Handbook for soldiers after injury

    • The sequence of actions is as follows:

      1. If you are sure that you have really lost your bank card, you need to block it immediately. You can do this in different ways.
        • Contact the nearest branch of your bank with your passport and a corresponding application for the loss and blocking of the card.
        • Call the bank's hotline. The operator will ask you several control questions (name, date of birth, code word, account number) that will allow him to identify you as the real owner of the lost card. Under no circumstances should you provide the operator with information about your PIN, CVV or CVC code.
        • Block the card yourself in the mobile app or through a bot.
      2. Order a card reissue. To do this, you need to contact a bank branch with an ID or submit an application via Internet banking or a mobile application. At the same time, the bank card account will not change, but will simply be linked to the new card. Typically, the card is issued within 2 to 14 days and costs between UAH 15 and 100, depending on the bank.

      If you have lost your previous financial phone number, you can set up a new one after a video call with a bank employee. Each bank has a detailed procedure for how this happens. You should always start by calling the bank and finding out/clarifying the details. In case of loss of a financial number, it is recommended to call from the number that is planned to be set as a financial number. Once the client is identified, it can be replaced.

      You can pick up your new plastic card at a bank branch. If you are unable to travel on your own, a family member or friend can do this by power of attorney. To do this, the principal should visit the bank branch with the power of attorney:

      • passport;
      • identification code;
      • a notarized power of attorney stating the relevant powers, namely: the right to issue and receive cards to the client's (principal's) account or the right to fully dispose of the client's (principal's) account.

      In addition, some banks have the option of ordering a service to send their employee to a healthcare facility to obtain a plastic card.

    • To restore the number and get a new SIM card, you need to contact the nearest network store. This process is possible only if you have an identity document. To replace the SIM card, you need to tell the employee the secret word (if it was previously set. If not, the account balance) and the two numbers you call most often. If necessary, you may be asked other questions.

      If everything goes well and you are identified, you will receive a new SIM card with your old number. You will keep your tariff plan, account balance and ordered services. The cost of a new (replaced) SIM card is 50 UAH including all taxes. You need to pay them in a Lifecell store.

    • Everything can be done remotely. First, buy a new SIM/eSIM card (or order it on the operator's website). After you receive it, call the number 222 (free of charge for Vodafone Ukraine subscribers) or 0 800 400 222 (free for everyone) and tell the employee the number to be restored.

      If you are an anonymous customer, you will have to provide your PUK code, the two numbers you have most often contacted in the last month, and the IMEI of the device that contained the old SIM card (or eSIM profile). After that, provide your personal data: Your full name and the series and number of your identity document. These data will be recorded in the application for SIM replacement. Important: if the SIM card replacement restriction service is activated on your number, the employees will conduct additional verification. Therefore, you will have to provide them with your contact number so that they can contact you later.

      For registered subscription customers, the request is made in a different way. You need to provide the details of the document to which the number is registered, specify a contact number for communication, and send a photo of yourself with the document and sheet in hand, as well as photos of the documents requested by the employee.

      Next (for both anonymous and registered customers), you need to provide the employee with the serial number of the new SIM card or eSIM voucher and the phone number indicated on the starter pack (if you purchased a pack with a new number). The old number will be transferred to the new card within four hours. After that, install the SIM card in your phone or activate the eSIM according to the instructions on the voucher.

      The operator warns that additional checks are possible when restoring a number and replacing a SIM card. Therefore, you need to answer questions from employees and pick up the phone if they call.

    • To renew the number, you need to contact one of Kyivstar stores. To restore the SIM card, it will be enough to show the specialist your passport and TIN. The renewal procedure is free of charge if no more than 90 days have passed since the number was canceled. Otherwise, it can be restored through the Exclusive Number service. It will cost from 300 to 3,000 UAH.

    • Go to the nearest police department. There, you need to file a statement about the loss of the document and get an extract from the Unified Register of Pre-trial Investigations. Next, you should contact one of three institutions:

      • division of the State Migration Service of Ukraine;
      • administrative service center (ASC);
      • Passport Service Citizen Service Center (also known as Document).

      The list of documents to be submitted to restore a citizen's passport or ID card:

      • a statement about the loss of a passport;
      • an extract from the Unified Register of Pre-trial Investigations (especially relevant in case of passport theft);
      • a document confirming the payment of the administrative fee;
      • a copy or original of the identification code.
    • The grounds for replacing the certificate (Instruction on the procedure for issuing combatant certificates, badges "War Veteran - Combatant" and coupon sheets for the right to receive travel tickets with a 50 percent discount on their cost by war veterans in the Ministry of Defense of Ukraine, approved by Order of the Ministry of Defense of Ukraine No. 369 dated November 10, 2022, registered with the Ministry of Justice of Ukraine on November 21, 2022, under No. 1441/3878) is the Decision (extract from the minutes) of the Commission that granted the status of combatant to the relevant person, or copies thereof certified in accordance with the procedure established by law.

