Individual program for the provision of social services. Methodological recommendations for filling out an individual program for the provision of social services, including using the automated information system AIS "Social Services" Filling in
on filling out an individual program for providing social services,
including using an automated information system
AIS "Social Services"
1. Individual program for the provision of social services (hereinafter - IPSSU) in accordance with paragraph 1 of Article 16 federal law dated December 28, 2013 "On the basics social services citizens in Russian Federation” (hereinafter referred to as the Federal Law) is a document that indicates the form of social services, types, volume, frequency, conditions, terms for the provision of social services, a list of recommended social service providers, as well as social support measures carried out in accordance with Article 22 of the Federal law.
1.2. The IPPSU form was approved by order of the Ministry of Labor and Social Protection of the Russian Federation dated November 10, 2014 No. 000n "On the approximate form of an agreement on the provision of social services, as well as on the form of an individual program for the provision of social services."
2. The decision to recognize a citizen as in need of social services (with the exception of social services in a stationary form with permanent residence) and to draw up an IPSS is taken in the form of an order of the body social protection of the population of the municipal district (urban district) of the Leningrad Region (hereinafter referred to as OSZN MO).
The decision to recognize a citizen as in need of social services in a stationary form with permanent residence and to draw up an IPPSU is made by the Committee for Social Protection of the Population of the Leningrad Region (hereinafter referred to as the Regional Committee).
3. Filling in the IPPSU is carried out by the body of social protection of the population using an automated information system AIS "Social Services" (hereinafter - AIS "Social Services") based on the individual needs of the recipient of social services.
To determine the individual need for social services, an assessment is made of the living conditions of a citizen, as well as circumstances that worsen or may worsen the conditions of his life.
When assessing the living conditions of a citizen, it is recommended to proceed, among other things, from the living conditions and family composition of a citizen, income taken into account for calculating the average per capita income for the provision of social services free of charge, medical documents characterizing the state of health of a citizen and the absence of medical contraindications to receiving social services in a social service organization providing social services in a stationary form (based on the conclusion medical organization); the results of the implemented IPSP, other conditions that determine the individual need of a citizen for social services.
Assessment of the individual needs of a citizen includes:
1) identification of living conditions and family composition of a citizen, income taken into account for calculating the average per capita income for the provision of social services free of charge, medical documents, results of an implemented individual program for the provision of social services, other conditions that determine the individual need of a citizen for social services (the presence of problems related to with social environmental factors, including marital status, the presence or absence of close relatives who are obliged in accordance with the law to provide assistance and care, the remoteness of their residence, problems economic nature, psychosocial and other circumstances);
2) studying the possibility of a citizen performing various types of life independently and determining the form of social service.
To determine the individual need for social services of a disabled person, including disabled children, an individual rehabilitation program developed by federal agency medical and social expertise.
Depending on the existing limitations of life activity, to independently satisfy their basic life needs due to the limited ability to self-service and (or) independent movement, the need for only one of the forms of social service can be established: at home, in a stationary or semi-stationary form.
For the elderly and disabled:
An indication for home social care is limited self-care or the ability to self-care at regular intervals with the help of others using assistive technology as needed.
An indication for the provision of social services in a semi-stationary form in daytime conditions is the preservation of the ability to self-service and active movement of elderly and disabled citizens, the presence of minors in a difficult life situation.
Indications for social service in the stationary form of social service with temporary stay are limited self-service, inability to self-service, need for constant outside assistance.
3) determination of the duration / frequency (permanent, temporary, one-time) and conditions for the provision of social services;
4) determination of the types of social services for the selected forms of social services in accordance with the list approved by the regional law No. 72-oz.
4. When filling out the ICPSU:
4.1. When determining the scope of the provision of services, one should be guided by the standards for the provision of social services approved by the Decree of the Government of the Leningrad Region No. 000.
4.2. In paragraph 10, the columns “Name of the service”, “Volume of service provision”, “Frequency of the service provision” are filled in by the OSZN MO based on the results of the need assessment in the development of the IPSP.
The columns "Term for the provision of services" and "Completion note" of paragraph 10 are filled in by the supplier upon the execution of the IPSAS.
In the column "Terms of Service" indicate:
In a copy of the IPPSU citizen (manually):
date of commencement of the provision of a social service - the date of commencement of the first contract concluded with the supplier for the provision of this service;
expiration date of the provision of a social service - the date of expiration of the last contract concluded with the supplier for the provision of this service, regardless of the number of contracts and the timing of their conclusion during the period of validity of the IPSSU (in the event that the contract with the supplier is terminated during the period of the IPSSU and services under the IPSSU are provided not in full, the supplier does not set an end date);
In the AIS "Social Services" each provider consistently enters:
date of commencement of the provision of a social service - the date of commencement of the contract concluded with the supplier for the provision of this service;
expiration date for the provision of a social service - the date of expiration of the contract concluded with the supplier for the provision of this service.
In a copy of the IPPSU in the personal file of a citizen stored in the OSZN MO, a mark is not put.
"completed" - the citizen was provided with all the services provided for by the IPSSU in full;
“not fulfilled” - services were not provided to the citizen under the concluded agreement (indicating the reason for non-fulfillment: death, unwillingness of the citizen, family circumstances, changes in health status, etc.)
“partially performed” - a citizen was provided with one or more services, but not all of the services provided for by the IPSAS, or the services were provided in an amount less than provided for by the IPSSU (indicating the reason for partial implementation: death, unwillingness of the citizen, family circumstances, changes in health status and etc.).
Filling out is carried out in the AIS "Social Services" by each provider sequentially as of the end date of the provision of the social service (the expiration date of the contract concluded with the supplier for the provision of this service) and, if possible, in a copy of the citizen's IPPSU (manually). In a copy of the IPPSU in the personal file of a citizen stored in the OSZN MO, a mark of completion is not put.
4.3. In paragraph 11 of the IPSP, the authorized body indicates the necessary conditions that must be observed by the provider of social services when providing social services, taking into account the form of social service.
An entry is made “in accordance with the Decree of the Government of the Leningrad Region of 01.01.2001 No. 000 “On Approval of the Procedures for the Provision of Social Services by Social Service Providers in the Leningrad Region”.
4.5. Clause 13 “Refusal of social services, social services” is filled in by the social service provider together with the recipient of social services when concluding an agreement on the provision of social services, if a citizen refuses to conclude an agreement for 1 or more services from the services recommended in the IPSU (for except for the services included in the package).
Refusal of services included in "group services" is not allowed.
4.6. Paragraph 14 "Measures for social support" indicates the recipient's need for assistance in providing the appropriate type of assistance that is not related to social services: medical, psychological, pedagogical, legal, social.
In the column "Recipient" - the full name of the citizen for whom the IPPSU is drawn up is indicated.
In the column "Mark of completion" the following information is indicated:
“completed” - the citizen was assisted in providing this type of assistance;
“not fulfilled” - the citizen was not provided with social support (indicating the reason for non-compliance: death, unwillingness of the citizen, family circumstances, changes in health status, etc.).
Information is entered manually into a copy of the citizen's IPPSU and into the AIS "Social Services".
4.7. The IPSU number is assigned in the AIS "Social Services" automatically. Assigning a number to the IPPSU in a different order is unacceptable.
5. At the request of the recipient of social services in the event of a change in his personal data (last name, first name, patronymic, address of residence without changing municipal district) on the basis of the application of the recipient of social services and supporting documents, appropriate changes are made to the IPSSU.
In the AIS "Social Services" replacement is carried out while maintaining the IPSU number, validity period, volume and list of social services.
A citizen is given a new copy with new data to replace the previously issued one. A copy of the ICPSU previously issued to a citizen, an application and copies of supporting documents certified in the prescribed manner, are attached to the citizen's personal file.
On the basis of the newly issued IPSP, the citizen concludes with a social service provider supplementary agreement to a contract for the provision of social services.
6. In case of loss of the ICPSU, the recipient of social services, on the basis of his personal application, indicating the reasons and circumstances of the loss, is issued a duplicate (with the preservation of the list, volume and terms of the provision of social services) of the previously issued ICPSU with the obligatory mark "Duplicate", the terms and reasons for its issuance . The application is attached to the personal file of the citizen.
In the AIS "Social Services" program, in the "Note" column, it is also necessary to indicate the timing and reasons for issuing a duplicate.
7. In the event of a change in a citizen's need for social services:
7.1. When changing the form of social services, changing the list or volume of recommended services, the ICPSU should be reviewed.
The revision is carried out taking into account the results of the implemented IPSP at the request of a citizen or his legal representative or an appeal in his interests by other citizens, an appeal government agencies, local self-government bodies, public associations in a manner similar to the drafting of a new IPPSU.
