Social Security (Segurança Social)PDF form

Employer's statement on the end of the employment contract, for claiming unemployment benefit (Declaração de Situação de Desemprego – RP 5044)

Blank form on which the employer records the date and reason for the end of the employment contract. It is required for an unemployment benefit claim.

Official form: RP 5044 · Instituto da Segurança Social

What it is for

Document the date and reason for the termination of the contract
Support the worker's claim for unemployment benefits

Example (fictitious). Titus Gorila's company has closed down, and the worker needs the statement to claim unemployment benefit.

What it is

This is form RP 5044, the Unemployment Status Statement (Declaração de Situação de Desemprego). The employer completes it, identifying both themselves and the worker, and states when and why the contract ended. It is not the benefit claim itself, which the worker submits separately, and it does not replace the termination letter.

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 employer completes and signs it, and the worker attaches it to their claim. Please check with Social Security (Segurança Social) which other documents are required. We do not handle submission and cannot guarantee that the benefit will be granted.

Frequently asked questions

Who should complete this form?

The employer. The worker does not complete it on the company's behalf.

Is this statement the same as the benefit claim?

No. It is a supporting document that is attached to the claim submitted by the worker.