ࡱ> [%bjbjokikip>rS'.'$''''''8'\M)']&*s1(1114r5,C5\\\\\\\$_|b\u'[5e4@4[5[5\''11Z]999[5L'1'1\9[5\99nXS[1PR,5XY \p]0]YRc5Rc@S[S[Rc'g[D[5[59[5[5[5[5[5\\7[5[5[5][5[5[5[5Rc[5[5[5[5[5[5[5[5[5Y &: Registra n slo Yadu prce R:  CP PovodeH 2024 C - S15 Pracoviat Yadu prce R:  FORMTEXT       }dost o pYspvek zclenho programu podpory zamstnanosti PovodeH 2024 120 zkona .435/2004Sb., ozamstnanosti, ve znn pozdjach pYedpiso, A. Identifika n daje ~adatele, prvn forma a pYedmt podnikn nebo innosti: Nzev ~adatele1):  FORMTEXT       I :  FORMTEXT      Rodn slo2):  FORMTEXT      Prvn forma ~adatele3):  FORMTEXT      PYedmt podnikn nebo innosti4):  FORMTEXT      Adresa sdla: Obec:  FORMTEXT       st obce:  FORMTEXT      Ulice:  FORMTEXT       . p.:  FORMTEXT       . orient.:  FORMTEXT      PS :  FORMTEXT      Telefon:  FORMTEXT      ID datov schrnky*:  FORMTEXT      E-mail:  FORMTEXT      *je-li zYzenaB. Adresa pro doru ovn5): Obec:  FORMTEXT       st obce:  FORMTEXT      Ulice:  FORMTEXT       . p.:  FORMTEXT       . orient.:  FORMTEXT      PS :  FORMTEXT      C. Oprvnn zstupce ~adatele: PYjmen:  FORMTEXT      Jmno:  FORMTEXT      Titul:  FORMTEXT      Telefon:  FORMTEXT      E-mail:  FORMTEXT      D. Kontaktn osoba pro jednn sYadem prce R: PYjmen:  FORMTEXT      Jmno:  FORMTEXT      Titul:  FORMTEXT      Telefon:  FORMTEXT      E-mail:  FORMTEXT      E. Bankovn spojen ~adatele ( et u pen~nho stavu v R veden vCZK): slo tu:  FORMTEXT      Kd banky:  FORMTEXT      Var. symbol*:  FORMTEXT      *nepovinn daj F. Dala daje potYebn k posouzen ~dosti: }adatel  FORMCHECKBOX  SHAPE \* MERGEFORMAT  je  FORMCHECKBOX  nen agenturou prce podle 14 odst. 1 psm. b) zkona .435/2004 Sb., o zamstnanosti, ve znn pozdjach pYedpiso. }adatel  FORMCHECKBOX  SHAPE \* MERGEFORMAT  pYidluje  FORMCHECKBOX  nepYidluje do asn zamstnance kvkonu prce kjinmu zamstnavateli podle ustanoven 43a zkonku prce. }adateli  FORMCHECKBOX  SHAPE \* MERGEFORMAT  byla  FORMCHECKBOX  nebyla v obdob 3 let pYede dnem podn tto ~dosti ulo~ena pokuta za umo~nn vkonu nelegln prce, za zastYen zprostYedkovn zamstnn nebo umo~nn vkonu zastYenho zprostYedkovn. Seznam objekto (provozovna / sdlo), vnich~ vznikly ~adateli pYek~ky vprci podle ustanoven 207 psm. a) nebo b) zkonku prce nebo ~adatel pYedpokld, ~e mu tyto pYek~ky vzniknou, a to vsouvislosti spovodHovou situac nastalou vobdob od 13. zY 2024, pYedpokldan po et zamstnanco, na kter bude zamstnavatel ~dat o pYspvek a slo naYzen Komise (EU) vztahujc se kpodpoYe malho rozsahu  de minimis6): 1Zasa~en objekt:  FORMTEXT      Adresa:  FORMTEXT      Po et zamstnanco:  FORMTEXT      NaYzen EK6):  FORMTEXT      2Zasa~en objekt:  FORMTEXT      Adresa:  FORMTEXT      Po et zamstnanco:  FORMTEXT      NaYzen EK6):  FORMTEXT      3Zasa~en objekt:  FORMTEXT      Adresa:  FORMTEXT      Po et zamstnanco:  FORMTEXT      NaYzen EK6):  FORMTEXT      4Zasa~en objekt:  FORMTEXT      Adresa:  FORMTEXT      Po et zamstnanco:  FORMTEXT      NaYzen EK6):  FORMTEXT      5Zasa~en objekt:  FORMTEXT      Adresa:  FORMTEXT      Po et zamstnanco:  