacO'quan, dan vi...

* fJ6i vaivien cht:rc,ngu&i lam vi¢c theo chi a(Jh(lp a6ng lao a(Jngkhongxac ajnh thai hgn tgi cac aan vj Sl! nghi¢p cong l(lp aU(lc giao quytn tl! chuhoan toan doi du do sAp xip 19i t6 chuc theo quyit ajnh cua cO' quan co thdmquytn (theo Khoan 3, fJidu 6, Nghj ajnh s610812014INfJ-CPj, h6 sO'g6m:

+ Ban sao chUng thvc Quy~t dinh sip x~p l~i t6 chuc bQmay, nhan sv cuaCo' quan c6 th~m quySn.

- +Danh sach vien chu'c, lao dQnglID68/CP d6i du do sip x~p l~i t6 chuc, bQmay cua Co' quan, dan vi, dia phuang.

4

4. Thrri han giH danh sach va h6 so' tinh gianOle co quan, dan vi xay dung K@hoach thuc hien tinh gian bien ch@hang

nam thea quy va kern thea h6 sa huang d~n tai Muc 3, Van ban nay gjri -Oybannhan dan huyen tham tra, C1,.lth~:

- D6i voi nhimg truong hop tinh gian bien che vao Quy I, thai han gui K@hoach va danh sach cham nhat van ngay 15 thang 10 cua nam tnroc liSn kS.

- D6i voi nhfrng truong hop tinh gian bien che van Quy II, thai han guiKS hoach va danh sach cham nhat van ngay 15 thang 12 cua nam tnroc liSn kS.

- D6i voi nhfrng tnrong hop tinh gian bien che van Quy III, thai han giri:KS hoach va danh sach cham nhat van ngay 15 thang 3 cua nam thuc hien.

- D6i voi nhfrng tnrong hop tinh gian bien ch@van Quy IV, thai han giriKS ho~ch va danh sach ch~m nh~t van ngay 15 thang 6 clla nam thvc hi~n.

III. Thiri gian th l).'C hi~nCac ca quan, dan vi co can bQ, cong chtic, vien chtic thuQc d6i tUQ'ngtinh

gian bien ch@xay dvng DS an tinh giim bien ch@d@nnam 2021; KS ho~ch tinhgian bien ch@nam 2018, h6 sa dS nghi tinh gian bien chS d6i vai cong chtic,vien chtic, Hf) 68 tinh gian trong quy I nam 2018 vS UBND huy~n (qua PhongNQi V1,.l)truuc ngay 1511012017.

Rieng d6i vai sv nghi~p giao d1,lCva dao t~o, UBND huy~n giao choPhong Giao d1,.lCva Dao t~o tri~n khai dSn cac truang h9C trvc thuQc, xay dlJilgDS an tinh gian bien ch@clla nganh d@nnam 2021 va KS ho~ch tinh gian bien,ch@nam 2018; t6ng hgp h6 sa cua nganh nghi trong quy I nam 2018 giri vSUBND huy~n (qua Phong NQi V1,.l) thea thai gian tren.

Tren day 1a huang d~n cua UBND huy~n vS vi~c thvc hi~n chinh sachtinh giim bien ch@thea Nghi dinh 108/ND-CP ngay 20/1112014 dS nghi cac caquan, dan vi nghiem tilc tri~n khai thvc hi~n. Trong qua trinh t6 chtic thvc hi~nn@uco kho khan, vuang m~c dS nghi cac ca quan, dan vi phim anh vS UBNDhuy~n (qua Phong NQi V1,.l)d~ th6ng nh~t thvc hi~n./.

No'i nh{in: TM. UY BAN NHAN DAN- Nlm killh glri; /~7f:t(f?, ICH- Lu'u: YP, NY. [. ':'~-..::~--.:-.,''1 •

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5

Ten CO" quan, drrn vi '" .

Bi~u sa Ola

DANH SACH Tl.NHGrAN BIEN CHE vA KINH PHi CHI TIM CHO NHONG NGU"C>lNGHI HUV TRUOC TVOITHEO NGHJ DJNH SO IOS/2014IND-CPCVA CHINH PHV

oor NAM .(Ban hanh.kem thea Cong van s6: .......J ......cua ca quan, don vi ...)