In the AIS "Social Services" the closure of the current ICPSU is carried out in connection with a change in need (implementation results) and the formation of a new ICPSU.
A citizen is given a new IPPSU in his hands instead of the previously issued one.
A copy of the ICPSU previously issued to a citizen, an application and copies of supporting documents certified in the prescribed manner, are attached to the citizen's personal file.
On the basis of a newly issued IPSSU, a citizen concludes a new contract (additional agreement) on the provision of social services with a social service provider.
8. The operation of the IPSU is terminated due to:
with the death of a recipient of social services;
recognition of him as dead or missing;
expiration of the IIPSS;
full implementation of the ICPSU;
personal application of a citizen (legal representative) on the refusal of social services;
a court verdict that has entered into legal force, in accordance with which a citizen is sentenced to serving a sentence of imprisonment;
a change in circumstances due to which a citizen was recognized as needing social services (determination of need in another form of social services).
If one of the circumstances listed above is revealed in the AIS "Social Services", it is necessary to close the IPPSU within a month from the date of detection.
9. When the ICPSU is closed, a Conclusion on Compliance (hereinafter referred to as the Conclusion) is attached to the personal file of a citizen.
The conclusion is filled in by the OSZN based on an assessment of the state of the citizen at the current moment and comparing it with the state at the time of the citizen's application for recognition as needing social services.
In the column "Assessment of the results of the implementation of the IPSSU" for each type of social services recommended by the IPSSU, an entry should be made that characterizes changes in living conditions and (or) the ability of the recipient of social services to independently provide their basic living needs as a result of the provision of this type of social services (for example, improvement living conditions and (or) expanding the ability of the recipient of social services to independently provide for their basic life needs).
If, upon expiration of the ICPSU, the citizen did not apply to the social protection authority and there is no possibility of assessing the change in his condition, information about the services provided (if any) or the entry “no information about the services provided” and the note “IPPSU is closed in connection with the expiration of the period of validity without the presence of a citizen.
The drawing up of an individual program is carried out by the committee of social protection of the population of the administration of the municipality "Vyborgsky district" of the Leningrad region, based on the individual needs of the recipient of social services.
To determine the individual need for social services, an assessment is made of the living conditions of a citizen, as well as circumstances that worsen or may worsen his living conditions, which include:
complete or partial loss of the ability or ability to carry out self-care, move independently, provide for basic life needs due to illness, injury, age or disability;
the presence in the family of a disabled person or disabled people, including a disabled child or disabled children in need of constant outside care;
the presence of a child or children (including those under guardianship, guardianship) experiencing difficulties in social adaptation;
inability to provide care (including temporary care) for a disabled person, a child, children, as well as the lack of care for them;
the presence of an intra-family conflict, including with persons with drug or alcohol addiction, persons addicted to gambling, persons suffering from mental disorders, the presence of domestic violence;
lack of a fixed place of residence, including for a person who has not reached the age of twenty-three and who has completed his stay in an organization for orphans and children left without parental care;
lack of work and livelihood
Documents required to recognize a citizen in need of social services:
For adult citizens:
personal statement signed by the applicant (authorized person);
consent of the citizen to the processing of personal data;
the passport; foreign passport (for foreign citizens and stateless persons permanently residing in the Russian Federation); refugee certificate; certificate of release from places of deprivation of liberty (for persons released from places of deprivation of liberty); other documents issued in accordance with the established procedure, proving the identity of a citizen (a copy with the presentation of the original);
a certificate of disability and an individual rehabilitation program issued by a federal institution of medical and social expertise (for persons with disabilities);
documents confirming the existence of circumstances that worsen or may worsen the living conditions of a citizen in need of social services;
the conclusion of a medical organization on the state of health of the recipient of social services and on the need to receive social and medical services with the volume of services provided, the frequency, and the period for which the services are provided;
certificate of authorities local government or housing maintenance enterprises on the composition of the family, indicating the date of birth of each family member and kinship;
certificate of employment issued by the employer dated on the day of application;
certificate from the employment center on registration as unemployed
For minor citizens:
personal appeal of a minor; or a statement of the parents (legal representatives) of the minor; or treatment in the interests of a minor of other citizens, state bodies, local governments, public associations in the manner prescribed by applicable law, namely:
petition of an official of the body or institution of the system for the prevention of neglect and juvenile delinquency;
decision of the person conducting the inquiry, investigator, prosecutor or judge in cases of detention, administrative arrest, detention, conviction to arrest, restriction of liberty, imprisonment of parents or other legal representatives of a minor;
act of the operational duty officer of the district, city department (department) of internal affairs, department (department) of internal affairs of another municipality, department (department) of internal affairs in transport on the need to admit a minor to a specialized institution for minors in need of social rehabilitation;
petition of local governments, public associations;
a certificate of the absence of medical contraindications established by federal law for recognition as in need of social services in a stationary form with temporary residence;
consent of a citizen to the processing of personal data in the form in accordance with Appendix 4 to this administrative regulation;
documents confirming the authority of a representative of state bodies, local governments, public associations or an authorized person;
documents confirming the existence of circumstances that worsen or may worsen the living conditions of a minor citizen in need of social services;
the conclusion of a medical organization on the state of health of a minor citizen in need of social services, and the need to receive social and medical services with the volume of services provided, the frequency, and the period for providing services.
The individual program of the recipient of social services is a document that indicates the form of social services, types, volume, frequency, conditions, terms for the provision of social services, a list of recommended social service providers, as well as social support measures.
An individual program for a citizen or his legal representative is advisory in nature, for a supplier it is mandatory.
The individual program is drawn up in two copies. A copy of the individual program, signed by the committee of social protection of the population, is transferred to the citizen or his legal representative (authorized person) within a period of not more than ten working days from the date of registration of the citizen's application for the provision of social services. The second copy of the individual program remains in the body of social protection of the population.
In the event of a change in the place of residence of the recipient of social services, the individual program drawn up at the previous place of residence remains valid in the scope of the list of social services established in the constituent entity of the Russian Federation at the new place of residence until the individual program is drawn up at the new place of residence.
The recipient of social services must carefully read the list of social services, apply for them, since the individual program prescribes all the social services that the applicant needs (based on the submitted documents) and which will be provided to him by the social service provider. Social services will be provided only in the amount prescribed in the individual program for the provision of social services; at the request of the applicant (if there is no need), social services are not provided.
Annex 5
to the administrative regulations for the provision in the territory
Leningrad region public service on
recognition of a citizen in need of social services,
(with the exception of recognizing a citizen as needy
in social services in stationary form with permanent residence)
and drawing up an individual program for the provision of social services
BODY OF SOCIAL PROTECTION OF THE POPULATION ________________________________________________________________________
MUNICIPAL DISTRICT (CITY DISTRICT) OF LENINGRAD REGION
Individual program for the provision of social services
_____________________
№______________
(Date of preparation)
Surname, name, patronymic (if any) _____________________________________________
Gender _______________ 3. Date of birth _______________________________________
postal code _________________ city (district) _______________________________
village _____________________ street ________________________________ building No. _______
building ____________ apartment _________ telephone _________________________________
5. Address of the place of work:
postal code _________________ city (district) _________________________________
street _________________________ house _______ telephone ____________________________
6. Series, passport number or details of another identity document, date of issue of these documents, name of the issuing authority
_____________________________________________________________________________
7. Contact e-mail (if available) ______________________________________________
8. An individual program for the provision of social services was developed for the first time, repeatedly (underline as appropriate) for a period up to: _______________________________________
9. Form of social service _____________________________________________
10. Types of social services
Social
| №; | Name of social service | Service scope | Service frequency | Service provision period | Completion mark |
II. Socio-medical
| №; | Name of social medical service | | | Service provision period | Completion mark |
III. Socio-psychological
| №; | Name of the socio-psychological service | Service volume per month | The frequency of the service. | Service provision period | Completion mark |
IV. Socio-pedagogical
| №; | Name of the socio-pedagogical service | Service volume per month | The frequency of the service. | Service provision period | Completion mark |
V. Social and labor
| №; | Name of social and labor service | Service volume per month | The frequency of the service. | Service provision period | Completion mark |
VI. Socio-legal
| №; | Name of social and legal service | Service volume per month | The frequency of the service. | Service provision period | Completion mark |
VII. Services to increase the communication potential of recipients of social services with disabilities, including children with disabilities
| №; | Name of service | Service volume per month | The frequency of the service. | Service provision period | Completion mark |
Notes:
The volume of social service provision is indicated with the appropriate unit of measurement (for example, m2, piece, place, set, etc.) in cases where the volume can be determined by units of measurement.