FORMTEXT      NaYzen EK6):  FORMTEXT       PYedpokldan vae pYspvku na vaechny uveden zamstnance za cel obdob realizace programu PovodeH 2024 vypo tan podle sti M. bod 4. a 7. tto ~dosti PYedpokldan vae pYspvku:  FORMTEXT       G. Prohlaen ~adatele: 1. }adatel estn prohlaauje, ~e mu vznikly pYek~ky vprci na stran zamstnavatele podle ustanoven 207 psm. a) nebo b) zkonku prce nebo ~e dovodn pYedpokld, ~e mu tyto pYek~ky vprci vzniknou, a to vsouvislosti s povodHovou situac nastalou vobdob od 13. zY 2024. 2. }adatel estn prohlaauje, ~e u zdravotnch pojiaeoven, kter nejsou ozna eny v sti J, nejsou pojiatni ~dn zamstnanci ~adatele (ani ~adatel-fyzick osoba) a rovn~ u nich ~adatel nem nedoplatek na pojistnm a na penle na veYejn zdravotn pojiatn. 3. }adatel vpYpad poskytnut pYspvku souhlas se zveYejnnm identifika nch dajo: uprvnick osoby nzev, I , sdlo, u fyzick osoby jmno, pYjmen, I , sdlo a daje o vai pYspvku na Integrovanm portlu MPSV. 4. VpYpad poskytnut pYspvku nebude ~adatel na stejn el, tj. na tu st mzdovch nklado (nhrad mezd a povinnch odvodo), kterou bude hradit zpYspvku Yadu prce R, nrokovat kryt z pen~nch prostYedko poskytovanch sttnho rozpo tu, rozpo tu zemnch samosprvnch celko, vyaach zemnch samosprvnch celko, Evropskch strukturlnch a investi nch fondo, popY. z jinch programo a projekto EU, ani jinch veYejnch zdrojo. 5. }adatel prohlaauje, ~e uveden daje jsou pravdiv a odpovdaj skute nosti ke dni podn tto ~dosti. Pokud ~adatel prokazuje splnn podmnky bezdlu~nosti sm, estn prohlaauje, ~e daje uveden vpYedlo~ench potvrzench o bezdlu~nosti jsou pravdiv a odpovdajc skute nosti. V  FORMTEXT      dne  FORMTEXT        FORMTEXT       Jmno, pYjmen, funkce a podpis oprvnn osoby (otisk raztka) }adatel (nzev ~adatele):  FORMTEXT       I :  FORMTEXT       R  (u FO):  FORMTEXT       H.1  FORMCHECKBOX  NE}D  FORMCHECKBOX  }D, aby Yad prce R podle 147b zkona o zamstnanosti sm zjistil, zda nem ~adatel zachyceny vevidenci dan daHov nedoplatky u finan nho Yadu a zproaeuje ho za tmto elem povinnosti ml enlivosti. H.2  FORMCHECKBOX  NE}D  FORMCHECKBOX  }D, aby Yad prce R podle 147b zkona o zamstnanosti sm zjistil, zda nem ~adatel zachyceny vevidenci dan daHov nedoplatky u celnho Yadu a zproaeuje ho za tmto elem povinnosti ml enlivosti. I.  FORMCHECKBOX  NE}D  FORMCHECKBOX  }D, aby Yad prce R podle 147b zkona o zamstnanosti sm zjistil, zda nem ~adatel zachyceny nedoplatky na pojistnm a na penle na socilnm zabezpe en a pYspvku na sttn politiku zamstnanosti a zproaeuje ho za tmto elem povinnosti ml enlivosti. J.  FORMCHECKBOX  NE}D  FORMCHECKBOX  }D, aby Yad prce R podle 147b zkona o zamstnanosti sm zjistil, zda nem ~adatel zachyceny nedoplatky na pojistnm a na penle na veYejn zdravotn pojiatn a zproaeuje ho za tmto elem povinnosti ml enlivosti. V seznamu zdravotnch pojiaeoven bude zaakrtnuto pole  ano a vyplnno zemn pracoviat u tch zdravotnch pojiaeoven, ukterch jsou pojiatni zamstnanci ~adatele: (~adatel-fyzick osoba uvede i zdravotn pojiaeovnu, u kter je sm pojiatn) Kd Nzevzemn pracoviat v obci111Vaeobecn zdravotn