{"id":4367,"date":"2023-07-05T20:47:54","date_gmt":"2023-07-05T20:47:54","guid":{"rendered":"https:\/\/easyjur.com\/blog\/?post_type=modelos-de-peticao&#038;p=3650"},"modified":"2023-07-05T20:47:54","modified_gmt":"2023-07-05T20:47:54","slug":"ficha-de-atendimento-a-cliente-direito-previdenciario","status":"publish","type":"modelos-de-peticao","link":"https:\/\/easyjur.com\/blog\/modelos-de-peticao\/ficha-de-atendimento-a-cliente-direito-previdenciario\/","title":{"rendered":"[MODELO] FICHA DE ATENDIMENTO A CLIENTE  &#8211;  DIREITO PREVIDENCI\u00c1RIO"},"content":{"rendered":"<p><strong>FICHA DE ATENDIMENTO A CLIENTE &#8211; DIREITO PREVIDENCI\u00c1RIO<\/strong><\/p>\n<p><strong>(1) Dados do cliente<\/strong><\/p>\n<p>Nome do segurado: ________________________________________________________________<\/p>\n<p>Nome do dependente (se for o caso): _________________________________________________<\/p>\n<p>Endere\u00e7o completo: _______________________________________________________________<\/p>\n<p>________________________________________________________________________________<\/p>\n<p>Profiss\u00e3o: ________________________________________________________________________<\/p>\n<p>Data de Nascimento: _________________ Grau de escolaridade: ___________________________<\/p>\n<p>Telefone: ______________________________________ E-mail: ___________________________<\/p>\n<p>Estado civil: ______________________________ NIT: ____________________________________<\/p>\n<p>NIT: ________________________________________________________ (observar se h\u00e1 mais de um NIT).<\/p>\n<p>Nome da m\u00e3e: ____________________________________________________________________<\/p>\n<p>RG: ________________________________________ CPF: ________________________________<\/p>\n<p>CTPS*: _________________________________ S\u00e9rie: ____________________________________<\/p>\n<p>CTPS*: _________________________________ S\u00e9rie: ____________________________________<\/p>\n<p>CTPS*: _________________________________ S\u00e9rie: ____________________________________<\/p>\n<p><em>* (tirar c\u00f3pia de todas as p\u00e1ginas que tenham algo escrito)<\/em><\/p>\n<p>NB (N\u00famero do Benef\u00edcio): __________________________________________________________<\/p>\n<p>NB (N\u00famero do Benef\u00edcio): __________________________________________________________<\/p>\n<p>NB (N\u00famero do Benef\u00edcio): __________________________________________________________<\/p>\n<p>CADSENHA**: ______________________________________<em>** se n\u00e3o tiver, ir ao INSS requerer.<\/em><\/p>\n<p><strong>(2) Entrevista<\/strong><\/p>\n<p>1) Exerceu atividade rural? (   ) SIM (   ) N\u00c3O<\/p>\n<p>Descreva: ________________________________________________________________________<\/p>\n<p>________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________<\/p>\n<p>2) J\u00e1 trabalhou em atividade especiais (insalubres)? (   ) SIM (   ) N\u00c3O<\/p>\n<p>Descreva: ________________________________________________________________________<\/p>\n<p>________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________<\/p>\n<p>3) Estudou em escola t\u00e9cnica (SENAI\/SENAC) como aluno-aprendiz? <em>(pegar certid\u00e3o em caso positivo)<\/em>  (   ) SIM (   ) N\u00c3O<\/p>\n<p>4) J\u00e1 foi ministro de confiss\u00e3o religiosa (seminarista)?  (   ) SIM (   ) N\u00c3O<\/p>\n<p>5) Exerceu servi\u00e7o militar obrigat\u00f3rio? (   ) SIM (   ) N\u00c3O<\/p>\n<p>6) J\u00e1 entrou com a\u00e7\u00e3o trabalhista contra empresa? (   ) SIM (   ) N\u00c3O<\/p>\n<p>Descreva: ________________________________________________________________________<\/p>\n<p>________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________<\/p>\n<p>7) Trabalhou sem registro na carteira?  (   ) SIM (   ) N\u00c3O<\/p>\n<p>Se sim, qual(is) per\u00edodo(s)? __________________________________________________________<\/p>\n<p>________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________<\/p>\n<p>8) J\u00e1 foi pescador artesanal?  (   ) SIM (   ) N\u00c3O<\/p>\n<p>9) J\u00e1 fez pedido administrativo de benef\u00edcio no INSS?  (   ) SIM (   ) N\u00c3O<\/p>\n<p>Descreva: ________________________________________________________________________<\/p>\n<p>________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________<\/p>\n<p>10) J\u00e1 entrou com a\u00e7\u00e3o contra o INSS?  (   ) SIM (   ) N\u00c3O<\/p>\n<p>Descreva: ________________________________________________________________________<\/p>\n<p>________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________<\/p>\n<p><strong>( 3) Agendar<\/strong><\/p>\n<p>(   ) Acerto de CNIS (atualiza\u00e7\u00e3o de cadastro \/ senha)<\/p>\n<p>(   ) CADSENHA<\/p>\n<p>(   ) Processo administrativo<\/p>\n<p>(   ) Benef\u00edcio por incapacidade<\/p>\n<p>(   ) Aposentadoria __________________<\/p>\n<p>(   ) LOAS (   ) Idoso (   ) Deficiente<\/p>\n<p>(   ) Outro(s): _____________________________________________________________________<\/p>\n<p><strong>(4) Requerer Documentos<\/strong><\/p>\n<p>(   ) Documentos pessoais (RG e CPF)<\/p>\n<p>(   ) Comprovante de resid\u00eancia recente (\u00faltimos 30 dias)<\/p>\n<p>(   ) Requerimento administrativo \/ negativa do INSS<\/p>\n<p>(   ) Processo Administrativo &#8211; PA<\/p>\n<p>(   ) CTC \u2013 Certid\u00e3o de tempo de contribui\u00e7\u00e3o <em>(caso tenha trabalhado no servi\u00e7o p\u00fablico)<\/em><\/p>\n<p>(   ) PPP \/ Laudo T\u00e9cnico De Atividades Especiais <em>(em caso de insalubridade)<\/em><\/p>\n<p>(   ) Certid\u00e3o de trabalho como aluno aprendiz em escola t\u00e9cnica<\/p>\n<p>(   ) Provas de atividade de seminarista ou similar<\/p>\n<p>(   ) Certificado de reservista (para provar servi\u00e7o militar obrigat\u00f3rio)<\/p>\n<p>(   ) Documentos m\u00e9dicos (exames, laudos, receitu\u00e1rios) <em>(em caso de benef\u00edcio por incapacidade)<\/em><\/p>\n<p>(   ) Provas de trabalho rural <em>(em caso de haver tempo rural)<\/em>. Exemplos de documentos para comprova\u00e7\u00e3o de trabalho rural (os documentos podem ser pr\u00f3prios ou do pai ou marido \u2013 arrimo de fam\u00edlia):<\/p>\n<p>(   ) Documentos de posse ou propriedade de terra;<\/p>\n<p>(   ) Certid\u00e3o de casamento;<\/p>\n<p>(   ) Certid\u00e3o de nascimento (pr\u00f3pria, dos filhos, dos irm\u00e3os);<\/p>\n<p>(   ) Diploma \/ cadastro \/ livro de presen\u00e7a de escola rural;<\/p>\n<p>(   ) Certid\u00e3o eleitoral;<\/p>\n<p>(   ) Certificado de reservista ou de dispensa da incorpora\u00e7\u00e3o, etc.<\/p>\n<p>Ver <strong>Art. 54<\/strong> da IN 77\/2015<\/p>\n<p>(   ) Provas de trabalho urbano<\/p>\n<p>(   ) Ficha de registro de empregado<\/p>\n<p>(   ) Folha de pagamento \/ holerites<\/p>\n<p>(   ) Extrato de FGTS<\/p>\n<p>(   ) Termo de rescis\u00e3o contratual<\/p>\n<p>Ver <strong>art. 10<\/strong> da IN 77\/2015<\/p>\n<p>(   ) Provas de uni\u00e3o est\u00e1vel \u2013 ver <strong>art. 135<\/strong> da IN 77\/2015<\/p>\n<p>(   ) Provas de depend\u00eancia econ\u00f4mica. Obs.: ajuda pontual n\u00e3o gera direito. Exemplos de documentos para comprova\u00e7\u00e3o de depend\u00eancia econ\u00f4mica:<\/p>\n<p>(   ) Cart\u00f5es de lojas (Renner, etc), supermercados (em nome do titular, com extra para o dependente);<\/p>\n<p>(   ) Transfer\u00eancias banc\u00e1rias constantes;<\/p>\n<p>(   ) Pagamentos de cuidadores \/ asilo;<\/p>\n<p>(   ) Pagamento de condom\u00ednio;<\/p>\n<p>(   ) Pagamento de farm\u00e1cia, cesta b\u00e1sica;<\/p>\n<p>(   ) Conv\u00eanio funer\u00e1rio;<\/p>\n<p>(   ) Dependente morar no im\u00f3vel do falecido;<\/p>\n<p>(   ) Carteirinha de clube, no qual conste como dependente do titular;<\/p>\n<p>(   ) Conta em mercado (caderneta), etc.<\/p>\n<p>Ver <strong>art. 135<\/strong> da IN 77\/2015<\/p>\n<p>(   ) Certid\u00e3o de nascimento <em>(em caso de sal\u00e1rio-maternidade)<\/em><\/p>\n<p>(   ) Holerite<\/p>\n<p>(   ) CNIS (completo \u2013 v\u00ednculos e contribui\u00e7\u00f5es)<\/p>\n<p>(   ) Microfichas de contribui\u00e7\u00f5es (contribui\u00e7\u00f5es anteriores a 1985 que n\u00e3o aparecem no CNIS)<\/p>\n<p><em>Obs.: nas microfichas, \u00e0s vezes, aparece o n\u00famero de contribui\u00e7\u00f5es feitas por determinado segurado, mas n\u00e3o aparecem cada uma delas discriminadas. O INSS costumada considerar apenas as contribui\u00e7\u00f5es discriminadas. Caso o n\u00famero de contribui\u00e7\u00f5es indicadas na microficha sejam maiores que as descriminadas, solicite que o INSS abra um chamado na Dataprev, para descriminar contribui\u00e7\u00f5es indicadas e n\u00e3o mostrada na microficha.