      If you are on military service, contact the personnel service of the military unit. If you are discharged, contact the TCC and JV at the place of registration (military registration).

      The person's report (application) for obtaining a new certificate is attached:

      1. If the certificate has become unusable:
        • a decision (extract from the protocol) on recognition as a combatant;
        • a copy of the certificate;
        • an unusable certificate;
        • a list of coupons and a copy of it;
        • a copy of the first page of the passport (passport in the form of a card);
        • two 3×4 cm color photographs on matte paper, the face image should occupy 65-70 % of the photograph.
      2. Due to loss (theft):
        • a decision (extract from the protocol) on recognition as a combatant;
        • a document confirming the acceptance and registration of an application to the National Police regarding the loss (theft) of the ID;
        • published announcement in the printed media about the invalidity of the lost (stolen) certificate (indicating the surname, name and patronymic (if any) of the person, as well as the series and number of the certificate);
        • a copy of the lost (stolen) certificate (if any);
        • a list of coupons and a copy of it;
        • a copy of the first page of the passport (passport in the form of a card);
        • two 3×4 cm color photographs on matte paper, the face image should occupy 65-70 % of the photograph.
    • In case of loss of a military ID card or officer's certificate:

      1. Immediately file a report with your immediate commander and attach your explanations to the report, indicating the circumstances of the loss of the military registration document.
      2. The commander of a military unit must order an internal investigation into the loss of a military ID card.
      3. After an internal investigation, the military unit must collect a package of documents:
        • an application/report indicating the circumstances of the loss of the military ID card and a request for its reissuance;
        • passport;
        • matte photo 3 × 4 cm without a corner;
        • damaged document or its remains (if any);
        • an extract from the order on the results of the internal investigation (if the document is lost).
      4. The specified package of documents must be sent to the MCC and JV where you are registered, since only the head of the MCC and JV is authorized to reissue a military ID card or an officer's certificate.
    • Procedure for obtaining the status of a person with a disability as a result of war:

      1. Gather the following documents:
        • a certificate from the commander of the military unit on the causes and circumstances of the injury;
        • a certificate from the military medical commission (MMC);
        • the decision of the expert team of the assessment of the person's daily functioning (ECOPFO);
        • an extract from the order of the commander of the military unit on the exclusion from the lists of the unit's personnel.
        How to pass the VLC and ECOPFO is described in the guide above.
      2. Once the disability is established, in order to obtain the appropriate status, an application and the decision of the FEAO must be submitted to the social protection authority at the place of registration (CMU Resolution No. 685 of 08.09.2015 "On Approval of the Procedure for Granting the Status of a Person with a Disability as a Result of War to Persons Who Sustained a Disability as a Result of Wounding, Contusion, Mutilation or Disease Sustained during Direct Participation in the Anti-Terrorist Operation, Implementation of Measures to Ensure National Security and Defense, Repulsion and Deterrence of Armed Aggression").

      A person with a war-related disability is issued a certificate and a badge.

      This status entitles them to benefits under the law "On the Status of War Veterans and Guarantees of Their Social Protection," including a one-time financial assistance.

      IMPORTANT! If a person with a combat participant certificate receives the status of a person with a disability as a result of war, the previous certificate is withdrawn and left in storage at the social protection authorities.

    • This status is granted to persons who became disabled as a result of injury, contusion, mutilation or illness during direct participation in hostilities or measures to ensure national security and defense in the war with Russia.

      These include:

      • military personnel of the Armed Forces of Ukraine (including volunteer formations of territorial communities), the National Guard, the Security Service of Ukraine, the police, and representatives of other law enforcement agencies and departments;
      • employees of enterprises and organizations involved in the defense of Ukraine;
      • regular volunteers as part of volunteer formations that were later incorporated into the AFU and other military formations;
      • irregular volunteers in volunteer formations that were not included in the AFU;
      • volunteers who ensured national security and defense and received a disability directly in the combat areas;
      • people involved in confidential cooperation with the intelligence agencies of Ukraine in the occupied territories, in the ATO zone, and in the areas of military operations.
    • The Commission may, in the absence of grounds for recognizing persons as combatants, which are confirmed by documents, refuse to recognize such persons as combatants.

      The commission's decision can be appealed in court (Resolution of the Cabinet of Ministers of Ukraine of 20.08.2014 No. 413 "On Approval of the Procedure for Granting and Depriving Persons of the Status of Combatant...").

