{"id":49432,"date":"2017-02-01T09:46:16","date_gmt":"2017-02-01T08:46:16","guid":{"rendered":"http:\/\/www.umownie.pl\/blog\/?p=659"},"modified":"2024-10-09T10:08:14","modified_gmt":"2024-10-09T08:08:14","slug":"zus-zza-wlasciwe-wypelnienie","status":"publish","type":"post","link":"https:\/\/www.infakt.pl\/blog\/zus-zza-wlasciwe-wypelnienie\/","title":{"rendered":"ZUS ZZA &#8211; wz\u00f3r wype\u0142nienia zg\u0142oszenia do ubezpieczenia zdrowotnego"},"content":{"rendered":"<p lang=\"zxx\" style=\"text-align: justify;\"><strong><span style=\"color: #000000;\">Jak poprawnie wype\u0142ni\u0107 dokument ZUS ZZA? Odpowied\u017a na to pytanie&nbsp;przedstawiam w tym artykule. Aby dok\u0142adnie om\u00f3wi\u0107 temat wezm\u0119 pod uwag\u0119 cztery sytuacje.<\/span><\/strong><\/p>\r\n<p lang=\"zxx\" style=\"text-align: justify;\"><span style=\"color: #000000;\"><!--more--><\/span><\/p>\r\n<p style=\"text-align: justify;\"><span style=\"color: #000000;\">W <span style=\"color: #0000ff;\"><a style=\"color: #0000ff;\" href=\"https:\/\/www.infakt.pl\/blog\/zastosowanie-druku-zus-zza\/\">poprzednim artykule<\/a><\/span> opisywa\u0142am zastosowanie druku ZUS ZZA. W tym opracowaniu skupi\u0119 si\u0119&nbsp;na&nbsp;<\/span><span style=\"color: #000000;\">samym formularzu. Rozpatrzmy&nbsp;cztery przypadki, w kt\u00f3rych ubezpieczony tylko sk\u0142adk\u0119 zdrowotn\u0105 musi op\u0142aca\u0107 obowi\u0105zkowo :<\/span><\/p>\r\n<ol>\r\n \t<li style=\"text-align: justify;\"><span style=\"color: #000000;\">jednoosobowa dzia\u0142alno\u015b\u0107 gospodarcza + umowa o prac\u0119 (przynajmniej z kwota minimalnego wynagrodzenia),<\/span><\/li>\r\n \t<li style=\"text-align: justify;\"><span style=\"color: #000000;\">umowa zlecenie +&nbsp;umowa o prac\u0119 (przynajmniej z kwota minimalnego wynagrodzenia),<\/span><\/li>\r\n \t<li style=\"text-align: justify;\"><span style=\"color: #000000;\">umowa zlecenie + umowa zlecenie&nbsp; (przynajmniej z kwota minimalnego wynagrodzenia),<\/span><\/li>\r\n \t<li style=\"text-align: justify;\"><span style=\"color: #000000;\">dobrowolne zg\u0142oszenie si\u0119 do ubezpieczenia zdrowotnego.<\/span><\/li>\r\n<\/ol>\r\n<span style=\"color: #000000;\"><img decoding=\"async\" loading=\"lazy\"   class=\"size-full wp-image-716 aligncenter\" src=\"https:\/\/www.infakt.pl\/blog\/wp-content\/webp-express\/webp-images\/uploads\/2018\/05\/1-4.jpg.webp\" alt=\"1\" width=\"767\" height=\"172\"><\/span>\r\n<table width=\"643\" cellspacing=\"0\" cellpadding=\"4\">\r\n<colgroup>\r\n<col width=\"89\">\r\n<col width=\"215\">\r\n<col width=\"313\"> <\/colgroup>\r\n<tbody>\r\n<tr>\r\n<td style=\"text-align: center;\" colspan=\"3\" valign=\"top\" width=\"633\"><span style=\"color: #000000;\"><strong>Cz\u0119\u015b\u0107 I. Dane organizacyjne<\/strong><\/span><\/td>\r\n<\/tr>\r\n<tr valign=\"top\">\r\n<td style=\"text-align: center;\" width=\"89\"><span style=\"color: #000000;\">Sytuacja<\/span><\/td>\r\n<td style=\"text-align: center;\" width=\"215\"><span style=\"color: #000000;\">Pole<\/span><\/td>\r\n<td style=\"text-align: center;\" width=\"313\"><span style=\"color: #000000;\">Dane<\/span><\/td>\r\n<\/tr>\r\n<tr>\r\n<td width=\"89\"><span style=\"color: #000000;\">1 &#8211; dg + uop<\/span><\/td>\r\n<td style=\"text-align: center;\" rowspan=\"4\" width=\"215\">&nbsp;\r\n<span style=\"color: #000000;\">01<\/span><\/td>\r\n<td rowspan=\"4\" width=\"313\">&nbsp;\r\n<span style=\"color: #000000;\">W tym polu zaznaczamy X.<\/span><\/td>\r\n<\/tr>\r\n<tr>\r\n<td width=\"89\"><span style=\"color: #000000;\">2 &#8211; uz + uop<\/span><\/td>\r\n<\/tr>\r\n<tr>\r\n<td width=\"89\"><span style=\"color: #000000;\">3 &#8211; uz + uz<\/span><\/td>\r\n<\/tr>\r\n<tr>\r\n<td width=\"89\"><span style=\"color: #000000;\">4 &#8211; dobrowolnie<\/span><\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<span style=\"color: #000000;\"><img decoding=\"async\" loading=\"lazy\"   class=\"size-full wp-image-723 aligncenter\" src=\"https:\/\/www.infakt.pl\/blog\/wp-content\/webp-express\/webp-images\/uploads\/2018\/05\/2-3.jpg.webp\" alt=\"2\" width=\"760\" height=\"203\"><\/span>\r\n<table width=\"643\" cellspacing=\"0\" cellpadding=\"4\">\r\n<colgroup>\r\n<col width=\"89\">\r\n<col width=\"200\">\r\n<col width=\"328\"> <\/colgroup>\r\n<tbody>\r\n<tr>\r\n<td style=\"text-align: center;\" colspan=\"3\" valign=\"top\" width=\"633\"><span style=\"color: #000000;\"><strong>Cz\u0119\u015b\u0107 II. Dane identyfikacyjne p\u0142atnika sk\u0142adek<\/strong><\/span><\/td>\r\n<\/tr>\r\n<tr valign=\"top\">\r\n<td style=\"text-align: center;\" width=\"89\"><span style=\"color: #000000;\">Sytuacja<\/span><\/td>\r\n<td style=\"text-align: center;\" width=\"200\"><span style=\"color: #000000;\">Pole<\/span><\/td>\r\n<td style=\"text-align: center;\" width=\"328\"><span style=\"color: #000000;\">Dane<\/span><\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" rowspan=\"9\" width=\"89\">&nbsp;\r\n&nbsp;\r\n&nbsp;\r\n<span style=\"color: #000000;\">1<\/span><\/td>\r\n<td style=\"text-align: center;\" width=\"200\"><span style=\"color: #000000;\">01<\/span><\/td>\r\n<td width=\"328\"><span style=\"color: #000000;\">osoba prowadz\u0105ca dg wpisuje sw\u00f3j NIP<\/span><\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"200\"><span style=\"color: #000000;\">02<\/span><\/td>\r\n<td width=\"328\"><span style=\"color: #000000;\">osoba prowadz\u0105ca dg wpisuje sw\u00f3j REGON<\/span><\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"200\"><span style=\"color: #000000;\">03<\/span><\/td>\r\n<td width=\"328\"><span style=\"color: #000000;\">pole mo\u017cna pozostawi\u0107 puste<\/span><\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"200\"><span style=\"color: #000000;\">04<\/span><\/td>\r\n<td width=\"328\"><span style=\"color: #000000;\">mo\u017cna wpisa\u0107 dane z dowodu lub paszportu<\/span><\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"200\"><span style=\"color: #000000;\">05<\/span><\/td>\r\n<td width=\"328\"><span style=\"color: #000000;\">uzupe\u0142ni\u0107, je\u015bli wpisano cyfr\u0119 w polu 04.<\/span><\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"200\"><span style=\"color: #000000;\">06<\/span><\/td>\r\n<td width=\"328\"><span style=\"color: #000000;\">wpisuje si\u0119 nazw\u0119 skr\u00f3con\u0105 osoby prowadz\u0105cej dg<\/span><\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"200\"><span style=\"color: #000000;\">07<\/span><\/td>\r\n<td width=\"328\"><span style=\"color: #000000;\">nazwisko osoby prowadz\u0105cej dg<\/span><\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"200\"><span style=\"color: #000000;\">08<\/span><\/td>\r\n<td width=\"328\"><span style=\"color: #000000;\">imi\u0119 osoby prowadz\u0105cej dg<\/span><\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"200\"><span style=\"color: #000000;\">09<\/span><\/td>\r\n<td width=\"328\"><span style=\"color: #000000;\">data urodzenia osoby prowadz\u0105cej dg<\/span><\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" rowspan=\"9\" width=\"89\">&nbsp;\r\n&nbsp;\r\n&nbsp;\r\n<span style=\"color: #000000;\">2, 3<\/span><\/td>\r\n<td style=\"text-align: center;\" width=\"200\"><span style=\"color: #000000;\">01<\/span><\/td>\r\n<td width=\"328\"><span style=\"color: #000000;\">NIP zleceniodawcy<\/span><\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"200\"><span style=\"color: #000000;\">02<\/span><\/td>\r\n<td width=\"328\"><span style=\"color: #000000;\">REGON zleceniodawcy<\/span><\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"200\"><span style=\"color: #000000;\">03<\/span><\/td>\r\n<td width=\"328\"><span style=\"color: #000000;\">pole mo\u017cna pozostawi\u0107 puste<\/span><\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"200\"><span style=\"color: #000000;\">04<\/span><\/td>\r\n<td width=\"328\"><span style=\"color: #000000;\">mo\u017cna wpisa\u0107 dane z dowodu lub paszportu<\/span><\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"200\"><span style=\"color: #000000;\">05<\/span><\/td>\r\n<td width=\"328\"><span style=\"color: #000000;\">uzupe\u0142ni\u0107, je\u015bli wpisano cyfr\u0119 w polu 04.<\/span><\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"200\"><span style=\"color: #000000;\">06<\/span><\/td>\r\n<td width=\"328\"><span style=\"color: #000000;\">nazwa skr\u00f3cona zleceniodawcy<\/span><\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"200\"><span style=\"color: #000000;\">07<\/span><\/td>\r\n<td width=\"328\"><span style=\"color: #000000;\">nazwisko zleceniodawcy<\/span><\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"200\"><span style=\"color: #000000;\">08<\/span><\/td>\r\n<td width=\"328\"><span style=\"color: #000000;\">imi\u0119 zleceniodawcy<\/span><\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"200\"><span style=\"color: #000000;\">09<\/span><\/td>\r\n<td width=\"328\"><span style=\"color: #000000;\">data urodzenia zleceniodawcy<\/span><\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" rowspan=\"9\" width=\"89\">&nbsp;\r\n&nbsp;\r\n&nbsp;\r\n<span style=\"color: #000000;\">4<\/span><\/td>\r\n<td style=\"text-align: center;\" width=\"200\"><span style=\"color: #000000;\">01<\/span><\/td>\r\n<td width=\"328\"><span style=\"color: #000000;\">pozostawia si\u0119 puste<\/span><\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"200\"><span style=\"color: #000000;\">02<\/span><\/td>\r\n<td width=\"328\"><span style=\"color: #000000;\">pozostawia si\u0119 puste<\/span><\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"200\"><span style=\"color: #000000;\">03<\/span><\/td>\r\n<td width=\"328\"><span style=\"color: #000000;\">wpisuje si\u0119 PESEL zg\u0142aszanego<\/span><\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"200\"><span style=\"color: #000000;\">04<\/span><\/td>\r\n<td width=\"328\"><span style=\"color: #000000;\">wpisuje si\u0119 dane z dowodu lub paszportu<\/span><\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"200\"><span style=\"color: #000000;\">05<\/span><\/td>\r\n<td width=\"328\"><span style=\"color: #000000;\">uzupe\u0142nia si\u0119 w zale\u017cno\u015bci od pola 04.<\/span><\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"200\"><span style=\"color: #000000;\">06<\/span><\/td>\r\n<td width=\"328\"><span style=\"color: #000000;\">pozostawia si\u0119 puste<\/span><\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"200\"><span style=\"color: #000000;\">07<\/span><\/td>\r\n<td width=\"328\"><span style=\"color: #000000;\">nazwisko osoby zg\u0142aszanej<\/span><\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"200\"><span style=\"color: #000000;\">08<\/span><\/td>\r\n<td width=\"328\"><span style=\"color: #000000;\">imi\u0119 osoby zg\u0142aszanej<\/span><\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"200\"><span style=\"color: #000000;\">09<\/span><\/td>\r\n<td width=\"328\"><span style=\"color: #000000;\">data urodzenia osoby zg\u0142aszanej<\/span><\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<span style=\"color: #000000;\"><img decoding=\"async\" loading=\"lazy\"   class=\"size-full wp-image-728 aligncenter\" src=\"https:\/\/www.infakt.pl\/blog\/wp-content\/webp-express\/webp-images\/uploads\/2018\/05\/3-3.jpg.webp\" alt=\"3\" width=\"768\" height=\"156\"><\/span>\r\n<table width=\"643\" cellspacing=\"0\" cellpadding=\"4\">\r\n<colgroup>\r\n<col width=\"89\">\r\n<col width=\"200\">\r\n<col width=\"328\"> <\/colgroup>\r\n<tbody>\r\n<tr>\r\n<td style=\"text-align: center;\" colspan=\"3\" valign=\"top\" width=\"633\"><span style=\"color: #000000;\"><strong>Cz\u0119\u015b\u0107 III. Dane identyfikacyjne osoby zg\u0142aszanej do ubezpieczenia<\/strong><\/span><\/td>\r\n<\/tr>\r\n<tr valign=\"top\">\r\n<td style=\"text-align: center;\" width=\"89\"><span style=\"color: #000000;\">Sytuacja<\/span><\/td>\r\n<td style=\"text-align: center;\" width=\"200\"><span style=\"color: #000000;\">Pole<\/span><\/td>\r\n<td style=\"text-align: center;\" width=\"328\"><span style=\"color: #000000;\">Dane<\/span><\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" rowspan=\"7\" width=\"89\">&nbsp;\r\n&nbsp;\r\n<span style=\"color: #000000;\">1<\/span><\/td>\r\n<td style=\"text-align: center;\" width=\"200\"><span style=\"color: #000000;\">01<\/span><\/td>\r\n<td width=\"328\"><span style=\"color: #000000;\">PESEL osoby prowadz\u0105cej dg<\/span><\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"200\"><span style=\"color: #000000;\">02<\/span><\/td>\r\n<td width=\"328\"><span style=\"color: #000000;\">pole pozostawiamy puste<\/span><\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"200\"><span style=\"color: #000000;\">03<\/span><\/td>\r\n<td width=\"328\"><span style=\"color: #000000;\">analogicznie jak II.04<\/span><\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"200\"><span style=\"color: #000000;\">04<\/span><\/td>\r\n<td width=\"328\"><span style=\"color: #000000;\">analogicznie jak II.04<\/span><\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"200\"><span style=\"color: #000000;\">05<\/span><\/td>\r\n<td width=\"328\"><span style=\"color: #000000;\">nazwisko osoby prowadz\u0105cej dg<\/span><\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"200\"><span style=\"color: #000000;\">06<\/span><\/td>\r\n<td width=\"328\"><span style=\"color: #000000;\">imi\u0119 osoby prowadz\u0105cej dg<\/span><\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"200\"><span style=\"color: #000000;\">07<\/span><\/td>\r\n<td width=\"328\"><span style=\"color: #000000;\">data urodzenia osoby prowadz\u0105cej dg<\/span><\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" rowspan=\"7\" width=\"89\">&nbsp;\r\n&nbsp;\r\n<span style=\"color: #000000;\">2, 3<\/span><\/td>\r\n<td style=\"text-align: center;\" width=\"200\"><span style=\"color: #000000;\">01<\/span><\/td>\r\n<td width=\"328\"><span style=\"color: #000000;\">PESEL zleceniobiorcy<\/span><\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"200\"><span style=\"color: #000000;\">02<\/span><\/td>\r\n<td width=\"328\"><span style=\"color: #000000;\">pole pozostawiamy puste<\/span><\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"200\"><span style=\"color: #000000;\">03<\/span><\/td>\r\n<td width=\"328\"><span style=\"color: #000000;\">mo\u017cna wpisa\u0107&nbsp;dane z dowodu lub paszportu zleceniobiorcy<\/span><\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"200\"><span style=\"color: #000000;\">04<\/span><\/td>\r\n<td width=\"328\">uzupe\u0142nia si\u0119 w zale\u017cno\u015bci od pola 04.<\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"200\"><span style=\"color: #000000;\">05<\/span><\/td>\r\n<td width=\"328\"><span style=\"color: #000000;\">nazwisko zleceniobiorcy<\/span><\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"200\"><span style=\"color: #000000;\">06<\/span><\/td>\r\n<td width=\"328\"><span style=\"color: #000000;\">imi\u0119 zleceniobiorcy<\/span><\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"200\"><span style=\"color: #000000;\">07<\/span><\/td>\r\n<td width=\"328\"><span style=\"color: #000000;\">data urodzenia zleceniobiorcy<\/span><\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" rowspan=\"7\" width=\"89\">&nbsp;\r\n&nbsp;\r\n<span style=\"color: #000000;\">4<\/span><\/td>\r\n<td style=\"text-align: center;\" width=\"200\"><span style=\"color: #000000;\">01<\/span><\/td>\r\n<td width=\"328\"><span style=\"color: #000000;\">PESEL osoby zg\u0142aszanej<\/span><\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"200\"><span style=\"color: #000000;\">02<\/span><\/td>\r\n<td width=\"328\"><span style=\"color: #000000;\">pole pozostawiamy puste<\/span><\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"200\"><span style=\"color: #000000;\">03<\/span><\/td>\r\n<td width=\"328\"><span style=\"color: #000000;\">analogicznie jak II.04<\/span><\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"200\"><span style=\"color: #000000;\">04<\/span><\/td>\r\n<td width=\"328\"><span style=\"color: #000000;\">analogicznie jak II.04<\/span><\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"200\"><span style=\"color: #000000;\">05<\/span><\/td>\r\n<td width=\"328\"><span style=\"color: #000000;\">nazwisko osoby zg\u0142aszanej<\/span><\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"200\"><span style=\"color: #000000;\">06<\/span><\/td>\r\n<td width=\"328\"><span style=\"color: #000000;\">imi\u0119 osoby zg\u0142aszanej<\/span><\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"200\"><span style=\"color: #000000;\">07<\/span><\/td>\r\n<td width=\"328\"><span style=\"color: #000000;\">data urodzenia osoby zg\u0142aszanej<\/span><\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<span style=\"color: #000000;\"><img decoding=\"async\" loading=\"lazy\"   class=\"size-full wp-image-733 aligncenter\" src=\"https:\/\/www.infakt.pl\/blog\/wp-content\/webp-express\/webp-images\/uploads\/2018\/05\/4-4.jpg.webp\" alt=\"4\" width=\"768\" height=\"131\"><\/span>\r\n<table width=\"643\" cellspacing=\"0\" cellpadding=\"4\">\r\n<colgroup>\r\n<col width=\"89\">\r\n<col width=\"174\">\r\n<col width=\"354\"> <\/colgroup>\r\n<tbody>\r\n<tr>\r\n<td style=\"text-align: center;\" colspan=\"3\" valign=\"top\" width=\"633\"><span style=\"color: #000000;\"><strong>Cz\u0119\u015b\u0107 IV. Dane ewiencyjne osoby zg\u0142aszanej do ubezpieczenia<\/strong><\/span><\/td>\r\n<\/tr>\r\n<tr valign=\"top\">\r\n<td style=\"text-align: center;\" width=\"89\"><span style=\"color: #000000;\">Sytuacja<\/span><\/td>\r\n<td style=\"text-align: center;\" width=\"174\"><span style=\"color: #000000;\">Pole<\/span><\/td>\r\n<td style=\"text-align: center;\" width=\"354\"><span