Social Security (Segurança Social)PDF form

Application for a Supplement When You Need Help from Others in Daily Life (Requerimento de Complemento por Dependência)

Blank form to apply for or review the Dependency Supplement (Complemento por Dependência), a benefit for people who cannot manage without help from another person.

Official form: RP 5027 · Instituto da Segurança Social

What it is for

Apply for the dependency supplement for the first time
Request a review of a supplement already granted

Example (fictitious). Titus Gorila, who has very limited mobility, applies for support because he needs help getting dressed and eating.

What it is

This is the RP 5027, the application for the Dependency Supplement (Complemento por Dependência). It applies to people who need help from others with basic everyday activities, and also to the review of an existing supplement. It is not a pension application, and the award depends on an assessment of the degree of dependency.

What you receive

You receive the official blank PDF form, with an explanation of what it is for. The Titus assistant answers your questions about filling it in. You can combine it with other documents in the same request, with a single payment. We do not ask for any password for forms.

Titus assistant

Do you have questions about this form? Ask, for example, what a field means or who should sign it.

The assistant explains; it does not fill in or submit anything on your behalf. Do not type passwords or third parties' data.

Things to note

The form is provided blank; the applicant, or their representative, completes and signs it. Please ask Social Security (Segurança Social) for the list of medical and other documents required. We do not submit the application or guarantee its approval.

Frequently asked questions

Can I request a review using this same form?

Yes, the RP 5027 is used both for the application and for a review. Please tick the correct option.

Who fills it in if the applicant cannot write?

Their representative, in accordance with the rules on the form. The Titus assistant explains the fields, but does not complete or sign the form.