      If a court establishes the fact of a person's participation in hostilities or other events that entitles him or her to be recognized as a combatant, in accordance with part one of Article 6 of the Law of Ukraine "On the Status of War Veterans, Guarantees of Their Social Protection", such a court decision is the basis for recognizing a person as a combatant.

      The decision to recognize a person as a combatant on the basis of a court decision is made by the Commission within thirty working days from the date of receipt of the person's application with the documents on the basis of which the court made such a decision.

    • Documents may be submitted for consideration by the relevant commission:

      1. Commander (chief) of a military unit (body, subdivision) or other head of an enterprise, institution or organization (at the place of military service of the serviceman).
        1. The commander (chief), according to his/her subordination, submits the documents specified in the List for consideration by the relevant commission for subordinate personnel.
        2. Commissions for the consideration of materials on the recognition of combatants after receiving a petition from the commander (chief) of a military unit (body, subdivision) with documents are obliged to:
          • register them in a special accounting book;
          • within one month from the date of receipt, consider and communicate the decision made by the commission to the relevant commander (chief);
          • transfer the UBD certificate to the military unit.
        3. The commander (chief) organizes the issuance of the received UBD certificates to the servicemen personally, and informs the commission about it.
      2. By a serviceman (person discharged from military service) in person in paper or electronic form
        1. The serviceman submits an application (appeal) (see Annex 23) in paper or electronic form to the Commission, indicating the information necessary for granting the status of combatant, or attach copies of relevant documents (if any) certified by the subject of the application.
          1. With signature in the Diia portal
            A serviceman (a person discharged from military service) may sign an application (appeal) (see Annex 23) to the Commission using the Diia Portal by applying a remote qualified electronic signature "Diia.Signature" ("Diia ID") of the person and submit them to the e-mail address: zv******@**********ov.ua.
          2. Via the Internet, with the imposition of an electronic digital signature generated in accordance with the established procedure, to the e-mail address for sending appeals: zv******@**********ov.ua.
          3. Through the post offices of national postal operators, an application (appeal) in paper form to the relevant Commission. Application (appeal) (see Annex 23) shall be submitted to the Commission by the military management body (hereinafter referred to as the MMB) to which the military unit where the serviceman is or has been serving is subordinated. If you do not know to which CMA your military unit is subordinated, the application (appeal) should be sent not to the Commission, but to the address of the type (branch) of the military to which it is subordinated or to the Ministry of Defense of Ukraine.
      3. ADDRESSES OF COMMITTEES FOR REVIEW OF MATERIALS ON RECOGNITION OF PARTICIPANTS IN COMBAT ACTIVITIES No. Name of the relevant commission Postal address 1 Ministry of Defense of Ukraine 6 Povitroflotsky avenue, Kyiv, 03203 Kyiv, 03168 2 General Staff of the Armed Forces of Ukraine 6 Povitroflotskyi Avenue, Kyiv, 03168 3 Administration of the State Special Transport Service Kyiv, 02094 4 Military unit A0515 6 Povitroflotskyi Avenue, Kyiv, 03168 5 Military unit A0215 Vinnytsia, 21001 Vinnytsia, 21001 6 Military unit A0456, Odesa, 65013 Odesa, 65013 7 Military unit A3771, Zhytomyr, 10014 Zhytomyr, 10014 8 Military unit A0987 Povitroflotskyi avenue, 6, Kyiv, 03168 9 Military unit A0105, Kyiv, 04118 Kyiv, 04119 10 Military unit A4583, Chernihiv, 14030 Chernihiv, 14030 11 Military unit A2393, Odesa, 65012 Odesa, 65012 12 Military unit A0796, Rivne, 33000 Rivne, 33000 13 Military unit A1314 city of Dnipro, 49006 Dnipro, 49006 14 Military unit A3369 Irdyn, Cherkasy region, 19630 15 Military unit A4655 Uman, Cherkasy region. Uman, Cherkasy region, 20300 16 Military unit A4767 city. Poltava, 36007
      4. Through an authorized representative of the serviceman in paper or electronic form
        1. A representative of a serviceman may submit an application (see Annex 29) in paper or electronic form to the Commission, indicating the information necessary for granting the status of combatant, or attach copies of relevant documents (if any) certified by his/her signature.
          1. With signature in the Diia portal
            A representative of a serviceman may sign an application (appeal) (see Annex 29) to the Commission using the Diia Portal by applying a remote qualified electronic signature "Diia.Signature" ("Diia ID") of the person and submit them to the e-mail address: zv******@**********ov.ua.
          2. Via the Internet, with the imposition of an electronic digital signature generated in accordance with the established procedure, to the e-mail address for sending appeals: zv******@**********ov.ua.
          3. Through the post offices of national postal operators, an application (appeal) in paper form to the relevant Commission. Application (appeal) (see Annex 29) shall be submitted to the Commission by the military management body (hereinafter referred to as the MMB) to which the military unit where the serviceman is or has been serving is subordinated. If you do not know to which CMA your military unit is subordinated, the application (appeal) should be sent not to the Commission, but to the address of the type (branch) of the military to which it is subordinated or to the Ministry of Defense of Ukraine.
      5. In case of submission of documents by an authorized representative, the documents for obtaining the status of a combatant must also include a consent from the serviceman to collect and process personal data in 1 copy and a power of attorney issued in accordance with the procedure established by law in 1 copy.
      6. Through the territorial centers of recruitment and social support at his place of registration (military registration).
        1. A serviceman discharged from military service submits an application and a set of documents specified in the List to the MCC and JV at the place of registration (military registration).
        2. Relevant social security units of the MCC and JV after receiving an application with documents from the person liable for military service:
          • register them in a special accounting book;
          • check whether the documents contain sufficient evidence and confirmation of the facts of the applicant's performance of combat (service) tasks, intelligence activities and their compliance with the requirements of regulatory legal acts (guiding documents);
          • If necessary, make inquiries to military units or archival institutions;
          • after registration, send them to the relevant commission for consideration.
        3. The commissions are obliged to receive the report (application) with documents after receiving it:
          • register them in a special accounting book;
          • within one month from the date of receipt, consider them and communicate the decision made by the commission to the person through the TCC and JV.
        4. Social security units of the TCC and JV after receiving a decision of the commission on granting a person the status of a combatant:
          • organize the communication of the commission's decision to the relevant person;
          • organize the work on issuing the UBD certificate personally to the applicant;
          • inform the relevant commission about the issuance of the UBD certificate.
    • To obtain the UBD status, you need the following documents:

      1. Certificate of direct participation of a person in measures necessary to ensure the defense of Ukraine, protection of the security of the population and the interests of the state in connection with the military aggression of the Russian Federation against Ukraine (see Annex 22) . The certificate of direct participation in the defense of Ukraine must be of the established form (Annex 6 of the Resolution of the Cabinet of Ministers of Ukraine dated 20.08.2014 No. 413 "On Approval of the Procedure for Granting and Depriving of the Status of Combatant..."). The certificate is issued to each serviceman individually on the basis of a report with a request to issue such a certificate (Annex 20). The certificate is issued by the body in which you served. That is, if you were officially seconded to another military unit, they are the ones who must issue you the certificate.
      2. A copy of the passport.
      3. A copy of the identification code.
      4. Application for combatant status (see Annex 23).
      5. Consent to the processing of personal data (see. Annex 28).
      6. Two 3×4 cm color photographs on matte paper, with the face image occupying 65-70% of the photograph.

      These documents may be accompanied by other documents containing evidence and confirming the fact that the person personally or as part of a military unit (body, subdivision), institution or establishment performed combat (service) tasks.

      As for determining the period of participation in the Events, no regulatory act specifies the number of days of stay in the area of military (combat) operations for persons who directly participated in the Events.

      The list (Order of the Ministry of Defense of Ukraine dated November 10, 2022, No. 369 "On Approval of the Regulations on the Commissions of the Ministry of Defense of Ukraine for Review of Materials on Recognition of Combatants, War Participants and Resolution of Disputes on the Inclusion of Certain Periods of Service in the Length of Service and the Instruction on the Procedure for Issuing Combatant Certificates, War Veteran - Combatant Badges and Voucher Letters for the Right to Receive Travel Tickets with a 50%

      1.Ministry of Defense of Ukraine12.Military unit A2393
      2.General Staff of the Armed Forces of Ukraine13.Military unit A1314
      3.Administration of the State Special Transport Service14.To the military unit A4583
      4.Military unit A051515.Military unit A5725
      5.Military unit A010516.To the military unit A5833
      6.Military unit A021517.Military unit A5509
      7.To the military unit A045618.Military unit A5617
      8.Military unit A377119.To the military unit A3369
      9.To the military unit A098720.Military unit A4655
      10.Military unit A115521.Military unit A4767
      11.To the military unit A0796

      The Commission reviews the documents received in accordance with its powers.

    • Military personnel (reservists, persons liable for military service, volunteers of the Territorial Defense Forces) of the Armed Forces of Ukraine (other military formations) who defended the independence, sovereignty and territorial integrity of Ukraine and directly participated in measures necessary to ensure the defense of Ukraine, protection of the security of the population and the interests of the state in connection with the military aggression of the Russian Federation against Ukraine (hereinafter - the Measures) are recognized as combatants (clause 19, article 6 of the Law of Ukraine No. 3551-XII "On the Status of War Veterans, Guarantees of Their Social Protection").