Ti~n IU"Ol1gthea ng-1'ch,PhlJ C~Jl clurc Phy c~p rhfim Phu c~p t'uim

H~ st chenh I~ch LU'o'ng thea ng~ch, Sa flam dongKinh phi d~ th"rc hi~n tinh gian bien ch~

b~c, clnrc danh, chuc v\, nie" ngh~ (n~u nien VU"Q1, khllng b~c, clnrc dnnh ngh~ BHXH theo s6hi~n hU'ifng v~ (n~u co)co) (n~u co) bao hru (n~uco)

nghi~p tru'dc Ii~n k~ BHXH (1000 dAng)

ClurcTi~n

ThO; diimTrinh dq danhIU'O'ng Sa nam tinh gian Tu5i diriNgay thang chuyen chuycn

thangd€ lam vi~c bien ch~ khi giaiLy do

HC} va tennam sinh mon du'Q'c rndn dang Ngay, Ngay, Ngay, Ngay, Ngay, Ngay,

tinh trq' n~ng (ngay, quy~t tinhTrf}'cip tinh gh\n

,gian bien Trq'dp do Trvdp do

dao t~o dam thang, thang, Mtl"C (hang, thang, thang, (hang,cap nhqc, dQc thang, tinh cho

Hj Mu'c Mu'c (1000 h-tli ho~c ch~ Tang co du 20 c6 tren 20

nhi~m B~c H~s6 nam nam P~II} namphl.l cAp nHm

phl} cip nam B~c H~sa nam (lAng) Tang s6c6 h~ s6 nam)

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cap

phI} c~p nghihuuBHXH BHXH

hu'O'ng hu'ong hu'ol1g hu'ong hming hU'<l'ng.dIU V\,rc trutrc hH3i0,7 tro'len

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Cot 16, 17 d~ ngh! liet ke them he 56 luang va thai di~m huang eua nam nam eu6i tmae khi tinh gianCot 18 Tien luang thang de!tinh tra dp Iii trung binh eong eua 60 thang ti~n luang thue ITnhtmae khi tinh gianCot 19 Tinh ea 56 thang IeCot 23 =Cot 24+ cot 25+ cot 26Cot 24=Cot 18x 56 thanh trc;rdp (tinh thea 56 thang, nam v~ huu tmae tU6i)

Page I

Ngay thang nam .TIlV TRU"ONGca, DaN VI, DJAPHUONG

(Ky ten d6ng d§u)

Cot 56 25=Cot 18x5 thangCot 26=(cot 19-22)xIl2x Cot 18

Ten co' quan, don vi .

Tiin IU",()l1g theo ng,ch,Phy dpchlh: Phy cip tham PhI} cill _ham

H~ s& chenh I~ch Lmrng thea ngach, b~c,S& nam dong DHXH

b~Ct clurc danh, chu'c V\IVI' (n~u co) RicR nghi (n~u Rieo VU"Vt khung

bao Iuu (n~u co) chtrc danh ngh~ nghi~l) TiinIheos6 DHXH

hi~n huimg co) (n~u co) trmrc Ii~n k~ Ti~n Iu-omgChorc

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Trinh dQ danh

Thoi di~nt tinh

Ngioychuyen chuyen

Ihang linh Irv Sa Ram Innt giin bien chi khi gial T6ng kinh phi Ly do

TT HQ va ten thang Ram

hi~n dpdoquy~t tinh d~ thy"C hi~n

sinh man duvc mon dang Ngity, Ngioy, Ngioy, Ngay, Ngay, NgiIy, hU'6ng dong vi~c R,ng (ngay, thang,gian bien (1000 d6ng) tinh gian

dao to}o dam fhang, thang, Mu"C thang, thang, fhang, thang, nhqc, dQc h.,i Ram)H~ Mu'c Mire (JOOO BUXH

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DANH SACH TINH GIAN BIEN CHE vA KINH pHi CHI TRA CHO NHffNG NGUOI CHUYEN SANGTO CHUCKHONG KINH PHi THU'C)"NGXUYEN rtr NGAN SACH THEa NGH! DJNH SO lOS/2014IND-CP COA CHINH PHO

DQT NAM .(Ban hanh. kern thea Cong van s6: '" .../. clia CO" quan, don vi .)

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Ngay thang nam .TIrO TRU'ONG CO, DON VJ, DJA PHUONG

(Ky ten dong dftu)

Noillil{i./1

Sa Noi V\l d~ th§m (raSa Tili chinh, kiem tra, dp kinh phiGiti ell/I

Cot 19 Ti~n IlIong thang de tinh trg dp la trung binh cong cua 60 thimg tien IlIong tho,rclinh tmac khi tinh gianCot 20 Tinh ca s6 thimg IeCot 23 =Cot 24+ cot 25+ cot 26Cot 24=Cot 18x3thang+1/2xCot 19xCot20

IV Cac t& chuc h(ii

--f----- --....------j----j-------j---j-- .._ ----I--/-.----/---j---+ __ -1 _----+-----j---- ..- - ...-.-------- _._--1-----+_.- .._--1-- .._--_. __.._--- _

T61lg crllg

Page I

Ten co quail, don vi .