When filling in the column "term for the provision of services", the date of commencement of the provision of social services and the date of its completion are indicated.
When filling in the “completion mark” column, the social service provider makes a record: “completed”, “partially fulfilled”, “not fulfilled” (with an indication of the reason).
11. Conditions for the provision of social services 1: ____________________________________
( the social service provider indicates the necessary conditions that must be observed by the social service provider when providing social services, taking into account the form of social services) _________________________________________________
__________________________________________________________________
12. List of recommended social service providers:
13. Refusal of social services, social services:
14. Activities for social support:
(signature of the recipient of social services or (signature transcript)
his legal representative 4)
The person authorized to
signing an individual program
provision of social services
authorized body
subject of the Russian Federation
___________________________________ ____________________________
(position of the person, signature) (signature transcript)
M.P.
The recipient of social services has the right to comply with other conditions for the provision of social services in the forms of social services established by the legislation of the Russian Federation
Recipient of social services, parents, guardians, custodians, other legal representatives of minor children
The organization providing social support puts a mark: “completed”, “partially fulfilled”, “not fulfilled” (with an indication of the reason)
Emphasize the status of the signer
1 The recipient of social services has the right to comply with other conditions for the provision of social services in the forms of social services established by the legislation of the Russian Federation
2 Recipient of social services, parents, guardians, custodians, other legal representatives of minor children
3 The organization providing social support puts a mark: “completed”, “partially fulfilled”, “not fulfilled” (with an indication of the reason)
4 Emphasize the status of the signer
In order to prepare for the entry into force of the Federal Law of December 28, 2013 N 442-FZ "On the Fundamentals of Social Services for Citizens in the Russian Federation" (hereinafter - the Federal Law N 442-FZ) and the Decree of the Government of Moscow of December 26, 2014 N 829- PP "On social services for citizens in the city of Moscow" (hereinafter referred to as Decree of the Government of Moscow N 829-PP) I order:
1. The departments of social protection of the population of the administrative districts of the city of Moscow, social service organizations subordinate to the Department of social protection of the population of the city of Moscow, to ensure compliance with the requirements of Part 2 of Article 35 of the Federal Law N 442-FZ, according to which for recipients of social services who have the right to receive social services arose before December 31, 2014 inclusive, the conditions for the provision of social services from January 1, 2015 cannot be worsened in comparison with the conditions established as of December 31, 2014.
2. Approve:
2.1. Application form for the provision of social services (Appendix 1).
2.2. The form of the register of applications for the provision of social services (Appendix 2).
2.3. The form of the act of material and household inspection of the living conditions of recipients of social services (Appendix 3).
2.4. The form of the decision of the department of social protection of the population of the administrative district of the city of Moscow on recognition as needing social services (Appendix 4).
2.5. The form of an individual program for the provision of social services (Appendix 5).
2.6. The form of an individual schedule for the provision of social services in the form of social services at home (Appendix 6).
2.9. The form of the contract for the provision of social services (Appendix 9).
2.10. The form of the act on the provision of urgent social services (Appendix 10).
2.11. Application form for waiver of social services (Appendix 11).
3. The departments of social protection of the population of the administrative districts of the city of Moscow, social service organizations subordinate to the Department of Social Protection of the Population of the City of Moscow, ensure, by April 1, 2015, the drafting of individual programs for the provision of social services to recipients of social services accepted for social services before December 31, 2014 year inclusive.
4. The departments of social protection of the population of the administrative districts of the city of Moscow, together with social service organizations subordinate to the Department of Social Protection of the Population of the City of Moscow, by May 1, 2015, shall ensure:
1) signing individual programs for the provision of social services;
2) sending the second copies of individual programs for the provision of social services to recipients of social services.
5. The Department of Social Services Organization (P.A. Keller), taking into account Annex 9 to this order, by January 12, 2015, prepare and send to the departments of social protection of the population of the administrative districts of Moscow, social service organizations subordinate to the Department of Social Protection of the Population of Moscow , the form of the act of acceptance of the rendered social services according to the forms of social services.
6. To empower the departments of social protection of the population of the administrative districts of the city of Moscow with the powers to:
1) making decisions on recognizing a citizen in need of social services;
2) signing an individual program for the provision of social services;
3) making decisions on denial of social services;
4) issuance of a duplicate of the individual program for the provision of social services.
7. The revision of the individual program for the provision of social services is carried out at the request of the recipient of social services in the manner similar to the preparation of a new draft individual program for the provision of social services.
8. In relation to recipients of social services who are provided with social services in the form of social services at home and (or) in a semi-stationary form from January 1, 2015, unless otherwise established by the legislation of the Russian Federation, the calculation monthly fee for social services is established in accordance with parts 1 and 2 of Article 32 of the Federal Law N 442-FZ and the Decree of the Government of Moscow N 829-PP.
9. I reserve control over the execution of this order.
Head of Department V.A. Petrosyan
Appendix 1 to the order of the Department of Social Protection of the Population of the City of Moscow dated December 30, 2014 N 1171
APPLICATION FORM FOR THE PROVISION OF SOCIAL SERVICES ________________________________ (name of the body (provider of social services), ________________________________ to which the application is submitted) dated _____________________________ (surname, name, patronymic of a citizen) _______________, _______________ (date of birth (SNILS citizen) of a citizen) ________________________________ (details of an identity document ) ________________________________ (citizenship, information about the place of residence (stay) ________________________________ on the territory of the Russian Federation) ________________________________ ( contact number , e-mail (if any) from _____________________________ (last name, first name, patronymic (if any) of the representative, name of the state body, local self-government body, public association representing the interests of the citizen ________________________________ details of the document confirming the authority of the ________________________________ representative, details of the document confirming ________________________________ identity of the representative, address of residence, address of the state body, local government, public association) ________________________________ To be filled in if the application is submitted by a person or a state body, local government, public association representing the interests of a citizen. I ask you to provide me with social services in the form of social services _________________________________________________ provided by ____________ (indicate the form of social service) (indicate ________________________________________________________________________. provider (suppliers) of social services at the applicant's choice) I need social services: ____________________________________________ (the necessary social services are indicated ___________________________________________________________________________ and the frequency of their provision) I need the provision of social services for the following reasons: ________________________________________________________________ (circumstances that worsen or may worsen the living conditions of a citizen are indicated) Living conditions and family composition: ________________________________________ (residence conditions and family composition are indicated) _________________________________________________________________________________Information on income taken into account for calculating the average per capita income of the recipient (s) of social services: _________________________________________________________________________________________________________________ I confirm the accuracy and completeness of this information ___ _________________ For the processing of personal data about yourself in accordance with Article 9 of the Federal Law of July 27, 2006 N 152-FZ "On Personal Data" for inclusion in the register of recipients of social services: _________________________ (agree / disagree) _________________ (__________________) "__" ___________________ g (signature) (full name) date of filling out the application________________________________ In accordance with Article 15 of the Federal Law of December 28, 2013 N 442-FZ "On the Basics of Social Services for Citizens in the Russian Federation" Articles 31 and 32 of the Federal Law of December 28, 2013 N 442-FZ "Justification of social services for citizens in the Russian Federation" Collection of Legislation of the Russian Federation, 2006, N 31, Art. 3451, 2010, N 31, Art. 4196; 2011, N 31, art. 4701, 2013, N 30, Art. 4038.