      The status of a combatant is granted to persons who directly participated in the Events, provided that they personally or as part of a military unit (body, subdivision), institution and establishment performed combat (service) tasks, conducted intelligence activities, in particular, were wounded, contused, or injured (Resolution of the Cabinet of Ministers of Ukraine of 20.08.2014 No. 413 "On Approval of the Procedure for Granting and Depriving of the Status of a Combatant...").

    • The commander of a military unit may decide to enroll servicemen who have been injured, wounded or ill at the disposal of the commander of the military unit to decide on their further service use in such cases (paragraph 116 of the Decree of the President of Ukraine "On the Regulation on the Military Service of Citizens of Ukraine in the Armed Forces of Ukraine" of 10.12.2008 No. 1153\2008):

      • If a serviceman was recognized by the military medical commission as unfit or partially fit for military service.
        In this case, the decision to place the serviceman at the disposal of the commander may be made before the serviceman is discharged from military service (if the military qualification commission has declared him unfit for military service) or before he is transferred to a position that corresponds to the level of health of the serviceman (if the military qualification commission has declared him partially fit);
      • if the serviceman is undergoing long-term treatment for an injury or illness sustained during a special period.
        In this case, the serviceman may be at the disposal of the commander until his/her return to service.

      If you are enlisted at the disposal of the commander of a military unit, you are entitled to the following financial support:

      • within two months of being placed at the disposal, the salary for the last position held will be paid in full.
      • after staying at the disposal for more than two months and until the end of your stay at the disposal, you will be paid a salary according to your military rank, a seniority allowance and additional remuneration in the amount of UAH 20,100 (paragraph 5 of clause 2 of part 2 of the Law of Ukraine "On Amendments to Certain Laws of Ukraine on Certain Issues Related to Military Service during Martial Law" of 28.06.2023 No. 3161-IX).

      Servicemen are dismissed from their positions and enrolled at the disposal of officials by orders of commanders (chiefs) who have the right to appoint them to these positions.
      Servicemen and women who are enlisted in the disposition (except for those who are undergoing long-term treatment) continue to perform military service, fulfilling military service duties within the limits determined by the official in whose command they are.

      If you are being treated for an injury sustained while defending the homeland, even if you are treated for more than 2 months, you still have to receive an additional remuneration of UAH 100 thousand for inpatient treatment or medical leave in case of serious injury and a monthly allowance in the amount you received in your last position before being placed in command.
      Order of the Ministry of Defense of Ukraine No. 260 dated June 07, 2018 "On Approval of the Procedure for Payment of Financial Support to Servicemen of the Armed Forces of Ukraine and Certain Other Persons"
      (Section 12 of the Procedure for the Payment of Remuneration to Servicemen of the Armed Forces of Ukraine and Certain Other Persons, approved by Order of the Ministry of Defense of Ukraine No. 260 of 07.06.2018).

    • When you are discharged from military service, you are entitled to the following payments:

      • compensation for unused annual leave, including for previous years;
      • in the case of a UBD, compensation for unused additional leave - 14 days for each year of service (including the year of receipt of the UBD and the year of dismissal);
      • a one-time financial allowance upon dismissal (for mobilized persons, this is a one-time financial allowance in the amount of 4 % of the monthly salary for each month of service, but not less than 25 % of the salary);
      • compensation for the lost tangible property;
      • financial assistance for solving social and domestic issues, if it was not paid during the year of service;
      • a one-time health improvement allowance if it was not paid in the current year.

      To receive these payments, indicate them in a report addressed to the commander of the military unit on discharge from military service, as described in the section "Decision of the Military Qualification Commission" - "Unfit for military service with exclusion from military registration".

    • Financial assistance for health improvement is a payment in the amount of a monthly allowance in accordance with the position held by a serviceman, which is paid annually, regardless of material assistance for solving social and domestic issues.

      Financial assistance for health improvement is provided in case of departure for annual basic leave of full duration or for the second part of annual basic leave (including in permitted cases for unused leave for previous years), or without departure for leave on the basis of an order of the commander of the military unit.

      To receive it, you must submit a report to your immediate commander. Submit the report in writing (Annex 18), or through the Army+ mobile application https://aplus.mod.gov.ua/.

