Social Security (Segurança Social)PDF form

Application for Support for Pregnancy Risk, Termination of Pregnancy or Workplace Risks (Requerimento de Subsídio por Risco Clínico, Interrupção da Gravidez ou Riscos Específicos)

Blank application form to claim support for clinical risk during pregnancy or termination of pregnancy, or for work involving specific risks.

Official form: RP 5051 · Instituto da Segurança Social

What it is for

Claim support for clinical risk during pregnancy
Claim support for termination of pregnancy or for specific workplace risks

Example (fictitious). Titus Gorila's partner works in a laboratory and needs to stop working due to exposure to risks during her pregnancy.

What it is

This is form RP 5051, used to claim the allowance for clinical risk, termination of pregnancy or specific risks, depending on the situation. It also covers workplace risks during pregnancy, after childbirth or while breastfeeding. It is not the parental allowance, and each situation requires its own proof.

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 comes blank; the applicant completes and signs it, and medical support is usually required. Please check the necessary documents with Social Security (Segurança Social) and with your employer; we do not submit the application or guarantee the allowance.

Frequently asked questions

Does a single form cover all these situations?

Yes, form RP 5051 covers several situations, and you select the one that applies to your case in the relevant fields.

Do I need a medical certificate?

As a rule, proof of the situation is required. Social Security (Segurança Social) will tell you which document is appropriate.