Appendix 2 to the order of the Department of Social Protection of the Population of the City of Moscow dated December 30, 2014 N 1171
FORM OF THE JOURNAL OF REGISTRATION OF APPLICATIONS FOR THE PROVISION OF SOCIAL SERVICES
|
Date of registration of the application |
FULL NAME. applicant |
The date indicated in the application |
FULL NAME. parent (legal guardian) who submitted the application |
Form and type of social service |
Date of enrollment for service, order N and its date |
|
Appendix 3 to the order of the Department of Social Protection of the Population of the City of Moscow dated December 30, 2014 N 1171
FORM ACT OF EXAMINATION MATERIAL AND DOMESTIC AND SOCIAL CONDITIONS OF RESIDENCE OF THE RECIPIENT OF SOCIAL USLUGot "___" ___________ 201__ godaFamiliya ______________ Name _______________ Middle _______________________ Date of Birth _________________ Passport data _________________________________________________________ pension certificate N ________________________________________________ home address, telephone: __________________________________________________ (actual) ___________________________________________________________________________ (at the place of registration) Social status of the applicant _______________________________________________ Grounds giving the right to benefits _________________________________________________________________________________________________________________ (documents certifying the right to benefits) _________________________________________________________________________________Disability group _______________________________________________________________Duration disability was established ______________________________________________Date of the next examination _____________________________________________Marital status ______________________________________________________________ (single, living with relatives - indicate the degree of kinship, living with tenants) ________________________________________________________________________________________________________________________________________________________________________________________________________________Sources and amounts of income ________________________________________________________________________________________________________________________________Income of other family members ________________________________________________________________________________________________________________________________Average per capita income ____________________________________________________________Address and telephone number of relatives __________________________________________________________ __________________________________________________________________ Assistance provided by relatives: ________________________________________ (financial, in-kind, care, housekeeping assistance) private house, separate apartment, room in a communal apartment, living area, floor) Availability of communal amenities: ______________________________________ (water supply, gas, central heating, bath, elevator, etc.) Departmental affiliation of housing ____________________________________________ (private, state, municipal, departmental) ___________________________________________________________________________ Housing privatized or non-privatized _________________________________ Availability of a housing subsidy _________________________________________________ Degree of self-service _____________________________________________________________________________________________________________________________ (moves freely around the city, within the area of residence, only within housing, only with outside help) _________________________________________________________________________________ Reason for contacting ____________________________________________________________________________________________ ______________________________________________________________________________ What kind of assistance was provided earlier _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Conclusion and conclusions about the need _________________________________________________________________________________________________________________________________________________________________ Names and positions of the specialists who conducted the survey ________________________________________________________________________________________________________________________________________________________________________________________________________________ I am familiar with the act _________________________________, I confirm the accuracy of the information received from me. I agree for the processing and (or) distribution of the personal data specified in this act. Full name, position of the persons participating in the survey _________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Annex 4 to the order of the Department of Social Protection of the Population of the City of Moscow dated December 30, 2014 N 1171
FORM OF THE DECISION OF THE DEPARTMENT OF SOCIAL PROTECTION OF THE POPULATION OF THE ADMINISTRATIVE DISTRICT OF THE CITY OF MOSCOW ON RECOGNIZING A CITIZEN AS NEEDING SOCIAL SERVICES Moscow "___" __________ 20__ living and social conditions of residence of the recipient of social services, _____________________________________________, (other documents, specify) in accordance with Part 2 of Article 15 of the Federal Law of December 28, 2013 N 442-FZ "On the Fundamentals of Social Services for Citizens in the Russian Federation": 1. Recognize _______________________________________________________________ (last name, first name, patronymic, year of birth, address of residence) _______________________________________________________________________________ in need of social services.2. The average per capita income of a recipient of social services is _____________ The amount of the monthly fee for the provision of social services cannot exceed ___________________________________________________________ rubles.3. TCSO "________________" by "___" __________ 20__, together with the applicant, draw up a draft individual program for the provision of social services and submit it for signing to the Department of Social Protection of the Population of __________________ Administrative District of Moscow.4. TCSO "________________" (provider of social services) within 24 hours from the date of submission of the individual program for the provision of social services to ensure the conclusion of an agreement on the provision of social services.
Appendix 5 to the order of the Department of Social Protection of the Population of the City of Moscow dated December 30, 2014 N 1171
FORM OF THE INDIVIDUAL PROGRAM FOR THE PROVISION OF SOCIAL SERVICES ___________________________________________________________________________ (name of the body authorized to draw up an individual program for the provision of social services) Individual program for the provision of social services "____" _________ ____ y. Surname, name, patronymic (if any) _________________________________2. Gender _______________________ 3. Date of birth ___________________________4. Address of residence: postal code ___________ city (district) ______________________________ settlement ___________________ street _____________________ building N ________ building ______________ apartment _____________ phone ___________________5. Workplace address: postal code ___________ city (district) ______________________________ street _______________ house N ________________ telephone ___________________6. Series, passport number or details of another identity document, date of issue of these documents, name of the issuing authority _____________________________________________________________________________7. Contact e-mail (if available) ______________________________________________8. An individual program for the provision of social services was developed for the first time, repeatedly (underline as appropriate) for a period up to: _____________________9. Form of social service _______________________________________________10. Types of social services:
I. Social
II. Socio-medical
III. Socio-psychological
IV. Socio-pedagogical
V. Social and labor
VI. Socio-legal
VII. Services to increase the communication potential of recipients of social services with disabilities, including children with disabilities
Notes: 1. The volume of social service provision is indicated with the appropriate unit of measurement (for example, sq. m, piece, place, set, etc.) in cases where the volume can be determined by units of measurement. 2. When filling in the column "term for the provision of services", the date of the beginning of the provision of the social service and the date of its completion shall be indicated. 3. When filling in the "completion mark" column, the social service provider makes an entry: "completed", "partially fulfilled", "not fulfilled" (by indicating the reason). 1 11. Conditions for the provision of social services: _________________________ (the provider of social services _________________________________________________________________________________ shall indicate the necessary conditions that must be observed by the provider of social services when providing social services ___________________________________________________________________________, taking into account the form of social service)13. Refusal of social services, social services:
________________________________1 The recipient of social services has the right to comply with other conditions for the provision of social services in the forms of social services established by the legislation of the Russian Federation.14. Activities for social support:
┌───────────────────────────────────────────────┬─ ────────────────────────┐│Type of social │Recipient of social │ 3 ││accompaniment │ 2 │Mark of completion ││ │accompaniment │ │├─ ─────────────────────┼──────────────────────────┼─── ──────────────────────┤│ │ │ │├─────────────────────────────── ─────────────────────────────────────────────────── ─┤│ │ │ │└─────────────────────────────────────────── ────┴──────────────────────────┘ I agree with the content of the individual program for the provision of social services _________________________ _____________________ (signature of the recipient (decoding of the signature) of social services or his 4 legal representatives) A person authorized to sign an individual program for the provision of social services of the authorized body of the constituent entity of the Russian Federation __________________________________ _____________________ (position of the person) (signature) L.P. ________________________________2 Recipient of social services, parents, guardians, trustees, other acquaintances of the representative and minor children.3 The organization providing social support puts a mark: “completed”, “partially fulfilled”, “not fulfilled” (with an indication of the reason).4 Emphasize the status of the person who signed.Appendix 6 to the order of the Department of Social Protection of the Population of the City of Moscow dated December 30, 2014 N 1171
INDIVIDUAL SCHEDULE FOR THE PROVISION OF SOCIAL SERVICES IN THE FORM OF SOCIAL SERVICE AT HOME _____________________________________________________________________ Address of residence: _________________________________________________ Number of the individual program for the provision of social services ───┬──────┬───────┬────────┬───────┐│ │ │ │ │ │ │ │ │ │ │├──── ───┼───────┼───────┼───────┼───────────────────┼────────┼──── ────┼───────┼────────┤│ │ │ │ │ │ │ │ │ │ ───┴───────┴───────┴─────────┴──────────────────┴───────────────── ──────┘Social Services Month _____________ Year 20___Week N ______┌────────────────────────────┬───────── ┬───────┬────────┬────────┬────────┬────────┐│Day of the week │Mon │Tue │Wed │Thu │Fri │Sat │Sun │├────────────────────────────────────┼─────── ─┼───────┼────────┼────────┼───────┤│ Service code, time │ │ │ │ │ │ │ │ │ │ │ │ │ ───────┴───────┴────────┴─────────┘Week N ────┬───────┬──────────────────────────────────┬────── ─┬───────┐│Day of week │Mon │Tue │Wed │Thurs │Fri │s b │sun ────┼───────┼───────┼───────┤│Service code, time │ ──┴───────┴────────┴──────────┘Week N ──────┬───────┬─────── ────┐│Day of the week │Mon │Tue │Wed │Th │Fri │Sat │Sun Code services, time │ │ │ │ │ │ │ ││ provision Week N ______┌ ──────────────────┬───────────────────────────────────── ───────┬───────┬───────┐│Day of week │Mon │Tue │Wed │Thurs │Fri │Sat │Sun - ┼───────┼───────┤│Service code, time │ │ │ │ │ │ │ ││provision ─────────┴──────┴────────┴──────────────────┴─────────────── ──────┴───────┘Total social services rendered ________________ (by service codes)Total home visits ______________________________________________________ (in relation to services provided directly at home) Social worker _____________ ___________________________ Signature First name Surname Recipient of social services ____________________ ___________________________ Signature First name
Appendix 7 to the order of the Department of Social Protection of the Population of the City of Moscow dated December 30, 2014 N 1171
METHODOLOGICAL RECOMMENDATIONS FOR THE DEVELOPMENT OF AN INDIVIDUAL PROGRAM FOR THE PROVISION OF SOCIAL SERVICES
I. General provisions
1. An individual program for the provision of social services (hereinafter referred to as the Program) in accordance with Part 1 of Article 16 of the Federal Law of December 28, 2013 N 442-FZ "On the Fundamentals of Social Services for Citizens in the Russian Federation" (hereinafter referred to as the Federal Law) is a document in which indicates the form of social services, types, volume, frequency, conditions, terms for the provision of social services, a list of recommended social service providers, as well as social support measures carried out in accordance with Article 22 of the Federal Law.