    • The appointment and payment of a one-time financial allowance is not made if the death, injury (contusion, trauma or mutilation), illness, disability or partial disability without establishing disability of a serviceman, person liable for military service or reservist is the result:

      • committing a criminal or administrative offense;
      • committing actions under the influence of alcohol, drugs or toxic substances;
      • intentional infliction of bodily harm, other harm to one's health or suicide (except in the case of a person's suicide, established by a court);
      • submission by a person of knowingly false information for the purpose of assigning and paying a one-time financial assistance.
    • If a serviceman is assigned a higher disability group or its causal relationship is changed during the next examination (re-examination) after the initial disability determination, which gives him the right to receive the DGD, the payment is made taking into account previously paid amounts (in particular, as a result of various unrelated diseases, wounds, injuries, contusions, mutilations).

      If a greater degree of disability is established without establishing a percentage disability or a change in its causal relationship, which gives the right to receive a lump sum benefit in a larger amount, the benefit is paid taking into account previously paid amounts (except for cases of wounding, trauma, contusion, mutilation received at different times, for which the payment of benefits is made separately, without taking into account previously paid amounts).

      If during the initial examination the degree of disability without disability was established in percentage terms, and during the subsequent examination (re-examination) disability is established, the payment of a one-time financial assistance is made taking into account previously paid amounts (in particular, as a result of various unrelated diseases, wounds, injuries, contusions, mutilations).

    • You are entitled to a one-time financial assistance in the following cases:

      • If your injury, illness or wound was sustained while "defending the homeland" and resulted in a loss of ability to work or disability, you are entitled to DLA;
      • If your injury, illness or wound was sustained during the "performance of military service duties" or "military service" and resulted in disability, you are entitled to DLA;
      • If the injury, illness or wound was sustained during the "performance of military service duties" and resulted in partial disability without a disability group, you are entitled to the DLA (provided that the degree of disability in percentage terms is established no later than three months after discharge from military service);
        However, you will not receive benefits for an injury, wound or illness that resulted in partial disability without a disability that is related to "military service".
      • The right to receive a disability allowance in case of disability determination arises from the date specified in the ECOPFO decision. In the case of re-examination and change of disability group - from the date specified in the decision of the EITF on the initial determination of disability.
    • Undergo an EFCF to determine the degree of disability and/or establish a disability group (described in detail in the section "ECOPFO: establishing disability for military personnel"). Submit the following documents to the MCC and the JV where you are registered (if you are discharged from service) or to the military unit (if you continue to serve):

      • an application for payment of a one-time financial assistance in connection with the establishment of disability or partial disability without establishing disability (Annex 19);
      • consent to the processing of personal data.

      Attach copies to the application:

      • a certified copy of the decision of the EFC on the establishment of a disability group or percentage of disability, indicating their causal relationship (for more information on how to pass the EFC during the war, read the section "ECOPFO: establishing disability for military personnel");
      • decisions of the MEC on establishing the causal link between the injury (contusion, trauma or injury) and the disease;
      • a document certifying the causes and circumstances of the injury (contusion, trauma or mutilation), in particular, that it is not related to the commission of a criminal or administrative offense or is not a consequence of actions under the influence of alcohol, drugs or toxic substances or intentional self-inflicted bodily harm. Such a document may be an official investigation report, a certificate of the circumstances of an injury, wound, or contusion issued by a military unit. Such a document is not required when determining the percentage of disability or disability group due to an illness;
      • an identity document (passport of a citizen of Ukraine, temporary certificate of a citizen of Ukraine, permanent residence permit, temporary residence permit, refugee certificate, certificate of a person in need of additional protection), with data on the surname, name and patronymic (if any) of the person and on the registration of the place of residence (if any);
      • a document certifying the registration of an individual in the State Register of Individual Taxpayers issued by the income and taxes authority (for an individual who, due to his or her religious beliefs, refuses to accept the registration number of the taxpayer's registration card, has officially notified the relevant income and taxes authority and has a stamp in the passport of a citizen of Ukraine, a copy of the passport page with such a stamp); a certificate of bank details for crediting funds.

      These documents are submitted in person to the recruitment and social support center (by persons discharged from military service) or to a military unit (by active servicemen). You must have the originals of these documents with you to have the copies certified by officials. If it is not possible to submit the documents in person, the application and attachments must be sent through the nearest Ukrposhta branch by registered mail with a list of attachments.

    • The amount of the one-time financial assistance is determined by the degree of disability, which is determined as a percentage or the disability group, as well as the causal connection of the injury/injury with military service (related to the performance of military service duties, in particular, the defense of the Motherland, or military service).

      • If the MEC determines that an injury, illness, wound or contusion was sustained in the course of "defense of the homeland," a lump sum payment can be received both in case of disability and in case of disability.
      • If the MEC determines that an injury, illness or wound was sustained in the "performance of military service duties," a one-time financial assistance can be received both in case of disability and in case of disability.
      • If the MEC determines that an injury, wound, or contusion is related to "military service" (e.g., an accident), a one-time financial benefit can be received only if a disability is established. If a partial disability is established as a percentage (without a disability), no payment is provided.