Tiin IU'O'ng thea ngsch,Pity cip chu-c Phu cAp tham PhI} cil) .ham

H~ s~ chenh I~ch LU'O"ng thea ngach, S6 niim dongKinh phi d~ thl"C hi~n tinh gian

bic, clurc danh, clurc V\IVt"J (niu c6) nien nghi (niu nien vuvt khung

bao hru (n~u co) b~c, chu'c danh ngh~ BHXH theo 55bien ch~ (J000 d6ng)

hi~n Illl'Ong co) (n~u co) nghi~p tru'Uc Ii~n k~ BHXHTiin

Tiin IU'O'I1gClurc

IU'ong thang di ss nim Thiridi~m Tu5i doiTrinh dQ danh

Ngay thang chuyen chuyenIhang fi~h (rq' him viik tinh gian khi giai

Ly do

IT Hq va ten

hi~n CDP do ";tng bien chi quy~t rinhnam sinh mdn duvc mon dang Ngay, Ngay, Ngay, Ngily, Ngay, Ngay, huang dong nhQc, dQc (ngay, {hang, gian bien tinh gian

dito f.,o dam thang, tlu~ng, M.u·c rltang, thang, (hang, thang,TI'Q'dp TI°Q'cip do

Ilj MIIT Mu'c (1000 BHXH hlili ho~c nam) ch~ Tang

nhi~m B~c H~ 5el flam DRm phy IlAmI1hlJ c~p flam

IJhy c~p nam 8~c H~s6 flam delng) (1000 T6ng 55 co h~ 56 cQng tinh tim dongdu'Q'c so

dU'Q'c,

du'Q'c (lll'Q'c dll'Q'c du'Q'cvi~c BHXH

capdAng) I)h\l cAp

hu..Tng hU'Ong hu..rng huling hll'o'ng hlrOllgkhu vy·c0,7 tro·len

A 2 3 4 5 6 7 8 9 10 1/ 12 13 14 /5 /6 17 18 19 20 21 22 23 24 25 26 27I Kh6i hanh ehinh

(-. -~- .------.--f--.---.---- .--..-[----- . .. [- . .__1 ._.(- .... .. _. . . . ._._. .-~-~~_=_.J__...__~~__--- ------ -----.-..-.---.-----.----------------- .___ . . -.---1-------.-- .__. + ._.__ .II Khbi S\I nghi~p

- .- ---- -- --------.--- ---- ....----.(---.--.-----.- -- --[--1----- '-"--- ----- -----1----- (-__ . ... ._.._. _~-------I~~~~=~~~~~~-__~~-' ..-..------1---(--- __ . . [- ._. .. (--.__. . ._._._[]! Kh6i doanh nghi~p

DANH SACH TINH GJAN BIEN CHI!:vA KINH PHi CHI TRA CHO NHiJ'NG NGU'cn THen VI~C NGAYTHEO NGHl DINH so lOS/2014/ND-CP CVA CHiNH pm)

DQT ..... NA.M .(Ban hanh kernthea Cong win s6: ........ .I cua co quan, don vi .....)

Bi€u sa Ole

IV Cae t6 chue h(ii

- ..--------,-. --._-_-_-._-.__ --.f-.--+---~----1----+_-+-.___ __'_1--'_ ---.----_ __ 1--__ 1-- . .. . '_.__ ._ (--. ._. ... __ ..__

- - -----.---(--- ----(-.---+---+--1---+---+---------(--.-.-I-----I-------!- I .__.. _

------,-----.-- -----..-.1------------------1-- ----------+----1---'1----1---1·---1· __ ----f----I-- __----- .--..--1--..--------1------1--------1----_ ... ._._

Noillft{i.lI

Sa N(ii V\I d~ thilm tra

Sa Tai chinh, thilm tra kinh phiGI,i clul

· Cot 16, 17 d~ nghi li~t ke them he s6 luang va thai di~m huarg cua nam nam eu6i tmae khi tinh gian· Cot I8 Ti~n luang thang hien huang (cot 5+cot 7 +Cot 12 (n~u co))x ti~n luang C(1 s6'+C(it 9, c(it I I (n~u co)· C(it 20 tinh ea s6 thang Ie

Ngay ...... thang ..... niim ....TI-rUTRU'O'NGCO, DON VJ, DJA PHU'aNG

(Ky ten dong d§u)

. • Cot 24 =COI25+Col 26. Cot 25=Cot 18x3 thang. Cot 26=1,5x Cot 19xCot 20

Page I

Ten co' quan, don vi .

