Notification of completion of works to insurance institutions

To the Labor Inspection Service

of the Provincial Directorate

of the Work of …………

To the National Social Security Institute of …………

To the National Institute for Insurance against Accidents at Work of ............

To the construction fund of …………

MUNICIPALITY OF …………

PROVINCE OF …………

Works of …………

Company: ............

Communication of completion of the works

The undersigned responsible for the procedure ............, with reference to the works referred to in the object, following communication no. ............ on ............, communicates that the works were completed on ............ as from certificate drawn up by the writer.

The amount of the final state was euro …………:

The rate that the company presumably has paid for the workforce is …………%.

It is therefore required that this Institute issue the relative certificate attesting the regular fulfillment of social security and insurance obligations.

It should also be noted that after the period of 30 days from the date of the request has passed unnecessarily, this Administration will consider the aforementioned company to be in compliance with the aforementioned obligations.

…………, there …………

The construction manager

Visa: The person in charge of the procedure