      The amount of payments depends on the degree of disability and disability group:

      1. In the case of establishing the degree of disability in percentage terms (without establishing disability):
        • the amount of assistance is determined as a percentage, established by expert teams for the assessment of the person's daily functioning (ECDF), of 70 times the subsistence level for able-bodied persons;
        • as of January 1 of the calendar year in accordance with the date specified in the ECOPFO decision (as of January 1, 2025, the subsistence minimum for able-bodied persons is UAH 3,028).
          For example, 25 % × 70 × 3 028 = 52 990 UAH.
      2. In the case of a disability group:
        • The amount of the benefit is determined depending on the disability group and its causal link (to the performance of military service duties, including defense of the Motherland, or to military service), based on the subsistence level established for able-bodied persons as of January 1 of the calendar year.
        • In 2025, a one-time financial assistance in case of a disability related to the defense of the homeland or the performance of military service is set at the following amounts:
          • Disability group 1 400 times the subsistence minimum (UAH 1,211,200);
          • Disability group 2: 300 times the subsistence level (UAH 908,400);
          • Disability group 3 is 250 times the subsistence level (UAH 757,000).
        • In 2025, a one-time financial assistance in case of disability related to military service will be determined in the following amounts:
          • Disability group 1 - 120 times the subsistence level (UAH 363,360);
          • Disability group 2 - 90 times the subsistence level (UAH 272,520);
          • Disability group 3 - 70 times the subsistence level (UAH 211,960).
    • It is worth noting that the payment of a one-time financial assistance is possible both during service and after discharge from service. Please note that the payment of a one-time financial assistance in case of partial disability without a disability is made provided that the degree of disability in percentage terms is established by expert teams for the assessment of the daily functioning of a person (EKOPFO) within three months after discharge from military service. There are no time limits for determining the disability group (except for conscripts, who are also limited to three months), and the terms of payment of the lump sum payment are not defined by law.

      The allowance is paid after the documents are reviewed by the Commission of the Ministry of Defense of Ukraine for consideration of issues related to the appointment and payment of one-time financial assistance and compensation amounts and a decision is made on the appointment of a one-time financial assistance.

    • The state guarantees the payment of a one-time financial assistance for any injury to health (contusion, wounding, frostbite, mine-blast injury, dislocation, concussion, sprain, tear, fracture, poisoning, etc.) sustained in the performance of military service, in particular, while defending the homeland, if such injury resulted in a disability group or partial disability without disability (Article 16 of the Law of Ukraine "On Social and Legal Protection of Servicemen and Members of Their Families").

    • The amount of additional remuneration depends on the number of days of combat (special) missions, the number of days of hospitalization and leave after a serious injury.

      In the case of a serious injury (the injury/injury is defined as "serious" by the conclusion (decision) of the MEC).

      • For each day of combat (special) missions, in accordance with combat orders, as well as for each day of hospitalization or leave after a serious injury, the amount of additional remuneration will be at least UAH 3,225.8 per day (depending on the number of days in a month), and for a full month - UAH 100,000.

      In case of minor injuries:

      • For each day of inpatient treatment, a minimum of UAH 3,225.80 (depending on the number of days in a month).

      Example: From January 1 to January 16, a serviceman participated in combat operations. On January 16, he was wounded. From January 16 to January 25, he was treated (minor injury), and from January 25 to January 31, he was on the PTO and was released from duty for several days. In this case, the additional financial assistance in February will amount to:

      100,000/31 = UAH 3,225.80 in one day

      (16 days × UAH 3,225.8)+ (9 days × UAH 3,225.8) = UAH 80,645.00.

    • If you do not receive payment or it is suddenly terminated after you have passed the VLC, submit a report to the command of the military unit. Demand payment of additional remuneration for the entire period of treatment. If you believe that the military unit has unlawfully refused to pay you, file a complaint with the headquarters of the operational command to which your unit is subordinated, or with the MoD Department of Finance or the MoD hotline (15-12).

      If there is no result, go to court.

    • If you have been injured in connection with the defense of the homeland and are undergoing treatment or on leave for treatment after a serious injury, you are entitled to receive UAH 100,000 of additional remuneration and a monthly allowance. That is, during the period of hospital treatment or leave after a serious injury, you are entitled to receive the salary of your last position before the injury and additional remuneration of UAH 100,000, regardless of where your unit is located (on the front line or not).