Ti€n 'mmg (heo ng~ch.Ph\1 cAll chuc Ph~1 C~I) Iham Phv cA,) Ihalll

H~ s6 chenh I~ch Lu'O'ngthea ng{lch,b~c, cit,joedanh, chu'\: V\IV\I (n€1I co) nic" ngh~ (1l~1I niell vU'q1 khnng

bao Iuu (n~1I co) b~c. ch ....c danh ngh~hi~n huvng co) (lI~tI co) nghifp Iru'6'c li~1Ik~

Trinh dq Chu'C dnnh

TT Hq vii len Ngay thang chuycn chuyenlIam sinh mon dtrQ'c mon dang

Ngay, Ngay, NgaJ', Ngoy, Ngay,dAo t~o dam nhi~m Ng"y,(hang, Ihang, Min: •hang. thang • l'Ull1g,'I"lng, Mire MireB~c H~s~

nam dlrvc l-I~s& "am ph\1tip "ilm ph~ n3mph\1 cfip lIam B~c Hfsd nllm

(1uvc: dllVe cAp duvc dm;rc duvchuunghuung hU1)'ng hmyng hU1Yng htrirng

m Kh&i doanh nghiep

A

Kh6i himh chinh

DANH SACH TINH GIAN BIEN CH~ vA KINH PHi CHI TAA CHO NHUNG NGIfOl ruor VIJ):c SAU KHI DI HOCTHEO NGH! D~NHso lOS/2014/ND-CP CUA CHINH PHU

D<)T NAM .(Ban hann kem thea Cong van s6: '" .../ " clla co:quan, don Vi ..".)

4 H 10 II 12 11 J4 J5 16 17

--r----r----- -------'-'-r-- =~~-------------IV Cae t6 chuc hoi

C~i phi TrV c~p9c f ..

IIgh~ 1m VI~C

25

Bi€u s&Old

29

Kinh phi d~ thve hi~nllinh gian bien ch~ (1000dong)

Ti~nTi~1I IUUllgIu'cng thang d~ Sa nlim

Tho;dj~m Tu6id01Ihang ti~h In}' dong

tinh gian bien khi giiihi~n cap do BHXH

ch~ (ngay, quy€t finhhU'ang dong thee s& gian bien(1000 BHxn BlUm thang, "Am)

ch€dcing) (1000

acing)

Ti~nhrOllgduvehUVllgfrong

--1-'--'-- -~----+..---I----~·~--- . ._1. __ 1.__ 1 + 1 +.. ------ .__--1 1 11 1 . ..._. --1- 1..---

T6ngcQng

Tiin dongcho CO'quanBnXH

.rong .hOiTrQ' cAp gian hQcdo dong nghSBHXH

Ly dofillhgiin

fhOi giRnhoc nghi

18 19 211 21 22 23 26 27 28

I-.--~~---+-

------- ---~--.- ..~---..- ----1---+------- -~---t--.- ---~--.-- ..--+---I---.+---i__--- ~

1-·-I----1I---+----I--..---- .......-- r---__r---_._-I +- I-- __

Nai"/r!'],,

SaNoi VI) d~th~m Ira

Sa Tai chinh. th~m (ra kinh phi

Glricllli~COl 18=Col5+ Cot 7, J 3 (n€u c6)x Ti~n luong cO'50-+Cot 9, II (n€u co).- Cot 19=Trungbinh cong eua 60 (hang luang th....c linh truac khi tinh gian. Cot 20 : Tinh ca s6 thang Ie

- COl 24 Ti~n luong duQ'c huang trong thai gian hQc ngh~

- Cot 16, 17: E)~ nghi li~t kc them h~ 56 luang va thai di~m huang luang Clla nanl nam tmac khi tinh gian

· Cot 25: Chi phi cho khoa hoc ngh~· Cot 26=cot 18x3 thang. Cot 27=1I2x cot 20x cot 19· Cot 23=Cot 24+cot 25+col 26+cot 27+ cot 28

Page I

Ngay .....• thsng .•... nHm....THO TRUONG CO, DON VI, DIA PHUONG

(Ky ten dong dAu)

.-.~--t-...-- --- ---~-._~

Ten co quan, don vi .