2. The program is drawn up based on the citizen's need for social services, is reviewed depending on the change in this need, but at least once every three years. The revision of the Program is carried out taking into account the results of the implemented individual program.
The program may be revised upon the application of a citizen or his legal representative for the provision of social services or the appeal in his interests of other citizens, the appeal of state bodies, local governments, public associations.
Refusal to accept an application for revision of the Program is not provided for by the Federal Law.
3. The program for a citizen or his legal representative is advisory in nature, for a social service provider it is mandatory.
4. The form of the Program is approved by the authorized federal executive body in the field of social protection of the population. The program is drawn up in the form of a single document in two copies. The first copy of the Program signed by the authorized official Department of social protection of the population of the city of Moscow, is transferred to a citizen or his legal representative within a period of not more than ten working days from the date of filing the citizen's application for the provision of social services. The second copy of the individual program remains in the authorized body of the subject of the Russian Federation.
5. In the event of a change in the place of residence of the recipient of social services, the individual program drawn up at the former place of residence remains valid in the scope of the list of social services at the new place of residence.
6. In case of loss of the Program, the desire of the recipient of social services to change the list, volume, terms for the provision of social services at the request of the recipient is compiled new program in the manner prescribed by federal law.
7. The Program is terminated due to the death of the recipient of social services, recognition of him as dead or missing, or in case of refusal of the recipient of social services in social services within five working days from the date of submission of the application.
8. The entry into force of a court decision on recognizing a recipient of social services as incapable, with limited capacity does not terminate the Program. At the request of the guardian, appropriate changes may be made to the Program.
II. The procedure for organizing work on drafting the Program
9. The drafting of the Program is preceded by the exit of the Commission for the Assessment of Individual Needs in Social Services (hereinafter referred to as the Commission) to the applicant's house for the purpose of an interview (if possible) and drawing up an act of examining material, living and social living conditions. Taking into account the state of health, the participation of the applicant in the drafting of the program is mandatory. The opinion of close relatives can be taken into account solely in the interests of the applicant.
The commission is formed by order of the head of the territorial center of social services with the obligatory involvement of public associations, veteran organizations.
The assessment of the individual need for social services is carried out by the Commission within five days from the date of the application regarding the need to provide the applicant with social services, with the exception of urgent social services provided immediately in the prescribed manner.
10. Individual means assessment includes:
1) determination of living conditions, marital status of the client;
2) study of the possibility of the client performing various types of life independently;
3) determination of the degree of individual needs of the client in the provision of social services;
4) determination of the duration (permanent, temporary, one-time), conditions (free, paid) for the provision of social services;
5) definition of types of social services.
11. When determining the individual need for social services, the following socio-economic factors are taken into account: problems associated with factors of the social environment, including marital status, the presence or absence of close relatives who are obliged in accordance with the law to provide assistance and care, the remoteness of their residence, housing and economic problems, psychosocial and other circumstances.
12. Depending on the existing disability, to independently satisfy their basic life needs due to limited ability to self-service and (or) independent movement, the applicant may be provided with social services at home, in a stationary and semi-stationary form.
An indication for home social care is limited self-care or the ability to self-care at regular intervals with the help of others using assistive technology as needed.
An indication for social service at home by stationary social service institutions is limited self-service or inability to self-service, the need for constant outside help and complete dependence on other people.
An indication for the provision of social services in a semi-stationary form in a day care unit (hereinafter referred to as DST) is the preservation of the ability to self-service and active movement of elderly and disabled citizens, the presence of minors in a difficult life situation.
13. Identification based on conducting individual evaluation the need for home care in the absence of an established disability group does not prevent the adoption of the appropriate form for social services.
14. Depending on whether a citizen has close relatives who are obliged, in accordance with the current legislation, to support and take care of their disabled relatives in need of assistance, the order of priority for admission to social services and the participation of close relatives in the provision of social services, including their payment, are established. .
The assignment of persons to the category of close relatives who are obliged to support and take care of their disabled relatives in need of assistance is regulated by the legislation of the Russian Federation.
III. Features of filling out the draft Program
15. Items 1-3, 6 of the draft Program are filled in in accordance with the passport of a citizen of the Russian Federation or other identity document.
16. Paragraph 5 of the draft Program is filled in if the applicant is in labor relations With legal entity any organizational and legal form or an individual entrepreneur.
18. Paragraph 9 of the draft Program is filled out based on the typology of forms of social services provided for by Federal Law N 442-FZ of December 28, 2013 "On the Basics of Social Services for Citizens in the Russian Federation".
19. The central place in the Program is point 10 - here a list of social services is formulated by types of social services in which the need is established. The name of the social service must be indicated in strict accordance with the established legislation.
With regard to the scope of the provision of services, the provisions of the standard for the provision of social services should be guided.
The frequency of the provision of social services must be fixed as specifically as possible, indicating the range of time and day for the provision of social services, and in the event that this is not possible due to the position of the applicant or other reasons, indicate the frequency in detail in the individual weekly care plan.
The term for the provision of the service is indicated taking into account the time standards for the provision of social services approved by the Department of Social Protection of the Population of the City of Moscow.
The section "Note on the implementation of social services" is filled out upon expiration of the Program or when it is revised.
21. Paragraph 12 of the Program is filled in based on the need to implement the principle of maximum proximity of the organization of social services to the address of the applicant's place of residence.
22. When completing paragraph 13 of the Program, it should be taken into account that the refusal of social services terminates the individual program only in relation to the relevant social service organization. Federal law does not prevent an applicant from applying for a new Program after an unlimited period of time.
23. When completing item 14 of the Program:
the type of social support is indicated in accordance with Article 22 of the Federal Law;
"recipients of social support" means the recipient of social services, his parents, guardians, trustees, other representatives of minor children.
Appendix 8 to the order of the Department of Social Protection of the Population of the City of Moscow dated December 30, 2014 N 1171
METHODOLOGICAL RECOMMENDATIONS FOR THE CONCLUSION, AMENDMENT AND TERMINATION OF AGREEMENTS ON THE PROVISION OF SOCIAL SERVICES
I. General provisions
1. Social services are provided to a citizen on the basis of an agreement on the provision of social services (hereinafter referred to as the Agreement) concluded between a social service provider and a citizen or his legal representative, within a day from the date of submission of an individual program for the provision of social services to the social service provider.
2. The essential terms of the Agreement are the provisions determined by the individual program, as well as the cost of social services if they are provided for a fee or a partial fee.
3. Relations related to the execution of the Agreement are regulated in accordance with the legislation of the Russian Federation, primarily Chapter 39 Civil Code Russian Federation.
4. The contract is subject to conclusion when providing social services at home, in stationary and semi-stationary form (for example, day care departments).
II. The procedure for concluding, executing, amending and terminating the Agreement
5. The draft Agreement is drawn up by the territorial center of social services (hereinafter referred to as TSSO) on the basis of approximate form agreement on the provision of social services, approved by the authorized federal executive body in the field of social protection of the population. The specified form is exemplary, therefore, additional, specifying provisions in the Agreement may be present by agreement of the parties.
6. The draft agreement is drawn up after the signing by an authorized official of the Department of Social Protection of the Population of the City of Moscow of an individual program for the provision of social services (hereinafter referred to as the Program).
7. A single contract for the provision of social services is concluded with the client. The Program is an integral part of the Agreement. On behalf of the TCSO, the contract is concluded by the director or head of the TCSO branch, and on the part of the client, the client himself or a legal representative or other capable person authorized by a power of attorney.
8. Before concluding the Agreement, the TCSO is obliged to bring to the client information containing the following information:
location information ( legal address) branch of the TCSO and contact numbers of the quality control service for the provision of social services;
certificate of inclusion in the register of social service providers;
list of basic and additional social services;
information on the standards of provision, the procedure for the provision of social services, the tariffs for these services.
About familiarization with the information that the contractor is obliged to provide to the client, a corresponding entry is made in the Agreement.
9. At the request of the client, when concluding the Agreement, the TCSO is obliged to provide:
charter, duly registered, regulations on the branch;
forms of exemplary contracts for the provision of social services;
standards for the provision of social services, approved in the prescribed manner.
1) on payment for services rendered within 10 days after the expiration of the reporting month;
2) on the term of the contract, equal to the term of the Program.