style=\"color: #000000;\">Dane<\/span><\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" rowspan=\"4\" width=\"89\">&nbsp;\r\n<span style=\"color: #000000;\">1<\/span><\/td>\r\n<td style=\"text-align: center;\" width=\"174\"><span style=\"color: #000000;\">01<\/span><\/td>\r\n<td width=\"354\"><span style=\"color: #000000;\">drugie imi\u0119 osoby prowadz\u0105cej dg (je\u015bli posiada)<\/span><\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"174\"><span style=\"color: #000000;\">02<\/span><\/td>\r\n<td width=\"354\"><span style=\"color: #000000;\">nazwisko rodowe osoby prowadz\u0105cej dg (je\u015bli posiada)<\/span><\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"174\"><span style=\"color: #000000;\">03<\/span><\/td>\r\n<td width=\"354\"><span style=\"color: #000000;\">obywatelstwo osoby prowadz\u0105cej dg<\/span><\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"174\"><span style=\"color: #000000;\">04<\/span><\/td>\r\n<td width=\"354\"><span style=\"color: #000000;\">p\u0142e\u0107 osoby prowadz\u0105cej dg<\/span><\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" rowspan=\"4\" width=\"89\">&nbsp;\r\n<span style=\"color: #000000;\">2, 3<\/span><\/td>\r\n<td style=\"text-align: center;\" width=\"174\"><span style=\"color: #000000;\">01<\/span><\/td>\r\n<td width=\"354\"><span style=\"color: #000000;\">drugie imi\u0119 zleceniobiorcy (je\u015bli posiada)<\/span><\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"174\"><span style=\"color: #000000;\">02<\/span><\/td>\r\n<td width=\"354\"><span style=\"color: #000000;\">nazwisko rodowe zleceniobiorcy (je\u015bli posiada)<\/span><\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"174\"><span style=\"color: #000000;\">03<\/span><\/td>\r\n<td width=\"354\"><span style=\"color: #000000;\">obywatelstwo zleceniobiorcy<\/span><\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"174\"><span style=\"color: #000000;\">04<\/span><\/td>\r\n<td width=\"354\"><span style=\"color: #000000;\">p\u0142e\u0107 zleceniobiorcy<\/span><\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" rowspan=\"4\" width=\"89\">&nbsp;\r\n<span style=\"color: #000000;\">4<\/span><\/td>\r\n<td style=\"text-align: center;\" width=\"174\"><span style=\"color: #000000;\">01<\/span><\/td>\r\n<td width=\"354\"><span style=\"color: #000000;\">drugie imi\u0119 osoby zg\u0142aszanej (je\u015bli posiada)<\/span><\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"174\"><span style=\"color: #000000;\">02<\/span><\/td>\r\n<td width=\"354\"><span style=\"color: #000000;\">nazwisko rodowe osoby zg\u0142aszanej (je\u015bli posiada)<\/span><\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"174\"><span style=\"color: #000000;\">03<\/span><\/td>\r\n<td width=\"354\"><span style=\"color: #000000;\">obywatelstwo osoby zg\u0142aszanej<\/span><\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"174\"><span style=\"color: #000000;\">04<\/span><\/td>\r\n<td width=\"354\"><span style=\"color: #000000;\">p\u0142e\u0107 osoby zg\u0142aszanej<\/span><\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<img decoding=\"async\" loading=\"lazy\"   class=\"size-full wp-image-758 aligncenter\" src=\"https:\/\/www.infakt.pl\/blog\/wp-content\/webp-express\/webp-images\/uploads\/2018\/05\/5.jpg.webp\" alt=\"5\" width=\"761\" height=\"54\">\r\n<table width=\"643\" cellspacing=\"0\" cellpadding=\"4\">\r\n<colgroup>\r\n<col width=\"89\">\r\n<col width=\"174\">\r\n<col width=\"354\"> <\/colgroup>\r\n<tbody>\r\n<tr>\r\n<td style=\"text-align: center;\" colspan=\"3\" valign=\"top\" width=\"633\"><strong>Cz\u0119\u015b\u0107 V. Tytu\u0142 ubezpieczenia<\/strong><\/td>\r\n<\/tr>\r\n<tr valign=\"top\">\r\n<td style=\"text-align: center;\" width=\"89\">Sytuacja<\/td>\r\n<td style=\"text-align: center;\" width=\"174\">Pole<\/td>\r\n<td style=\"text-align: center;\" width=\"354\">Dane (najcz\u0119stsze)<\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"89\">1<\/td>\r\n<td style=\"text-align: center;\" width=\"174\">01<\/td>\r\n<td style=\"text-align: center;\" width=\"354\">05 10 00, 05 70 00<\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"89\">2, 3<\/td>\r\n<td style=\"text-align: center;\" width=\"174\">01<\/td>\r\n<td style=\"text-align: center;\" width=\"354\">04 11 00<\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"89\">4<\/td>\r\n<td style=\"text-align: center;\" width=\"174\">01<\/td>\r\n<td