TT HQ vit len

A

Kh6i himh chinh

T(j"c qing

Sa Noi VI) d~th~m tra

So' Titi chinh, th~m tra kinh phi

Trinh dq Chore dnnhNgay th.tng chuyen chuyeolIam sinh mon du'Q'c mon dang

dao I{lO dam nhi~m

2 .1

TONG HQ'P CHUNG DANH SACH TINH GIAN BIEN CHE vA DI/ ToAN KINH PHi THVC HIJJ;NTHEO NGHJ D!NH SO IOS/2014fND-CP CVA CHiNH PHU

DQT....NAM ..(Ban hann kem thea Cong win s6: ....... ..I cua co quan, don vi.....)

Ti€u hn:rng Iheo ngach,b~c. chlre:dnnh, clurc VI,!

hi~n I1II"O'llg

Ph~1cAp clurcV~I (ntiu co)

Pill,' cAp (hamnien ngh€ (n~u

co)

Phy dl' Ihi1111 H~ 56 chellh I~chniell vU'Q1 khllng bao hru (n~u c6)

(n~u (6)

LU'O'IIgtheo ngnch,b~c, ehl'h: danh ngh~nghi~ptnl'CYc li~nk~

NgAy, Nglty, Ngity,

th.ng, _hang,Min:- (hang, Mli'C

B~c Hfs6 H~sa nllmph~1dp

nom P~\Iflam duvedlrQ'c du'vchuung cophU'lYng hu'ang

8 III

II Kh6i w nghiep

-- -.---·------1-----·-- - ------I----j------.-..-----.-------- ---------.-...----.---.----- ..---.------------ -----.-- --_____ ----t----I-----I-------- .___... . .__._

--- - ------___j_-.------ ..--·-------1- - ...-- ---. 1- -- ------I~ ---- ------- ------ -----.--..------------ -- ----.- . . -----1-----1-.----III K1l6i doanh nghi~p