11. The contract is concluded in two copies. The first copy remains with the client, the second copy is kept by the TCSO (at the provider of social services).
12. Every month, the client and the TCSO sign an act of acceptance of the social services provided under the Agreement (both free and paid).
13. TTSSO provides accounting of concluded, executed, terminated Agreements, as well as accounting of social services rendered under them. The specified accounting must be associated with the relevant Programs.
14. Amendments to the Agreement are carried out solely due to a significant change in legislation on the initiative of the TCSO or on the initiative of the client, his legal representative. Changes are made by drawing up two copies of a single document, which is its integral part.
15. Termination of the Agreement is carried out by mutual agreement of the parties or at the initiative of the recipient of social services, his legal representative. Termination of the Agreement is executed by drawing up two copies of a single document, which is its integral part.
Appendix 9 to the order of the Department of Social Protection of the Population of the City of Moscow dated December 30, 2014 N 1171
FORM OF THE AGREEMENT ON THE PROVISION OF SOCIAL SERVICES Moscow "___" _________ ___, N ______________________________________________________________________________________________, (full name of the social service provider) hereinafter referred to as the "Contractor", represented by ______________________________ (position, surname, name, patronymic (if any) ________________________________________________, acting on the basis of the authorized representative of the Contractor) ________________________________________________________________________ , on the one hand, (the basis of authority: charter, power of attorney, etc.) and ________________________________________________________________________, (last name, first name, patronymic (if any) of a citizen recognized as in need of social services) hereinafter referred to as the "Customer" ______________________________________________, (name and details of the document , certifying the identity of the Customer) residing at the address: ___________________________________________________, (address of the Customer's place of residence) 1 represented by ______________ ___________________________________________________________, (last name, first name, patronymic (if any) of the legal representative of the Customer) __________________________________________________________________________, (name and details of the identity document of the legal representative of the Customer) acting on the basis of ________________________________________________, (grounds of authority, court decision, etc.) residing at the address: ___________________________________________________ , (the address of the place of residence of the legal representative of the Customer is indicated), on the other hand, collectively referred to hereinafter as the "Parties", has concluded this Agreement as follows. I. Subject of the Agreement 1. The Customer instructs, and the Contractor undertakes to provide social services to the Customer on the basis of an individual program for the provision of social services of the Customer, issued in the prescribed manner (hereinafter referred to as the Services, an individual program), which is an integral part of this agreement, and the Customer undertakes to pay for these Services, with the exception of cases when the legislation on social services for citizens in the Russian Federation provides for the provision of social services free of charge. 2. Services are provided to the Customer good quality in accordance with the procedure for the provision of social services, approved by the authorized state authority. 3. The terms and conditions for the provision of a specific Service are established in accordance with the terms and conditions provided for the provision of the relevant Services by an individual program, and in the form agreed by the Parties are an annex to this Agreement. 4. Place of provision of Services: ______________________________________________ (the address of the place of provision of services is indicated) 5. Based on the results of the provision of Services, the Contractor shall submit to the Customer an act of acceptance of the Services rendered, signed by the Contractor, in 2 copies, drawn up in the form agreed by the Parties, which is an integral part of this agreement. 3 II. Interaction of the Parties
6. The contractor is obliged:
a) provide the Customer with Services in accordance with the individual program, this Agreement and the procedure for the provision of social services, approved by the authorized state authority;
b) provide free of charge in an accessible form to the Customer (legal representative of the Customer) information about his rights and obligations, about the types of Services provided to the Customer, the terms, procedure and conditions for their provision, about the tariffs for these Services, their cost for the Customer or about the possibility getting them for free;
c) use information about the Customer in accordance with the requirements for the protection of personal data established by the legislation of the Russian Federation on personal data;
d) provide the Customer with the opportunity to freely visit his legal representatives, lawyers, notaries, representatives of public and (or) other organizations, clergy, as well as relatives and other persons in the daytime and in the evening;
e) ensure the safety of personal belongings and valuables of the Customer;
f) timely inform the Customer in writing about changes in the procedure and conditions for the provision of the Services provided in accordance with this Agreement, as well as their payment;
g) keep records of the Services provided to the Customer in the prescribed manner;
h) perform other duties in accordance with the norms of the current legislation.
7. The contractor has the right:
a) refuse to provide the Services to the Customer in case of violation of the terms of this Agreement, as well as in the event that the Customer, receiving Services in the inpatient form of social services, has medical contraindications specified in the conclusion of an authorized medical organization;
b) require the Customer to comply with the terms of this Agreement, as well as compliance with the internal regulations for recipients of social services;
c) receive from the Customer information (information, documents) necessary to fulfill its obligations under this Agreement. In case of failure to provide or incomplete provision of such information (information, documents) by the Customer, the Contractor has the right to suspend the performance of its obligations under this Agreement until the required information (information, documents) is provided;
d) unilaterally change the amount of payment for the Services established in section III of this Agreement, in the event of a change in the average per capita income of the Customer and (or) limit value average per capita income, statutory subject of the Russian Federation, notifying the Customer in writing within two days from the date of such changes.
8. The Contractor is not entitled to transfer the fulfillment of obligations under this Agreement to third parties.
9. The Customer (legal representative of the Customer) is obliged to:
a) comply with the terms and conditions of this Agreement;
b) submit in accordance with regulatory legal acts of the constituent entity of the Russian Federation, information and documents necessary for the provision of Services, provided for by the procedure for the provision of social services approved by the authorized state authority, as well as information and documents for calculating the average per capita income for the provision of social services free of charge in order to implement the Federal Law "On the Fundamentals of Social Services for Citizens in of the Russian Federation" in accordance with the Rules for determining the average per capita income for the provision of social services free of charge, approved by Decree of the Government of the Russian Federation of October 18, 2014 N 1075 (Sobraniye Zakonodatelstva Rossiyskoy Federatsii, 2014, N 43, Art. 5910);
c) inform the Contractor in a timely manner about changes in circumstances that necessitate the provision of Services, affecting the amount of average per capita income for the provision of social services free of charge in order to implement the Federal Law "On the Fundamentals of Social Services for Citizens in the Russian Federation";
d) pay for the Services in a timely manner in the amount and on the terms provided for in this Agreement;
e) inform the Contractor in writing about the occurrence (change) of circumstances entailing a change (termination) of this Agreement;
f) notify the Contractor in writing of the refusal to receive the Services provided for by this Agreement;
g) comply with the procedure for the provision of social services, corresponding to the form of social services, as well as the internal regulations for recipients of social services;
h) inform the Contractor about the identified violations of the procedure for the provision of social services, approved by the authorized state authority.
10. The Customer (legal representative of the Customer) has the right to:
a) respectful and humane treatment;
b) to receive free of charge in an accessible form information about their rights and obligations, the types of Services that will be provided to the Customer in accordance with the individual program, the terms, procedure and conditions for their provision, the tariffs for these Services, their cost for the Customer;
c) refusal to provide the Services;
d) to protect their rights and legitimate interests in accordance with the legislation of the Russian Federation;
e) to ensure the conditions of stay in social service organizations that meet sanitary and hygienic requirements, as well as for proper care;
f) for free visits by legal representatives, lawyers, notaries, representatives of public and (or) other organizations, clergy, as well as relatives and other persons during the day and evening;
g) to protect their personal data when used by the Contractor;
h) the safety of personal belongings and valuables of the Customer while staying with the Contractor;
i) demand termination of this Agreement in case of violation by the Contractor of the terms of this Agreement.