pojiaeovna R FORMCHECKBOX  ano FORMTEXT      201Vojensk zdravotn pojiaeovna R FORMCHECKBOX  ano FORMTEXT      205 esk promyslov zdravotn pojiaeovna FORMCHECKBOX  ano FORMTEXT      207Oborov zdravotn poj. zam. bank, poj. a stav. FORMCHECKBOX  ano FORMTEXT      209Zamstnaneck pojiaeovna `koda FORMCHECKBOX  ano FORMTEXT      211Zdravotn pojiaeovna ministerstva vnitra R FORMCHECKBOX  ano FORMTEXT      213Revrn bratrsk pokladna, zdrav. pojiaeovna FORMCHECKBOX  ano FORMTEXT       V  FORMTEXT       dne  FORMTEXT        FORMTEXT       Jmno, pYjmen, funkce a podpis oprvnn osoby (otisk raztka)K. K~dosti prosm dolo~te nsledujc pYlohy: 1. U ~adatele, kter nen veden veveYejnm rejstYku, doklad prokazujc prvn formu ~adatele a doklad prokazujc osobu statutrnho zstupce a zposob zastupovn, pokud toto nen vrejstYku nebo jinm dokladu o prvn form uvedeno. 2. Doklad o zYzen tu u pen~nho stavu uvedenho v sti E (smlouvu o zYzen tu nebo potvrzen vystaven bankou). 3. estn prohlaen ~adatele o podporu de minimis dle pYsluanho naYzen Komise (EU) vztahujcmu se k pYsluanmu odvtv (vce viz bod M. 10. ~dosti). Vzor etnho prohlaen je kdispozici na portlu MPSV. Yad prce R mo~e po~adovat pYedlo~en i jinch doklado, pokud jsou nezbytn kposouzen ~dosti. L. Nejpozdji do 6. prosince 2024 prosm dolo~te: 1. Potvrzen o bezdlu~nosti. Tato potvrzen nesm bt stara ne~ 30 dno pYede dnem podn ~dosti a daje v nm mus odpovdat skute nmu stavu ke dni uvedenmu v tomto potvrzen. Dnem podn ~dosti se rozum den jejho doru en Yadu prce R. 2. 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Potvrzen o bezdlu~nosti  viz bod L.1. VpYpad, ~e ~adatel nevyu~ije mo~nosti uveden v sti H, I a J, dokld Yadu prce R, ~e a) nem v evidenci dan zachyceny daHov nedoplatky u finan nho a celnho Yadu. Je-li ~adatel prvnickou osobou, dokld bezdlu~nost potvrzenm, kter je vystaveno na  identifika n slo , pYpadn na  slo pltce . Je-li ~adatel podnikajc fyzickou osobou, dokld bezdlu~nost potvrzenm, kter je vystaveno na  jmno suvedenm rodnho sla, popY. data narozen 7) i na  identifika n slo , pYpadn na  slo pltce . b) nem nedoplatek na pojistnm a na penle na veYejn zdravotn pojiatn. Je-li ~adatel prvnickou osobou, dokld bezdlu~nost potvrzenm, kter je vystaveno na  identifika n slo , pYpadn na  slo pltce . Je-li ~adatel podnikajc fyzickou osobou, dokld bezdlu~nost potvrzenm od zdravotn pojiaeovny, u kter je sm pojiatn, vystaven na  jmno suvedenm rodnho sla, popY. data narozen 7) i na  identifika n slo ; m-li zamstnance, pYedkld potvrzen i od zdravotnch pojiaeoven, ukterch jsou pojiatni jeho zamstnanci, vystaven na  identifika n slo , pYpadn na  slo pltce . c) nem nedoplatek na pojistnm a na penle na sociln zabezpe en a pYspvku na sttn politiku zamstnanosti. Je-li ~adatel prvnickou osobou, dokld bezdlu~nost potvrzenm, kter je vystaveno na  identifika n slo , pYpadn na  slo pltce . Je-li ~adatel podnikajc fyzickou osobou, dokld bezdlu~nost potvrzenm pYsluan sprvy socilnho zabezpe en, kter je vystaveno na  jmno s uvedenm rodnho sla, popY. data narozen 7) i na  identifika n slo , pYpadn na  slo pltce . M-li ~adatel nkter zvae uvedench nedoplatko a bylo mu povoleno splcen ve spltkch, lze pYspvek poskytnout, nen-li vprodlen se splcenm spltek. PYspvek lze poskytnout ~adateli i vpYpad, bylo-li mu povoleno pose kn dan. Tyto skute nosti je ~adatel rovn~ povinen dolo~it. Potvrzen o pY inn souvislosti  viz bod L. 2. a) VpYpad pYek~ky vprci podle ustanoven 207 psm. b) zkonku prce lze prokzat souvislost dokladem o ohlaen pojistn udlosti nebo obdobnm dokladem, ze kterho vyplyne Yeaen pYsluan pojistn udlosti. Nen-li takovho dokladu, souvislost lze dolo~it jinm zposobem, napY. potvrzenm mstn pYsluan samosprvy. b) VpYpad pYek~ky vprci podle ustanoven 207 psm. a) zkonku prce lze prokzat souvislost potvrzenm / vyjdYenm distributora nebo dodavatele energi nebo vody o tom, ~e doalo kpYeruaen jejich dodvek nebo jinm obdobnm zposobem, je-li dovodem vzniku pYek~ek vprci vpadek dodvek energi (elektYina, plyn) nebo vody. Vzniknou-li zamstnavateli pYek~ky vprci zdovodu vpadku dodvek vrobnch vstupo, souvislost lze prokzat doklady, ze kterch bude patrn obchodn vztah mezi zasa~enm dodavatelem a zamstnavatelem. Zasa~en dodavatele lze prokzat stejn jako u pYek~ky vprci podle 207 psm. b) zkonku prce. Dolo~en pY inn souvislosti lze zobjektivnch pY in nahradit ternnm aetYenm Yadu prce R. V pYpad potYeby bli~ach informac se ~adatel mo~e obrtit na Yad prce R. Po et pYloh:  FORMTEXT       M. Pou en ~adatele: Jedn se o ~dost o pYspvek zclenho programu podpory zamstnanosti PovodeH 2024 (dle jen  program ). Podmnky realizace programu byly schvleny dne 2. 10. 2024 vldou na zklad 120 odst. 2 zkona o zamstnanosti. MPSV je oprvnno program dle rozpracovat a konkretizovat. PYspvek se poskytuje zamstnavateli na zklad psemn dohody uzavYen mezi Yadem prce R azamstnavatelem. PYspvek se poskytuje zamstnavateli za elem hrady Ydn vynalo~ench nklado na nhrady mezd v etn pojistnho na sociln zabezpe en a pYspvku na sttn politiku zamstnanosti a pojistnho na veYejn zdravotn pojiatn, kter znich zamstnavatel za sebe odvedl zvymYovacho zkladu zamstnanco, a to za dobu pYek~ek vprci na stran zamstnavatele podle 207 psm. a) nebo b) zkonku prce vsouvislosti s povodHovou situac nastalou vobdob od 13. zY 2024. PYspvek lze poskytovat zamstnavateli za obdob od 5. kalendYnho dne nsledujcho po dni vzniku prvn pYsluan pYek~ky vprci vprovozovn / sdle zamstnavatele do 31. Yjna 2024. PYspvek se poskytuje zamstnavateli v zasa~en oblasti. Zasa~enou oblast se pro ely programu rozum zem krajo R svjimkou kraje StYedo eskho, PlzeHskho, Karlovarskho a zem hl. m. Prahy. PYspvek se poskytuje zamstnavateli a~ do vae 50 % Ydn vynalo~ench nklado na nhrady mezd v etn povinnch odvodo, maximln vaak ve vai 18400 K  ms n na jednoho zamstnance. PYspvek se poskytuje zamstnavateli ms n na zklad  Vy tovn mzdovch nklado  PovodeH 2024 , kter zamstnavatel pYedkld Yadu prce zajednotliv kalendYn msce nejpozdji dokonce kalendYnho msce nsledujcho pouplynut vykazovanho ms nho obdob.  