Instituto Nacional do Seguro Social (INSS) Edition Anexo XXVII, Instrução Normativa PRES/INSS nº 128 de 28 de março de 2022 2 pages

INSS — Termo de Responsabilidade (Attorney or Legal Representative)

The undertaking a procurador, guardian or curator signs to act for INSS beneficiaries.

INSS undertaking by an attorney or legal representative · Termo de Responsabilidade (procurador / representante legal)
The official Instituto Nacional do Seguro Social (INSS) form, edition Anexo XXVII, Instrução Normativa PRES/INSS nº 128 de 28 de março de 2022 — blank
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INSS undertaking by an attorney or legal representative (2022) Termo de Responsabilidade (procurador / representante legal) — page 1 of 2
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INSS undertaking by an attorney or legal representative (2022) Termo de Responsabilidade (procurador / representante legal) — page 2 of 2
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What is INSS undertaking by an attorney or legal representative?

Someone who receives or manages an INSS benefit for another person — under a power of attorney, as a parent of a minor, as a court-appointed guardian or curator, as the holder of a custody order or as a provisional administrator — signs this Termo de Responsabilidade, Anexo XXVII of IN PRES/INSS 128 of 2022.

In it you undertake to tell the INSS within 30 days of any event that could end your representation: the death of the benefit holder or dependant, or the end of the legal representation. You also acknowledge that if you don't, you must return any amounts received unduly and are subject to the penalties of articles 171 and 299 of the Penal Code. You list up to four beneficiaries and tick the kind of representation.

FileIt checks every CPF, prints the names correctly even with non-Portuguese letters, and keeps the signed undertaking in your vault. FileIt never sends anything to the INSS.

Issued by
Instituto Nacional do Seguro Social (INSS)
Legal basis
Anexo XXVII, IN PRES/INSS 128 of 28 March 2022
Who signs
The representative
Beneficiaries
Up to four
Your duty
Tell the INSS within 30 days of the beneficiary's death or the end of the representation
Pages
2

Who needs to fill out INSS undertaking by an attorney or legal representative?

  • Attorneys (procuradores) who receive an INSS benefit for someone else.
  • Parents of minors receiving an INSS benefit (tutor nato).
  • Court-appointed guardians and curators of beneficiaries.
  • Holders of a custody order and provisional administrators.

When to use INSS undertaking by an attorney or legal representative

  • When you register as a representative of an INSS beneficiary.
  • When the INSS asks you to renew or confirm your representation.

What you need before you start

  • Your full name and CPF.
  • Each beneficiary's full name and CPF.
  • Which kind of representation you hold, and the document that proves it (power of attorney, court decision or custody order).

What’s on INSS undertaking by an attorney or legal representative

The 2022 edition has 2 pages. FileIt asks for it in 3 parts, and it is signed by Representative (procurador / representante legal):

  1. You, the representativeRepresentative (procurador / representante legal)
  2. Beneficiaries (beneficiários)Representative (procurador / representante legal)
  3. Place and dateRepresentative (procurador / representante legal)

How to fill out INSS undertaking by an attorney or legal representative, step by step

1 You

Your name and CPF; the undertaking to report events within 30 days is printed on the form.

2 Beneficiaries

Up to four names and CPFs.

3 Kind of representation

Tutor nato, tutor legal, curador, termo de guarda, administrador provisório or procurador.

4 Place, date and signature

On page 2.

Common mistakes to avoid

  • Entering your own CPF for a beneficiary.
  • Ticking 'procurador' when you are a court-appointed guardian, or the other way round.
  • Not telling the INSS within 30 days when the beneficiary dies or the representation ends.

After you fill it out

Print and sign the undertaking and hand it to the INSS with the document that proves your representation.

Keep the copy FileIt saves in your vault, and set a reminder for any expiry date of the power of attorney or court decision.

Fill out INSS undertaking by an attorney or legal representative online with FileIt

  1. Pick the person. Choose someone from People and FileIt fills in their name, date of birth, address and other details it already knows.
  2. Answer plain-language questions. One part of the form at a time, with the official help text beside each question — 13 fields in all. Your answers save as you go.
  3. Check the live preview. Watch your answers land on the real Instituto Nacional do Seguro Social (INSS) form, and let FileIt do any worksheet arithmetic.
  4. Generate the official PDF. FileIt prints your answers into the agency’s own PDF and files it in that person’s folder in your vault. Sign it, or send it for e-signature.

FileIt fills the form — it never files or submits anything for you. Deliver the finished form to whoever asked for it, the way the form’s instructions say.

Start INSS undertaking by an attorney or legal representative now — it’s free

INSS undertaking by an attorney or legal representative: frequently asked questions

Does it need a notary?

The form doesn't ask for notarisation. The INSS may still check the power of attorney or court document behind your representation.

What events must I report?

The form names the death of the benefit holder or dependant and the end of the legal representation, within 30 days of the event.

Can I list more than four beneficiaries?

The form has four rows. Use another copy for more.

Can I sign it electronically?

The form asks for no ink, witness or notary, so FileIt offers an electronic signature.

Official sources

FileIt is not affiliated with or endorsed by Instituto Nacional do Seguro Social (INSS) or any government. This page explains the form in general terms and is not legal, tax or immigration advice. Always read the official instructions, and check that you are using the edition the recipient accepts. Page last reviewed 2026-10-25.