style=\"text-align: center;\" width=\"354\">24 10 00<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<img decoding=\"async\" loading=\"lazy\"   class=\"size-full wp-image-761 aligncenter\" src=\"https:\/\/www.infakt.pl\/blog\/wp-content\/webp-express\/webp-images\/uploads\/2018\/05\/6.jpg.webp\" alt=\"6\" width=\"759\" height=\"52\">\r\n<table width=\"643\" cellspacing=\"0\" cellpadding=\"4\">\r\n<colgroup>\r\n<col width=\"89\">\r\n<col width=\"151\">\r\n<col width=\"377\"> <\/colgroup>\r\n<tbody>\r\n<tr>\r\n<td style=\"text-align: center;\" colspan=\"3\" valign=\"top\" width=\"633\"><strong>Cz\u0119\u015b\u0107 VI. Dane o obowi\u0105zkowym ubezpieczeniu zdrowotnym<\/strong><\/td>\r\n<\/tr>\r\n<tr valign=\"top\">\r\n<td style=\"text-align: center;\" width=\"89\">Sytuacja<\/td>\r\n<td style=\"text-align: center;\" width=\"151\">Pole<\/td>\r\n<td style=\"text-align: center;\" width=\"377\">Dane<\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" rowspan=\"2\" width=\"89\">1<\/td>\r\n<td style=\"text-align: center;\" width=\"151\">01<\/td>\r\n<td width=\"377\">wpisujemy dat\u0119 rozpocz\u0119cia dg<\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"151\">02<\/td>\r\n<td width=\"377\">kod NFZ w\u0142a\u015bciwy ze wzgl\u0119du na miejsce zamieszkania osoby prowadz\u0105cej dg<\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" rowspan=\"2\" width=\"89\">2, 3<\/td>\r\n<td style=\"text-align: center;\" width=\"151\">01<\/td>\r\n<td width=\"377\">wpisujemy dat\u0119 rozpocz\u0119cia wykonywania zlecenia<\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"151\">02<\/td>\r\n<td width=\"377\">kod NFZ w\u0142a\u015bciwy ze wzgl\u0119du na miejsce zleceniobiorcy<\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" rowspan=\"2\" width=\"89\">4<\/td>\r\n<td style=\"text-align: center;\" width=\"151\">01<\/td>\r\n<td width=\"377\">pole pozostawiamy puste<\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"151\">02<\/td>\r\n<td width=\"377\">pole pozostawiamy puste<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<img decoding=\"async\" loading=\"lazy\"   class=\"size-full wp-image-765 aligncenter\" src=\"https:\/\/www.infakt.pl\/blog\/wp-content\/webp-express\/webp-images\/uploads\/2018\/05\/7.jpg.webp\" alt=\"7\" width=\"759\" height=\"52\">\r\n<table width=\"643\" cellspacing=\"0\" cellpadding=\"4\">\r\n<colgroup>\r\n<col width=\"89\">\r\n<col width=\"151\">\r\n<col width=\"377\"> <\/colgroup>\r\n<tbody>\r\n<tr>\r\n<td style=\"text-align: center;\" colspan=\"3\" valign=\"top\" width=\"633\"><strong>Cz\u0119\u015b\u0107 VII. Dane o dobrowolnym ubezpieczeniu zdrowotnym<\/strong><\/td>\r\n<\/tr>\r\n<tr valign=\"top\">\r\n<td style=\"text-align: center;\" width=\"89\">Sytuacja<\/td>\r\n<td style=\"text-align: center;\" width=\"151\">Pole<\/td>\r\n<td style=\"text-align: center;\" width=\"377\">Dane<\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" rowspan=\"2\" width=\"89\">1<\/td>\r\n<td style=\"text-align: center;\" width=\"151\">01<\/td>\r\n<td width=\"377\">pole pozostawiamy puste<\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"151\">02<\/td>\r\n<td width=\"377\">pole pozostawiamy puste<\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" rowspan=\"2\" width=\"89\">2, 3<\/td>\r\n<td style=\"text-align: center;\" width=\"151\">01<\/td>\r\n<td width=\"377\">pole pozostawiamy puste<\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"151\">02<\/td>\r\n<td width=\"377\">pole pozostawiamy puste<\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" rowspan=\"2\" width=\"89\">4<\/td>\r\n<td style=\"text-align: center;\" width=\"151\">01<\/td>\r\n<td width=\"377\">wpisujemy dat\u0119 od kt\u00f3rej ma obowi\u0105zywa\u0107 ubezpieczenie<\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"151\">02<\/td>\r\n<td width=\"377\">kod NFZ w\u0142a\u015bciwy ze wzgl\u0119du na miejsce zamieszkania osoby zg\u0142aszanej<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<img decoding=\"async\" loading=\"lazy\"   class=\"size-full wp-image-769 aligncenter\" src=\"https:\/\/www.infakt.pl\/blog\/wp-content\/webp-express\/webp-images\/uploads\/2018\/05\/8.jpg.webp\" alt=\"8\" width=\"761\" height=\"199\">\r\n<table width=\"643\" cellspacing=\"0\" cellpadding=\"4\">\r\n<colgroup>\r\n<col width=\"89\">\r\n<col width=\"151\">\r\n<col width=\"377\"> <\/colgroup>\r\n<tbody>\r\n<tr>\r\n<td style=\"text-align: center;\" colspan=\"3\" valign=\"top\" width=\"633\"><strong>Cz\u0119\u015b\u0107 VIII. Adres zameldowania na sta\u0142e miejsce pobytu<\/strong><\/td>\r\n<\/tr>\r\n<tr valign=\"top\">\r\n<td style=\"text-align: center;\" width=\"89\">Sytuacja<\/td>\r\n<td style=\"text-align: center;\" width=\"151\">Pole<\/td>\r\n<td style=\"text-align: center;\" width=\"377\">Dane<\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"89\">1<\/td>\r\n<td style=\"text-align: center;\" width=\"151\">01 &#8211; 08<\/td>\r\n<td width=\"377\">wpisuje si\u0119 dane adresowe osoby prowadz\u0105cej dg<\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"89\">2, 3<\/td>\r\n<td width=\"151\">01 &#8211; 08<\/td>\r\n<td width=\"377\">wpisuje si\u0119 dane adresowe zleceniobiorcy<\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"89\">4<\/td>\r\n<td style=\"text-align: center;\" width=\"151\">01 &#8211; 08<\/td>\r\n<td width=\"377\">wpisuje si\u0119 dane adresowe osoby zg\u0142aszanej<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<img decoding=\"async\" loading=\"lazy\"   class=\"size-full wp-image-772 aligncenter\" src=\"https:\/\/www.infakt.pl\/blog\/wp-content\/webp-express\/webp-images\/uploads\/2018\/05\/9.jpg.webp\" alt=\"9\" width=\"767\" height=\"264\">\r\n<table width=\"643\" cellspacing=\"0\" cellpadding=\"4\">\r\n<colgroup>\r\n<col width=\"89\">\r\n<col width=\"151\">\r\n<col width=\"377\"> <\/colgroup>\r\n<tbody>\r\n<tr>\r\n<td style=\"text-align: center;\" colspan=\"3\" valign=\"top\" width=\"633\"><strong>Cz\u0119\u015b\u0107 IX. Adres zamieszkania<\/strong><\/td>\r\n<\/tr>\r\n<tr valign=\"top\">\r\n<td style=\"text-align: center;\" width=\"89\">Sytuacja<\/td>\r\n<td style=\"text-align: center;\" width=\"151\">Pole<\/td>\r\n<td style=\"text-align: center;\" width=\"377\">Dane<\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"89\">1<\/td>\r\n<td style=\"text-align: center;\" width=\"151\">01 &#8211; 08<\/td>\r\n<td width=\"377\">wpisuje si\u0119 adres zamieszkania osoby prowadz\u0105cej dg, je\u015bli jest inny ni\u017c zameldowania<\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"89\">2, 3<\/td>\r\n<td style=\"text-align: center;\" width=\"151\">01 &#8211; 08<\/td>\r\n<td width=\"377\">wpisuje si\u0119 adres zamieszkania zleceniobiorcy, je\u015bli jest inny ni\u017c zameldowania<\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"89\">4<\/td>\r\n<td style=\"text-align: center;\" width=\"151\">01 &#8211; 08<\/td>\r\n<td width=\"377\">wpisuje si\u0119 adres zamieszkania osoby zg\u0142aszanej, je\u015bli jest inny ni\u017c zameldowania<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<img decoding=\"async\" loading=\"lazy\"   class=\"size-full wp-image-775 aligncenter\" src=\"https:\/\/www.infakt.pl\/blog\/wp-content\/webp-express\/webp-images\/uploads\/2018\/05\/10.jpg.webp\" alt=\"10\" width=\"761\" height=\"194\">\r\n<table width=\"643\" cellspacing=\"0\" cellpadding=\"4\">\r\n<colgroup>\r\n<col width=\"89\">\r\n<col width=\"151\">\r\n<col width=\"377\"> <\/colgroup>\r\n<tbody>\r\n<tr>\r\n<td style=\"text-align: center;\" colspan=\"3\" valign=\"top\" width=\"633\"><strong>Cz\u0119\u015b\u0107 X. Adres do korespondencji<\/strong><\/td>\r\n<\/tr>\r\n<tr valign=\"top\">\r\n<td style=\"text-align: center;\" width=\"89\">Sytuacja<\/td>\r\n<td style=\"text-align: center;\" width=\"151\">Pole<\/td>\r\n<td style=\"text-align: center;\" width=\"377\">Dane<\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"89\">1<\/td>\r\n<td style=\"text-align: center;\" width=\"151\">01 &#8211; 08<\/td>\r\n<td width=\"377\">wpisuje si\u0119 adres do korespondencji osoby prowadz\u0105cej dg, je\u015bli jest inny ni\u017c zameldowania lub zamieszkania<\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"89\">2, 3<\/td>\r\n<td style=\"text-align: center;\" width=\"151\">01 &#8211; 08<\/td>\r\n<td width=\"377\">wpisuje si\u0119 adres do korespondencji zleceniobiorcy, je\u015bli jest inny ni\u017c zameldowania lub zamieszkania<\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"89\">4<\/td>\r\n<td style=\"text-align: center;\" width=\"151\">01 &#8211; 08<\/td>\r\n<td width=\"377\">wpisuje si\u0119 adres do korespondencji osoby zg\u0142aszanej, je\u015bli jest inny ni\u017c zameldowania lub zamieszkania<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<img decoding=\"async\" loading=\"lazy\"   class=\"size-full wp-image-777 