Vy tovn mzdovch nklado  PovodeH 2024 podv zamstnavatel samostatn za ka~d zasa~en objekt (provozovna / sdlo). PYspvek se sou asn poskytuje zamstnavateli a~ po dolo~en skute nost podle bodu L. ~dosti. PYspvek je veYejnou podporou podle pYsluanch prvnch pYedpiso EU a R a je poskytovn vre~imu podpory malho rozsahu  de minimis podle naYzen Komise (EU) . 2023/2831, . 2023/2832, . 1408/2013 a . 717/2014. Jednotliv naYzen Komise (EU) stanovuj maximln vai veYejn podpory pro konkrtn odvtv: naYzen Komise (EU) . 2023/2832 - slu~by obecnho hospodYskho zjmu, naYzen Komise (EU) . 1408/2013  zemdlsk prvovroby, naYzen Komise (EU) . 717/2014  rybolov a akvakultura, naYzen Komise (EU) . 2023/2831  ostatn odvtv. Informace o pravidlech poskytovn veYejn podpory malho rozsahu jsou uvedeny na webovch strnkch Yadu pro ochranu hospodYsk sout~e: HYPERLINK "https://www.uohs.cz/cs/verejna-podpora/podpora-de-minimis-a-registr-de-minimis.html"https://www.uohs.cz/cs/verejna-podpora/podpora-de-minimis-a-registr-de-minimis.html PYspvek se poskytuje zamstnavateli na zamstnance vpracovnm pomru nebo na zamstnance zamstnan na zklad dohod o pracch konanch mimo pracovn pomr. PYspvek se neposkytne zamstnavateli uvedenmu v 109/3 zk. prce (platov sfra). PYspvek se poskytuje zamstnavateli pouze na takovho zamstnance, kter jako~to jednatel i len statutrnho orgnu nepodepsal pracovn smlouvu jak na stran zamstnavatele, tak na stran zamstnance. Yad prce pro ely poskytovn pYspvko zprogramu nepYihl~ k pracovn smlouv, kter by byla podepsna stejnou osobou na jedn stran jako~to zamstnavatelem a na druh stran jako~to zamstnancem, a to z dovodu rozdlnosti zjmo obou stran. PYspvek se poskytuje zamstnavateli pouze na takov zamstnance, u kterch zamstnavatel neuplatHuje konto pracovn doby podle ustanoven 86 a 87 zkonku prce.  FORMCHECKBOX  Potvrzuji, ~e jsem se seznmil(a) spou enm ~adatele o pYspvek z programu. V  FORMTEXT      dne  FORMTEXT        FORMTEXT       Jmno, pYjmen, a podpis ~adatele 1) VyplHte nzev ~adatele uveden napY. ve veYejnm rejstYku nebo zYizovac listin, popY. jmno a pYjmen, je-li ~adatelem fyzick osoba podnikajc pod svm jmnem apYjmenm. 2) VyplHte jen vpYpad, je-li ~adatelem fyzick osoba. 3) VyplHte prvn formu ~adatele, napYklad akciov spole nost, crkevn organizace, dru~stvo, fyzick osoba, podnikajc fyzick osoba, komanditn spole nost, kraj, nadace, obec, obecn prospan spole nost, pYspvkov organizace, spolek, spole nost sru enm omezenm, veYejn obchodn spole nost. 4) Uvete pYedmt podnikn nebo innosti vztahujc se kposkytovn pYspvku. 5) NevyplHujte, je-li shodn sadresou sdla. 6) PYspvek je veYejnou podporou podle pYsluanch prvnch pYedpiso EU a R a je poskytovn vre~imu podpory malho rozsahu  de minimis podle naYzen Komise (EU) . 2023/2831, . 2023/2832, . 1408/2013 a . 717/2014. Ke ka~d Ydce, resp. ke ka~dmu zasa~enmu objektu, uvete slo naYzen Komise (EU) vztahujc se kzasa~enmu objektu. Vce viz bod M.10. ~dosti. 7 Je-li ~adatelem cizinec bez pYidlenho rodnho sla, dokld potvrzen uveden vbod L.1. a), b), c) vystaven na vlastn slo pltce, pod kterm je u pYsluan instituce veden.     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