- ---[---I-----r----I------ --------f--- -------1--- -- ----- -------1-- ----.--- ....-.----r--.-t------- ._1-__ . .. /-__. . _

~~~~~-~------------------------------ --- --------------- ------------ ------1--- ------- --------- 1- . _IV Cac 16chuc hoi

------- -----r-.---f------t------j---- ------I-----I---+----I--+---r----I __ +-__ I__I_ ---- -- ----r---.- __... . . _

_._-- --_-~---._ -_._-----_ ..

Gftichil

- Cot 16, 17d~ ngh; liet ke them he so luong va thoi di~m hlIang eua nAm nAm eu6i trucc khi tinh gilm- El'llh diu x vao I",crng hO'Pthuoc cac cOl (23, 24, 25, 26, 27)

Ngny, Ngay, Ngily,(Iuing,

M.u·c (hang. thang,nam

phI) dp nam B~c H~s6 nRmdu·vc duvc dtrvchmrng Inning htnrng

-------1-- ----1- -----. -----.---.----t----t-------. --1---- . .... _

II /2 13

rage I

14 15 /6 J7

TiAnhrong

Ti~n thang d~

Iurrng finh trQ· Sa nHm Tu6i dlricAp nghi khi giAi ThOi diimtluingInru dong

qlly~t rinh giAn bienhi~ntrn'O·c BHXIl

tinh ch~ (ngay,hu·O-ngtu5ido theo sa

giin (hling, nnm) Nghi(1000 BHXHd6ng) dong bien ch~ h,ru

BHXIl truVc(1000 (uaidAng)

IX /9 211 21 22

E)(I"Vchu-ang chinh sach

Chlly~nsang lAm

,'i~ca cac C(]sa khollg St"d\lRg kinhphi thU"ClllgxUye" til"NSNN

Thoivi~ngAy

2.1 2j

Nglty...... th.ng ..... nam ....THU TRUONG CO, DON VI, DIA PHU'ONG

(Ky ten d6ng d~u)

Bi~u sa 02

Thoivi~cSAU khi dihVe ngh~

Tangkinh phid~ IhlfChifn chi

dq

26 27 28

Ly dotinh giau

M§u s61BANG TfNH LU"ONGBINH QUAN 60 THANG NAM CUOI DOl TU"Q'NGTINH GIAN BIEN CHE

(Kern thea Cong win s6 ngay thang. .. nom cua .)

- HQ va ten: ; sinh ngay ; ; s6 nam thang dong BHXH: .- Co quan, dun vi, cong tac .

H~ 56 luong va phu dpMire

f)~n thangH~ s6

H.s6 PC Cong h~ IU011gs6 Thanh ti~nTT ro thang hrong H.s6 H.s6 H.s6 s6LNB co so' (ngan...Inam ... ...Inam ... NB phu

PC PC TN PC bao congva cac thang

d6ng)capngh~ tac (nganho?c CY TNYK Itru

dang khoan d6ng)CY PC-- ~---~---.-~-------~-.- ._-

..__ ..._-_.- ..--.~- .. - .~-~ ...- --. -- -~--~.- ..-~.- -_._-_ ...._----- --------~.------- _.-.-- ~---- ..--~-;---I-~----t

---- -----~--~-~-.-.--- ..--.----- -.-------~--.~.- ---.----.- -------- --···---·-t------1----t------I--_--t -I

----------I.-~-------------t____.---- -.-- ----- --1 1 ++ 1 1--__ --1

-- -..------------ ..--.--..--.-----...--....--..-.----.-~----..-.-.-----..---.----- ....--.-----'----1--- -1----1------1

-----~.--.--.---~---.-.----.---------.----.---.-.---.-------·~---------·----------··--I-~------I----I---I'--------j

-- ----~.---------------- ..-- -----.- ---- ..- --~-----..-----~--.-.--..~- ----- ---- ------+----1-----1

----.-.---r-------- ..--..---..-.-.--.----..--... . . . ~ _

- --.---- ----.-~.-- -------.- -----.- ~'-- ----1-----1--- -·1-----1----1---_---1

-------~------~--------- ..----~- --~------- ---·----r-------I-----j-----j-- __ ---j

- T6ng cong tien luong va phux x x x x x x xd.p thuc linh 60·thang:

- Ti~n hrong va phu d.p binhquan 60 thang (ngan x x x x x x x xd6nglthang)

...., ngay ...thdng ....ndm ....NgtrOi I~p bi~u Thu tmong don vi

----- -_ .. -------- --_.- ~--- --._--__ .__ --.- ---- - -- -- ....---- -~- -.-_._._-_ ..._-_--_---_ --~.-..---.----....- ------- -- ----1-----+-----+--.---1

TT HO va ten

M~u s6 2aDANH SACH vA KINH PHi TRQ' CAP CHO NGU'al NGHI HU'U TRU'OC TUGl THEO NGHJ DJNH .., QUY ... NAM ....

(Kern thea Cong van s6 ...ngay .., thang ndm cua .)

Chirc danh, congviec va dan vi cong Narntac tai thoi di~m Infr

nghihuu

C(lng:

Ngu'cri I~p bi~u

.... _ .._---- ------------- ---_._------ - ..- -------_ ---------_.._- -----._--- ------.- --- --------- ---------- -'--- -------- -----------------._-- --.._------------ ..._-----