<\/em><\/p>\n<p>(   ) CADSENHA<\/p>\n<p>(   ) Carta de Concess\u00e3o e Mem\u00f3ria de C\u00e1lculo<\/p>\n<p>(   ) Extrato de pagamentos (valor do \u00faltimo benef\u00edcio)<\/p>\n<p>(   ) HISCRE detalhado \/ (   ) INFBEN \/ (   )  CONBAS \/ (   ) REVSIT \/ (   ) CONREV<\/p>\n<p>(   ) Outros: _______________________________________________________________________<\/p>\n<p>________________________________________________________________________________________________________________________________________________________________<\/p>\n<p><strong>(5) Indica\u00e7\u00e3o de testemunhas<\/strong><\/p>\n<p>1) Nome: ________________________________________________________________________<\/p>\n<p>RG: ________________________________________ CPF: ________________________________<\/p>\n<p>Endere\u00e7o completo: _______________________________________________________________<\/p>\n<p>________________________________________________________________________________<\/p>\n<p><a id=\"_GoBack1\"><\/a>Profiss\u00e3o: ________________________________________________________________________<\/p>\n<p>Data de Nascimento: _________________ Estado civil: ___________________________________<\/p>\n<p>Telefone: ______________________________________ E-mail: ___________________________<\/p>\n<p>Resumo do que esta testemunha sabe sobre os fatos: ____________________________________<\/p>\n<p>________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________<\/p>\n<p>2) Nome: ________________________________________________________________________<\/p>\n<p>RG: ________________________________________ CPF: ________________________________<\/p>\n<p>Endere\u00e7o completo: _______________________________________________________________<\/p>\n<p>________________________________________________________________________________<\/p>\n<p><a id=\"_GoBack11\"><\/a>Profiss\u00e3o: ________________________________________________________________________<\/p>\n<p>Data de Nascimento: _________________ Estado civil: ___________________________________<\/p>\n<p>Telefone: ______________________________________ E-mail: ___________________________<\/p>\n<p>Resumo do que esta testemunha sabe sobre os fatos: ____________________________________<\/p>\n<p>________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________<\/p>\n<p>3) Nome: ________________________________________________________________________<\/p>\n<p>RG: ________________________________________ CPF: ________________________________<\/p>\n<p>Endere\u00e7o completo: _______________________________________________________________<\/p>\n<p>________________________________________________________________________________<\/p>\n<p><a id=\"_GoBack13\"><\/a>Profiss\u00e3o: ________________________________________________________________________<\/p>\n<p>Data de Nascimento: _________________ Estado civil: ___________________________________<\/p>\n<p>Telefone: ______________________________________ E-mail: ___________________________<\/p>\n<p>Resumo do que esta testemunha sabe sobre os fatos: ____________________________________<\/p>\n<p>________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________<\/p>\n<p><strong>(6) CNIS ou CTPS<\/strong><\/p>\n<p>Per\u00edodo de v\u00ednculo \u2013 Admiss\u00e3o: ___\/___\/______\tDemiss\u00e3o: ___\/___\/______<\/p>\n<p>Foi registrado em carteira? (    ) SIM   (    ) N\u00c3O\t\tData do registro: ___\/___\/______<\/p>\n<p>Fun\u00e7\u00e3o exercida: ____________________________ \u00daltimo sal\u00e1rio: R$ ______________________<\/p>\n<p>Teve altera\u00e7\u00e3o salarial durante o per\u00edodo contratual? (    ) SIM   (    ) N\u00c3O<\/p>\n<p>Tipo de dispensa: (    ) justa causa   (    ) sem justa causa   (    ) outro motivo<\/p>\n<p>Motivo da demiss\u00e3o (relatar): ________________________________________________________<\/p>\n<p>________________________________________________________________________________<\/p>\n<p>________________________________________________________________________________<\/p>\n<p>________________________________________________________________________________<\/p>\n<p>Hor\u00e1rio contratual de trabalho: ______________________________________________________<\/p>\n<p>Hor\u00e1rio efetivamente cumprido: _____________________________________________________<\/p>\n<p>Dias da semana: __________________________________________________________________<\/p>\n<p>Tinha intervalo para refei\u00e7\u00f5es? (    ) SIM   (    ) N\u00c3O\t       Quando tempo?______________________<\/p>\n<p>Marcava cart\u00e3o ou assinava livro de ponto? (    ) SIM   (    ) N\u00c3O<\/p>\n<p>Registrava no cart\u00e3o ou no livro os hor\u00e1rios corretos? (    ) SIM   (    ) N\u00c3O<\/p>\n<p>Se n\u00e3o registrava, explique os motivos: ________________________________________________<\/p>\n<p>________________________________________________________________________________<\/p>\n<p><strong>(7) Quais direitos pretende reclamar? (assinale com x o item desejado)<\/strong><\/p>\n<p>1) (    ) Concess\u00e3o de benef\u00edcio. Tipo: __________________________________________________<\/p>\n<p>________________________________________________________________________________<\/p>\n<p>________________________________________________________________________________<\/p>\n<p>2) (    ) Revis\u00e3o de benef\u00edcio. Tipo: ____________________________________________________<\/p>\n<p>________________________________________________________________________________<\/p>\n<p>________________________________________________________________________________<\/p>\n<p>3) (    ) Outros. Especifique: __________________________________________________________<\/p>\n<p>________________________________________________________________________________<\/p>\n<p>________________________________________________________________________________<\/p>\n<p>4) (    ) Documentos. Quais? _________________________________________________________<\/p>\n<p>________________________________________________________________________________<\/p>\n<p>________________________________________________________________________________<\/p>\n<p><strong>(8) Outras informa\u00e7\u00f5es \/ Hist\u00f3rico da lide<\/strong><\/p>\n<p>________________________________________________________________________________<\/p>\n<p>________________________________________________________________________________<\/p>\n<p>________________________________________________________________________________<\/p>\n<p>________________________________________________________________________________<\/p>\n<p>________________________________________________________________________________<\/p>\n<p>________________________________________________________________________________<\/p>\n<p>________________________________________________________________________________<\/p>\n<p>________________________________________________________________________________<\/p>\n<p>________________________________________________________________________________<\/p>\n<p>________________________________________________________________________________<\/p>\n<p>________________________________________________________________________________<\/p>\n<p>________________________________________________________________________________<\/p>\n<p>________________________________________________________________________________<\/p>\n<p>________________________________________________________________________________<\/p>\n<p>________________________________________________________________________________<\/p>\n<p>________________________________________________________________________________<\/p>\n<p>________________________________________________________________________________<\/p>\n<p>________________________________________________________________________________<\/p>\n<p>________________________________________________________________________________<\/p>\n<p>________________________________________________________________________________<\/p>\n<p>________________________________________________________________________________<\/p>\n<p>________________________________________________________________________________<\/p>\n<p>________________________________________________________________________________<\/p>\n<p>________________________________________________________________________________<\/p>\n<p>________________________________________________________________________________<\/p>\n<p>________________________________________________________________________________<\/p>\n<p>________________________________________________________________________________<\/p>\n<p>\tAssumo total responsabilidade pelos dados e informa\u00e7\u00f5es aqui prestados.<\/p>\n<p>Data: ___\/___\/______\tLocal: ___________________________________________________<\/p>\n<p>Nome completo por extenso: ________________________________________________________<\/p>\n<p>Assinatura: _______________________________________________________________________<\/p>\n","protected":false},"featured_media":0,"parent":0,"menu_order":0,"template":"","meta":{"content-type":""},"categoria-modelo":[154],"class_list":["post-4367","modelos-de-peticao","type-modelos-de-peticao","status-publish","hentry","categoria-modelo-previdenciario"],"_links":{"self":[{"href":"https:\/\/easyjur.com\/blog\/wp-json\/wp\/v2\/modelos-de-peticao\/4367","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/easyjur.com\/blog\/wp-json\/wp\/v2\/modelos-de-peticao"}],"about":[{"href":"https:\/\/easyjur.com\/blog\/wp-json\/wp\/v2\/types\/modelos-de-peticao"}],"wp:attachment":[{"href":"https:\/\/easyjur.com\/blog\/wp-json\/wp\/v2\/media?parent=4367"}],"wp:term":[{"taxonomy":"categoria-modelo","embeddable":true,"href":"https:\/\/easyjur.com\/blog\/wp-json\/wp\/v2\/categoria-modelo?post=4367"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}