aligncenter\" src=\"https:\/\/www.infakt.pl\/blog\/wp-content\/webp-express\/webp-images\/uploads\/2018\/05\/11-12-13.jpg.webp\" alt=\"11, 12, 13\" width=\"762\" height=\"345\">\r\n<table width=\"643\" cellspacing=\"0\" cellpadding=\"4\">\r\n<colgroup>\r\n<col width=\"89\">\r\n<col width=\"151\">\r\n<col width=\"377\"> <\/colgroup>\r\n<tbody>\r\n<tr>\r\n<td style=\"text-align: center;\" colspan=\"3\" valign=\"top\" width=\"633\"><strong>Cz\u0119\u015b\u0107 XI. O\u015bwiadczenie p\u0142atnika sk\u0142adek<\/strong><\/td>\r\n<\/tr>\r\n<tr valign=\"top\">\r\n<td style=\"text-align: center;\" width=\"89\">Sytuacja<\/td>\r\n<td style=\"text-align: center;\" width=\"151\">Pole<\/td>\r\n<td style=\"text-align: center;\" width=\"377\">Dane<\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" rowspan=\"2\" width=\"89\">1<\/td>\r\n<td style=\"text-align: center;\" width=\"151\">01<\/td>\r\n<td width=\"377\">wpisuje si\u0119 dat\u0119 wype\u0142nienia<\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"151\">02<\/td>\r\n<td width=\"377\">podpis sk\u0142ada osoba prowadz\u0105ca dg<\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" rowspan=\"2\" width=\"89\">2, 3<\/td>\r\n<td style=\"text-align: center;\" width=\"151\">01<\/td>\r\n<td width=\"377\">wpisuje si\u0119 dat\u0119 wype\u0142nienia<\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"151\">02<\/td>\r\n<td width=\"377\">podpis sk\u0142ada zleceniodawca<\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" rowspan=\"2\" width=\"89\">4<\/td>\r\n<td style=\"text-align: center;\" width=\"151\">01<\/td>\r\n<td width=\"377\">wpisuje si\u0119 dat\u0119 wype\u0142nienia<\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"151\">02<\/td>\r\n<td width=\"377\">podpis sk\u0142ada osoba zg\u0142aszana<\/td>\r\n<\/tr>\r\n<tr>\r\n<td colspan=\"3\" width=\"633\"><\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" colspan=\"3\" width=\"633\"><strong>Cz\u0119\u015b\u0107 XII. O\u015bwiadczenie osoby zg\u0142aszanej\/zg\u0142oszonej do ubezpieczenia<\/strong><\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"89\">Sytuacja<\/td>\r\n<td style=\"text-align: center;\" width=\"151\">Pole<\/td>\r\n<td style=\"text-align: center;\" width=\"377\">Dane<\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"89\">1<\/td>\r\n<td style=\"text-align: center;\" width=\"151\">01<\/td>\r\n<td width=\"377\">podpis sk\u0142ada osoba prowadz\u0105ca dg<\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"89\">2,3<\/td>\r\n<td style=\"text-align: center;\" width=\"151\">01<\/td>\r\n<td width=\"377\">podpis sk\u0142ada zleceniobiorca<\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"89\">4<\/td>\r\n<td style=\"text-align: center;\" width=\"151\">01<\/td>\r\n<td width=\"377\">podpis sk\u0142ada osoba zg\u0142aszana<\/td>\r\n<\/tr>\r\n<tr>\r\n<td colspan=\"3\" width=\"633\"><\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" colspan=\"3\" width=\"633\"><strong>Cz\u0119\u015b\u0107 XIII. Adnotacje ZUS<\/strong><\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"89\">Sytuacja<\/td>\r\n<td style=\"text-align: center;\" width=\"151\">Pole<\/td>\r\n<td style=\"text-align: center;\" width=\"377\">Dane<\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"89\">1<\/td>\r\n<td rowspan=\"3\" width=\"151\">&nbsp;\r\n<p style=\"text-align: center;\">&#8212;<\/p>\r\n<\/td>\r\n<td rowspan=\"3\" width=\"377\">&nbsp;\r\npole pozostaje puste<\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"89\">2,3<\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"text-align: center;\" width=\"89\">4<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>","protected":false},"excerpt":{"rendered":"<p>Jak poprawnie wype\u0142ni\u0107 dokument ZUS ZZA? Odpowied\u017a na to pytanie\u00a0przedstawiam w tym artykule. Aby dok\u0142adnie om\u00f3wi\u0107 temat wezm\u0119 pod uwag\u0119 cztery sytuacje.<\/p>\n","protected":false},"author":53,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[2054],"tags":[],"class_list":["post-49432","post","type-post","status-publish","format-standard","hentry","category-jednoosobowa-dzialalnosc"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Formularz ZUS ZZA - kto sk\u0142ada, czym jest, jak wype\u0142ni\u0107 zg\u0142oszenie do ubezpieczenia?<\/title>\n<meta name=\"description\" content=\"Formularz ZUS ZZA to druk na kt\u00f3rym zg\u0142asza si\u0119 osob\u0119 do ubezpieczenia zdrowotnego. 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