Ti~n luangbinh quan60 thangtnroc khinghi huutnroc tu6i

(ngand6ng/thang

)

Tu6i tai thoi

Nghi huu diem nghl S5 nam, S5 nam,huu tnroc thang nghi thangtnroc tuoitudi (s5 huu tnroc d6ngtir ngay ...nam, s5 tuoi BHXHthan g)

Ngay,thang, nam

sinh

1

S5 ti~n chi tra cho d5i ttrong (1.000Trong do:d6ng)

Trong do:Chi tic

ngu6n KPTic NSNNCho s5

Cho 55hoat d9ng

hoac Quynam, Cho 20 thuongh6 tro slipT6ng s6 thang nam d~u narn

xuyend6ng x~p va phatnghi d6ngBHXH hang nam

trien doanhtruce BHXH cua Co'nghiep dptu6i con lai

quan, danvi

......... , ngay...... thong. ......ndm.....ThiJ tmo'ng dO'n vj

DANH SACH VA KINH PHi CHI TRA. CHO NGU'(n THOI VU:;C NGA Y THEO NGHJ DJNH IOS/2014/ND-CP, QUY ... NAM ..../V' h C~ ~ '" , h . .~ , )\l\..emt eo ong van so ngay tang nam cua ..

M~u s6 2b

------- -..- ..- -.---------------- ..- ----.-.._ -- - - .---.---.------.----..----.---- -- ..--.-.--------. -.- ..--.- ------------.f----------..- - - . .._.. .._

-----.---.- .....-.---...'.-- - ..----- ...--.- ..- -'-' - -.---- ...----. '-- ..- ---.-- -.- ..---- --.--.---f-------.----~ .__. .._._....__ .._._._....._..._... ... _..._

_.- .._---- --_-_.__ --_ .. ---_ .._-_- ~- -------_._ .._- ----- ---------_ ..__ ....-.---.----~ ---- - -------_ -- - -.--_ - ---_ -_ - -_ -----_ --- ---.--~ - ---- -_ ---- -- ------ -- - - - - --- - ------

....._.__ .--_ .._-_ _. ---_ --'-"-_ _---- .._-_. --.--. --'--- _ _- '--- _.__ _- .__ ._--- -----_. ----. __ .- - ._-_.- -_._- ._---- -'-_ ..- _ ..- -_ __._.. - -._ ..- . '''- -

TT HQva ten

S6 ti~n chi tra cho d6i nrong(1.000 d6ng) Trong do:

Ti~n luang TiSn Trong do:Tu6i dO'i va phu dp Iuong

Chi tirPhantai thoi S6 nam, hien blnh quan

Trqdp 3 nguon KP TirNSNNloai dan Ngay, Nghi thaidi~m nghi thang huong 60 thang

hO<;ltd9ng hoac Quyvi SI! thang, nam viec ngay tnroc khi truce khi thangTro dp h6 tro sipthoi viec dong luong thuongnghiep sinh nr ngay ...

(s6 nam, BHXH thoi viec nghi thdi T6ng s6 cho s6 x~p va(I) (ngan viec (ngan hien xuyen hangphat triens6 thang)

huong d~ nam dong nam cua cad6ng/than d6ng/than doanhtim vi~c BHXH quan, dong) g) nghi~p dplam vi

NamlnO'

Duoctuyen

cong viec va d 'd . A • ung vanon VI cong tac d" "

. h)..· di on vt tutat t v'l ternngay ....

Chtrc danh,

nghihuu(1)

Ngu'cri l~p bi~u

CQng:

......... , ngay ...... thang. ...... niim .....Thu trU'()'ng dO'n vi

(1) C9t nay chi ghi d6i vai cac truOng hqp d6i tUQngla vien chuc trong dan vi S\1'nghi~p cong l~p; Vi~c phiin 10<;lidon vi S\1'nghi~p thl,IChi~n thea ND 16/20 IS/ND-CP cua Chinh phil, C\1thS: Dun vi lo?i I la dO'nvi tll dam bao kinll phi hO<;ltd9ng thuong xuyen va dfru tu, dan vi lo?i II la dun vi tl! dam bao kinh phi hO<;ltd9ng thuo-ng xuyen, dO'nvi 10<;liIII la don vi chua t\1'dam bao kinh phi hO'<;Itd9ng thu'o-ngxuyen

Mftu s6 2cDANH SACH VA KINH PHi CHI TRA CHO NGU'Cn THOI VfJ;:C SAU I(HI HQC NGUE THEO NCH! f)!NH 10812014/Nf>-CP, QUY ... NAM ....

/V' h C~ -" , tha - , )\l\..emt eo ong van so ..,ngay .., ang .., nam .., cua ..

~- ..-- -_. ---- ...~ ..---.-- ..- -_._--_ ..- _ .._-_ ..-._--- .._. --- --~...---- -~-~--"'-'- ----- .._--- -"--'-"----_ .._- ----- ......_._- --- - -- "------ ---- ----- -- -......_ ......- -.__ ..- ---._.__ .-------- -- -

---- - --- _._._---_ .._ --- --~- - ------- ----..~--.-- ..-- -----_ .._-_ --_ ..._--._---- ~ '._.-.---- --------~ ----------- ------ -----.-~-- _------_ ..._---_ ------ "_-_ -. --_,_-- ------ - -----,- ---_-_._ --_ ..•..- ---- ----- ----._ - "--_..._ .._---_ .._-