4 III. Cost of the Services, terms and procedure for payment 11. The cost of the Services provided for by this Agreement is ____________ rubles per month. 12. The Customer pays for the Services ________________________________ (indicate the payment period _________________________________________________________________________________ (monthly, quarterly, semi-annual or other payment period _________________________________________________________________________________ in rubles), the time of payment (for example, no later than a certain date of the period, _________________________________________________________________ payable, or no later than a certain date of the period, _________________________________________________________________________________ preceding (next for the payment period), method of payment (for cash ___________________________________________________________________________/by bank transfer to the account specified in section VII of this ___________________________________________________________________________ 5 of the Agreement, or indicate that the Customer receives the Services free of charge (strike out the unnecessary) 6 IV. Grounds Changes and terminations of the Agreement 13. The conditions on which this Agreement is concluded may be changed either by agreement of the Parties, or in accordance with the current legislation of the Russian Federation. 14. This Agreement may be terminated by agreement of the Parties. At the initiative of one of the Parties, this Agreement may be terminated on the grounds provided for by the current legislation of the Russian Federation. 15. This Agreement shall be deemed terminated from the date of written notification by the Contractor to the Customer of the refusal to execute this Agreement, unless other terms are established by this Agreement. V. Responsibility for non-fulfillment or improper 7 fulfillment of obligations under the Agreement 16. The Parties shall be liable for non-fulfillment or improper fulfillment of obligations under this Agreement in accordance with the legislation of the Russian Federation. VI. Term of the Agreement and other conditions 17. This Agreement shall enter into force on the date of its signing by the Parties (unless otherwise specified in the Agreement) and shall be valid until _________________________. (specify term) 18. The contract is made in two copies, having equal legal force. VII. Address (location), details and signatures of the Parties Contractor Customer Full name of the Contractor Surname, name, patronymic (if any) of the Customer Bank details of the contractor Bank details of the Customer Position of the head Surname, name, patronymic (if any) of the contractor of the legal representative of the Customer Data of the identity document of the legal representative of the Customer Address of the legal representative of the Customer ___________________/_____________ _____________________/______________ (surname, initials) (personal (surname, initials) (personal signature ) signature) M.P. 7007; 2014, N 30, article 4257).3 The parties, at their own discretion, have the right to supplement this section with other conditions.4 The parties, at their discretion, have the right to supplement this section with other conditions.5 Parts 1 and 3 of Article 31 of the Federal Law "On the Fundamentals of Social public services for citizens in the Russian Federation" (Collected Legislation of the Russian Federation, 2013, No. 52, Art. 7007; 2014, N 30, art. 4257).6 The parties, at their discretion, may supplement this section with other terms.7 The parties, at their discretion, may supplement this section with other terms.
Appendix 10 to the order of the Department of Social Protection of the Population of the City of Moscow dated December 30, 2014 N 1171
FORM OF THE ACT ON THE PROVISION OF URGENT SOCIAL SERVICES "___" __________ 20__ Social service organization ____________________________________________________________________________________________ represented by (name of social service organization) ________________________________________________________________________________, (position, full name) acting on the basis of _________________________________, referred to in (name document) hereinafter referred to as the "Supplier", on the one hand, and _______________________________, (full name of the citizen) hereinafter referred to as the "Recipient", on the other hand (hereinafter referred to as the Parties), have drawn up this act stating that urgent social services have been provided in the period from "___" __________ 2___ to "___" ____________ 2___ in the following volume: The above services were provided in full and on time. The parties have no mutual claims. Supplier Recipient_______________________________ _________________________________________________________________ __________________________________________/_____________________/ __________/______________________/(signature) (position, initials, (signature) (initials, surname) surname) M.P.
Appendix 11 to the order of the Department of Social Protection of the Population of the City of Moscow dated December 30, 2014 N 1171
FORM OF APPLICATION FOR REFUSAL IN SOCIAL SERVICES __________________________________________________________ (name of the body (provider of social services) __________________________________________________________ to which the application is submitted from _________________________________________________ (last name, first name, patronymic (if any) of a citizen) __________________________, ________________________ (date of birth of a citizen) (SNILS of a citizen) ____________________________________________________ ( details of an identity document) ____________________________________________________ (citizenship, information about the place of residence (stay) __________________________________________________________ on the territory of the Russian Federation) ____________________________________________________ (contact phone number, e-mail (if any) from * __________________________________________________________ surname, name, patronymic (if any) of the representative, __________________________________________________ __ details of the document confirming the authority of _________________________________________________ representative, details of the document confirming ____________________________________________________ the identity of the representative, address of residence ________________________________* To be filled in if the application is submitted by a person representing the interests of a citizen. Application for refusal to provide social services I refuse to provide social services for the following reasons: ________________________________________________________________________________________________________________________________ (reasons are filled in at the request of the applicant) since ____________________________________________________________ 20_______ (indicate the date from which the provision of social services is terminated) _________________ (__________) "___" ________________________ (signature ) (full name) (date of filling out the application) APPLICATION ACCEPTED ____________________ (__________) "___" ________________________ (position, signature) (full name) (date of filling out the application)
MINISTRY OF SOCIAL DEVELOPMENT AND LABOR OF THE ASTRAKHAN REGION
RESOLUTION
ON THE PROCEDURE OF INTERACTION OF THE PROVIDERS OF SOCIAL SERVICES PROVIDING SOCIAL SERVICES IN THE STATIONARY FORM OF SOCIAL SERVICES IN THE TRANSFER OF THE RECIPIENT OF SOCIAL SERVICES
In accordance with the "Procedure for the provision of social services by social service providers in the Astrakhan region" the Ministry social development and labor of the Astrakhan region decides:
1. Approve the attached .
2. Organization department social support and social services (Shakhmanova I.T.) ensure that a copy of this Resolution is sent to:
To the agency of communication and mass communications of the Astrakhan region - within three working days from the date of its signing;
To the prosecutor's office of the Astrakhan region - no later than seven working days from the date of its signing;
To the administration of the Ministry of Justice of the Russian Federation for the Astrakhan region - within seven days after its adoption;
To suppliers of reference and legal systems LLC "Astrakhan-Garant-Service" and LLC "Information Center "ConsultantService" for inclusion in electronic bases data in electronic form and on paper - within seven days after the adoption of the decision.
3. The Department of Public Relations and Communication Technologies (Durnova L.V.) to post the text of this Resolution on the official website of the Ministry www.minsoctrud.astrobl.ru.
4. This Resolution enters into force after 10 days from the date of its official publication.
PROCEDURE FOR INTERACTION OF SOCIAL SERVICE PROVIDERS PROVIDING SOCIAL SERVICES IN THE STATIONARY FORM OF SOCIAL SERVICES IN THE TRANSFER OF THE RECIPIENT OF SOCIAL SERVICES
Deputy Prime Minister
Astrakhan Region - Minister
social development and labor
Astrakhan region
O.A. PETELIN
Approved
Ministry Decree
social development and labor
Astrakhan region
dated April 4, 2016 N 11
PROCEDURE FOR INTERACTION OF SOCIAL SERVICE PROVIDERS PROVIDING SOCIAL SERVICES IN THE STATIONARY FORM OF SOCIAL SERVICES IN THE TRANSFER OF THE RECIPIENT OF SOCIAL SERVICES
1. This Procedure for the interaction of social service providers providing social services in a stationary form of social service, when transferring a recipient of social services (hereinafter referred to as the Procedure), has been developed in accordance with, in order to establish a mechanism for transferring a recipient of social services to another social service provider providing social services in a stationary form of social service.
2. This Procedure applies to social service providers providing social services in a stationary form of social service (hereinafter referred to as the provider), the list of which is determined in accordance with the nomenclature of social service organizations in the Astrakhan Region, approved by Order of the Government of the Astrakhan Region dated October 31, 2014 N 460 - Pr "On the nomenclature of social service organizations in the Astrakhan region".
4. The transfer of the recipient from one supplier to another is carried out in agreement with the Ministry of Social Development and Labor of the Astrakhan Region (hereinafter referred to as the Ministry).
5. The approval by the Ministry of the transfer of the recipient is carried out on the basis of an application submitted by the supplier, with whom the recipient is in social services, of an application for the transfer of a citizen to another supplier (hereinafter referred to as the application for transfer) with the following documents attached:
Application for the transfer of a recipient of social services to another provider of social services, drawn up in the form in accordance with Appendix No. 1 to this Procedure;
Recipient's personal file;
Bypass sheet, drawn up in the form in accordance with Appendix N 2 to the Procedure, approved by the Decree of the Government of the Astrakhan Region of December 12, 2014 N 572-P.
When transferring minor recipients, data from medical examinations conducted in accordance with the Rules for conducting a medical examination of orphans and children left without parental care, placed under supervision in an organization for orphans and children left without parental care, approved by the Decree of the Government of the Russian Federation dated February 26, 2015 N 170, and (or) the Procedure for the medical examination of orphans and children left without parental care, approved by Order of the Ministry of Health of the Russian Federation dated April 11, 2013 N 216n.
The validity of the bypass list or medical examinations referred to in this paragraph may not exceed 6 months from the date of their issue.
6. Ministry:
On the day of receipt of the application for transfer and the documents specified in paragraph 5 of this Procedure, register them in the register of applications for the transfer of recipients of social services to another provider of social services, approved in the form in accordance with Appendix No. 3 to this Procedure;
Within 2 working days following the day of registration, coordinates the documents specified in paragraph two of this paragraph;
Within 1 working day, after the agreement period specified in paragraph three of this clause, sends a notification about the suppliers recommended for transfer with attachments of documents received in accordance with clause 5 of this Procedure to the supplier who applied for the transfer.
7. The transfer of recipients suffering from mental disorders is governed by the legislation of the Russian Federation on psychiatric care.
