Request for determination of legislation applicable for an employed person, who is simultaneously self-employed (form)

With this form, a person performing employment and self-employment in two or more states requests the issue of a determination of legislation applicable, i.e. form A1 in the case of European Coordination regulations or a bilateral form/certificate in the case of an international social security treaty.

You can find more about determining the state of insurance in relation to the European Coordination Regulations on the CSSA website.

You can find more about the determination of the state of insurance in relation to the international treaties on social security concluded by the Czech Republic on the website of the CSSA.

In the case of electronic submission of an application for the issue of a certificate of affiliation with legislation by sending an xml file to a data box, each application and its attachments must be sent separately, i.e. only one xml file and the relevant attachments may be sent in one data message.