-----..---- ..----··-····--....------ ..·- ..-------..-----1---- ..-- ----- -- ...----- ....---- ..--- ..- ----f----- ..-- . ..._._... . .__

------ ....--..---.------------.------ ...------------ ..--...--.....---.--------- -----1----- -- - ._ ~ ... .. . .... .__....._..__ .. .. _

TT

Chirc danh, Diroc PhanNam/n cong viec va tuyen dung 10C;lidon Ngay,

Ho va tenCi' don vi cong vao don vi vi Sl,f thang,

tac tai thai nr ngay .... nghiep narn sinhdiem nghi huu (I) (1)

Ngu'c)'i l~p bi~u

S6 tiSn chi tra cho d6i tuong (J .000 dong) Trong do:

Trang do:TiSn TiSnNghi Tu6i dai luong va

Iuongthoi viec tai thai S6 narn, cac phu binh quansau khi di€m nghi thang dp hien 60thanghoc nghe thoi viec d6ng huong

tnroc khitir ngay (s6 nam, BHXH truce khi nghi thoi

s6 thang) thoi vi~c vi~c (ngan(ngand6ng/tlu\ng)d6ng/thang)

CQng:

Chi til' Ttr

Tro' dip ngu6n KP NSNNTitn luanghoat d<)ng hoac Quyva cac 3 thang TrO' dpthuong h6 tro s~pkho3n Hoc luong cho s6T6ng s6 dong gop

phi hoc hj~n namxuyen xep va

BHXH, YT hang narn phat triSntrong thoi nghS hu6ng d6ng cua co doanhgian hoc d€ tim BHXH quan, don nghi~pIlgh~ vi~c lam

vi dlp

.......... ngily ...... (hang. ...... nam .....Thii tru'o'ng do'" vj

(I) C<)tnay chi ghi d6i v6i cac tmong hO'pd6i tuong la vien chli:c trong don vi S\I' nghi~p cong i~p; Vi~c phan 10C;lidon vi Sl,fnghi~p thl,fChi~!1thea ND 16/20 15/ND-CP cua Chinh phil, C\! th€:Don vi 10C;lir la dan vi tv dam bao kinh phi ho~t d<)ng thU'ong xuyen va d~u tu, don vi 10C;liII la don vi tl,fdam bao kinh phi hOC;ltd<)ngthU'Crngxuyen, dO'nvi 10C;liIII la don vi chua t\l' dam baokinh phi hOC;ltd<)ngthuong xuyen

M§u s6 2dDANH SACH VA KINJ-I PHI CHI TRA CHO NGU'OI CHUYEN SANG TO CHlJ'C KHONG HU'ONG LU'ONG THU'ONG XUYEN rtr NSNN

THEO NGHJ DJNH l0812014/ND-CP, QUY NAM .(Kem thea Cong win s6 ..,ngay .., thdng nam '" cua ,.)

..

TT Ho va ten

----.--.-.---- ...._----------_.-1--.._- ..---- -------_. __ ._.. .... . . ~------- . . .....__... . . . . _

..-- ----.-.- ..-------- ------ ...-------.---------- ----------------- --------1------11----- --_._. . .. .. .. _

------------------ ..--.-- ..-.--------------------. ----..------ ----- ---_ ..__.-1-------------..- ... ._....__.....__.... .__...

--------------.-.- -_._--_.--._..----------------1----------_._-------- . . ...__

Ti~n luongDiroc Tu6i dai va cac phu

Ti~n IU011gClnrc danh, cong tuyen Phan Nghi thoitai thoi S6 nam, dp thea

binh quan 60Nami viec va don vi dung VaG loai don Ngay, viec saudiSm nghi thang co quy dinh

thang trucevi 51,1' thang, khi hoc hi~n huongnil: cong tac tai thai don vi nrnghiep nam sinh ngh~ tu thoi viec d6ng

tnroc khi khi nghi thoidiem nghi huu ngay .... (56 narn, 56 BHXH viec (ngan(1) (I) ngay ...thang) thoi viec

d6ng/thang)(ngand6ng/thang)

CQng:

Ngm'ri I~p bj~u

Trong do:S6 ti~n chi tra cho d6i nrong

. (LOOO d6ng)

Chi til'TirNSNN

TrQ'dp nguon KPhoac QuyTrocap

cho 56 hoat dongh6 tro s~p

T6ng s6 3 thangnam, thuong

xep valuongthang co xuyen hang

phat trienhi~n nam cua CO'd6ng doanhhU'ungBHXH quan, do'n

nghi~p dpvi

......... , ngay ...... thcmg..... nam .....Thii tru'o'ng elo'nvi

(I) Cot nay chi ghi d6i vai cac truong hQ'pd6i tUO'ngIa vien chtl'c trong don vi 51,1' nghi~p cong l~p; Vi~c phan Io~i don vi 51,1' nghi~p thlJc hi~n thea NB 16/20151NB-CP cua Chillh phu, C\l th~:BO'nvi lo~i I lit don vi tl,l'dam bao kinh phi ho~t dong thuo'ng xuyen va d~u tu', doo vi lo~i II Ia don vi tlJ dam bao kinh phi hO\ltdong thuang xuyen, dun vi Io~i III la dun vi chua tv' dam bao kinJlphi ho~t dong thm'mg xuyen