8. The transfer of minors who are in specialized organizations for minors and have the status of "orphan", "left without parental care", is carried out taking into account the provisions of the Decree of the Government of the Russian Federation of May 24, 2014 N 481 "On the activities of organizations for orphans and children, left without parental care, and on the placement of children left without parental care in them "and Decree of the Government of the Astrakhan Region dated August 21, 2015 N 429-P" On the procedure for issuing a referral for placement of orphans and children left without parental care, under supervision in an organization for orphans and children left without parental care.
9. Recipients of social services with special social services are transferred to another provider in accordance with subparagraph 4.4 of the Procedure approved by Decree of the Government of the Astrakhan Region dated December 12, 2014 N 572-P.
The transfer of the recipient to another provider does not require a revision of the individual social services program, except in cases:
Expiration of the individual program of social services;
Changes in the circumstances that determine the need for the provision of social services;
The personal will of the recipient to change the individual program of social services (hereinafter referred to as the individual program) in accordance with paragraph 12 of this Procedure.
10. Supplier at least 30 days before the expiration of the individual program:
Notifies the recipient in writing;
Sends to the Ministry the conclusion on the implementation of the individual program in the form approved (hereinafter referred to as the conclusion on the implementation of the individual program) in two copies, with appropriate marks.
11. The recipient has the right, personally or through an authorized representative, during the validity period of the individual program, to apply to the ministry with an application for reviewing the individual program in the form in accordance with Appendix No. 2 to this Procedure, attaching the current individual program and documents confirming the need for its revision.
12. The revision of the individual program is carried out by the Ministry, taking into account the results of the previous individual program in accordance with subparagraphs 1.7 - 1.9 and within the time period established by subparagraph 1.14 of the Procedure approved by Decree of the Government of the Astrakhan Region dated 12.12.2014 N 572-P.
The application specified in paragraph 11 of this Procedure is registered in the register of applications for the revision of the individual program for the provision of social services, approved in the form in accordance with Appendix No. 4 to this Procedure.
Appendix N 1. Application for the transfer of recipients of social services to another provider of social services
Appendix No. 1
to the Decree of the Ministry
social development and labor
Astrakhan region
dated April 4, 2016 N 11
application is submitted)
citizen)
_____________________________________,
(date of birth of the citizen)
personality)
Russian Federation)
______________________________________
availability))
______________________________________
______________________________________
(last name, first name, patronymic (if any)
representative, name
citizen
______________________________________
______________________________________
______________________________________
______________________________________
government agency, agency
local government, public
associations)
Application for the transfer of social service recipients to another social service provider
I ask you to provide me with social services in a stationary form
social services provided
To the processing of personal data about yourself in accordance with Article 9
Federal Law of July 27, 2006 N 152-FZ "On Personal Data" for
inclusion in the register of recipients of social services:
(agree/disagree)
__________ ________________________________ "______" ___________________ G.
(signature) (full name) date of filling out the application
Appendix N 2. Application for the revision of the individual program for the provision of social services
Appendix No. 2
to the Decree of the Ministry
social development and labor
Astrakhan region
dated April 4, 2016 N 11
_____________________________________,
(name of the body in which
application is submitted)
from __________________________________,
(last name, first name, patronymic (if any)
citizen)
_____________________________________,
(date of birth of the citizen)
______________________________________
(details of the document certifying
personality)
_____________________________________.
(citizenship, information about the place
residence (stay) in the territory
Russian Federation)
______________________________________
(contact phone, e-mail (with
availability))
from _________________________________
______________________________________
______________________________________
(last name, first name, patronymic (if any)
representative, name
government agency, agency
local government, public
associations representing the interests
citizen
______________________________________
______________________________________
______________________________________
______________________________________
(details of the document confirming
powers of the representative, details
identity document
representative, address
government agency, agency
local government, public
associations)
Statement on the revision of the individual program for the provision of social services
Please review my individual provision program
social services to provide me with social services in the form of
social services __________________________________________________
___________________________________________________________________________
(the desired form of social service is indicated)
social service provider ______________________________________________
___________________________________________________________________________
(indicate the desired provider(s) of social services)
I need social services: ____________________________________________
__________________________________________________________________________.
(the desired social services and the frequency of their provision are indicated)
I need social services for the following reasons
___________________________________________________________________________
___________________________________________________________________________
(indicate the circumstances that worsen or may worsen the conditions
life of a citizen)
___________________________________________________________________________
and (or) in connection with a change in the need for social services for the following
reasons _______________________________________________________________
___________________________________________________________________________
(the reasons that led to the change in the need for social
__________________________________________________________________________.
I confirm the accuracy and completeness of this information.
"___" __________ ____ G. _______________ (________________________________)
(date) (signature) (signature)
Appendix N 3. JOURNAL OF REGISTRATION OF APPLICATIONS FOR THE TRANSFER OF RECIPIENTS OF SOCIAL SERVICES TO ANOTHER PROVIDER OF SOCIAL SERVICES PROVIDING SOCIAL SERVICES IN THE STATIONARY FORM OF SOCIAL SERVICE
Appendix No. 3
to the Decree of the Ministry
social development and labor
Astrakhan region
dated April 4, 2016 N 11
Supplier name | Notice date |
|||||
Annex N 4. JOURNAL OF REGISTRATION OF APPLICATIONS FOR THE REVISION OF THE INDIVIDUAL PROGRAM FOR THE PROVISION OF SOCIAL SERVICES
Appendix No. 4
to the Decree of the Ministry
social development and labor
Astrakhan region
dated April 4, 2016 N 11
Date of receipt of the application in the authorized organization | Date of receipt of the application at the ministry | Surname, name, patronymic of the recipient of social services | Date of Birth | Date of drawing up the act of assessing living conditions | Date of receipt of the act of assessment of living conditions in the ministry | Date of execution of the conclusion on the implementation of the individual program | Date and number of the developed individual program |
|
Social services included in the individual program for the provision of social services (ISPP) can be obtained from state, so do non-state providers. You can choose any supplier listed in the register of regional suppliers (the register must be posted on the website of the social protection authority). The authorized body indicates the recommended suppliers in the ICPSU. However, the citizen is not bound by the IPSSU recommendations. He has the right to apply to any provider from the registry for the relevant IPSAS services. Selected social service provider - a social service organization or individual entrepreneur presented to the IPPSU. If there are vacancies, an agreement on the provision of social services is concluded between the provider and the citizen. The contract is concluded within 24 hours from the date of provision by the citizen of the IPPSU to the provider of social services.
In order to provide emergency care urgent social services are provided within the time frame determined by the needs of the recipient of social services, without drawing up an individual program and without concluding an agreement on the provision of social services. The provider of social services draws up an act on the provision of services, which indicates the types of urgent social services provided, the terms, date and conditions for their provision. The act is signed by the recipient of services.
The Ministry of Labor and Social Protection of the Russian Federation approved approximate orders provision of social services at home, in semi-stationary and in stationary conditions. Regions develop on their basis own orders provision of social services. You can find them on the websites of the regional social protection authorities. For example, in the city of Moscow, the following procedure for the provision of social services has been approved.
IPSU
An individual program for the provision of social services (IPPSS) is provided no later than within 10 days from the date a citizen submits an application for the provision of social services.
IPPSU validity period: the period of validity of the ICPSU corresponds to the period of provision of social services (the date of commencement of the provision of services and the date of completion of their provision are indicated in the ICPSU).
If the needs of a citizen have changed during the period of validity of the ICPSU, then it can be revised at the request of the citizen to the authorized body. The IPSP should be reviewed by the authorized body in depending on the change in the citizen's need for social services, but at least once every three years. Those. the initiator of the revision can be not only the citizen himself, but also the provider of social services, if it reveals a change in the citizen's need for social services, and the authorized body after three years from the date of the compilation of the IPSP. The revision of the individual program is carried out taking into account the results of the implemented individual program.
IPSU for a citizen or his legal representative is advisory in nature, and for a social service provider it is mandatory. This means that a citizen can refuse to comply with the IPSP, and the provider included in the register of social service providers is obliged to provide social services provided for by the IPSP.
The provider may refuse to conclude a contract for the provision of social services in accordance with the IPSAS only in two cases:
1) lack of vacancies at the social service provider;
2) if a citizen has medical contraindications for the provision of social services in a stationary form of social service - when applying for social services in a stationary form. Refusal on this basis is possible in the presence of a medical certificate.
If the family moved to another region, IPSSU, drawn up at the former place of residence, remains valid in the scope of the list of social services established in the subject of the Russian Federation at the new place of residence. The IPPSU is valid until the expiration of the terms established in it for the provision of social services, or until an individual program is drawn up for a new place of residence.