      Your actions to receive additional cash rewards:

      1. Obtain a certificate of injury (for more information on how to do this, see the section "Getting treatment" - "Certificate of injury"), make a copy and hand it over to the unit.
      2. Based on the order of your commander, receive a monthly payment of additional remuneration during hospitalization or leave after a serious injury.
      3. In case you do not receive additional remuneration, write a report to the commander to include you in the order to pay additional remuneration in the amount of UAH 100 thousand and pay it. Attach to the report a copy of the certificate of injury (Annex 16).

      Demand payment of additional monetary compensation for the entire period of treatment.

      If the military unit, in your opinion, unlawfully refused to pay you, file a complaint with the Headquarters of the Operational Command to which your unit is subordinated or with the hotline of the Ministry of Defense (15-12).

      If the treatment will last more than 4 months, your actions are as follows:

      • Obtain a conclusion from the VLC stating that treatment has been extended for more than 4 months.
      • Inform your immediate commander about the continuation of treatment.
      • Send the said conclusion of the medical examination board to the military unit.

      Note: During the medical leave, all wounded soldiers retain their financial support, and an additional remuneration of UAH 100 thousand is paid only after a serious injury according to the conclusion (decision) of the Military Medical Commission.

    • If you were wounded (traumatized, contused, or mutilated) as a result of participation in hostilities, you are entitled to the following types of financial benefits:

      1. Monthly cash allowance in the amount of the last position held before the injury (contusion, trauma, maim).
      2. Additional reward - a payment of UAH 100,000 for an injury (contusion, trauma, maim) related to the defense of the homeland (while performing combat missions in combat), which is paid monthly during all periods of hospitalization or leave for treatment after a serious injury.
      3. One-time financial assistance - a one-time monetary compensation for any health damage (disability, partial disability due to injury, contusion, trauma, mutilation or disease) that resulted in the loss of ability to work or disability group, sustained in the defense of the homeland or the performance of military service.
      4. Financial assistance for solving social and domestic issues - is a payment made to servicemen annually in the amount equal to their monthly allowance.
      5. Financial assistance for health improvement - a payment in the amount of a monthly allowance, which is made annually, regardless of the financial assistance, to address social and domestic issues.
    • The current list of expert teams for the assessment of day-to-day functionality can be found on the website of the Ministry of Health https://moz.gov.ua/uk/ekopfo

    • In this case, the case will be transferred to a designated health care facility where expert teams will work. The case will be considered on the day that was previously appointed by the MSEC. At the same time, the date, time, and place of the case review by the expert teams will be reported. You can find out from which MSEC to which institution the case was transferred on the website of the Ministry of Health at the link.

    • If you already have a disability status
      The re-examination will take place in accordance with the terms set out in the previous MSEC decision.

      If you cannot undergo a repeat examination in time due to military service
      For military personnel, the disability status remains valid for the period of military service and for 60 calendar days from the date of discharge from military service.

      Reconsideration to increase the disability group
      Reconsideration for the purpose of increasing the disability group takes place upon the application of a person or his/her legal representative in case of changes in the health and working capacity of a person with a disability or by a court decision (Article 7 of the Law of Ukraine "On Rehabilitation of Persons with Disabilities in Ukraine").
      The process of passing the OPF is affected by the presence of a disability group, even if it was acquired in civilian circumstances. If injuries, wounds, or contusions sustained during combat missions resulted in amputation of limbs, loss of internal organs, or complete permanent loss of function, the Pension Fund may reconsider and assign a disability higher than the previous one, but not higher than group I.

      If the disability is established indefinitely
      You do not need to be evaluated again. However, if you need to do so due to a deterioration in your health, you can contact your doctor and he or she will refer you for an assessment.

    • All previously issued individual rehabilitation programs will be valid unless they require changes and additions.

      The remaining documents, decisions and certificates issued by the MSEC until December 31, 2024 will also be valid and will remain the basis for continuing to provide services, benefits, pensions, allowances, compensation, allowances, deferrals, etc.

      If you have lost your documents or MSEC certificates due to hostilities or during relocation/evacuation, etc., contact the social security authority or the territorial office of the Pension Fund to restore them.

    • You or your authorized representative may appeal against the decisions of the expert teams regarding the assessment results. Complaints are considered by Center for assessment of the functional state of a person.

      What a complaint should contain:

      • Name of the complainant.
      • Address of residence or stay.
      • Contact information (phone, email).
      • Requirements and their justification.
      • The date of the complaint.

      You can file a complaint:

      • in paper form, which can be sent by registered mail to the Center for the Assessment of the Functional Status of a Person at the address: 1-A Feodosia Makarevskoho Lane, Dnipro, 49005, Ukraine.

      Deadlines for filing a complaint:

      • The complaint must be filed within 40 calendar days from the date of sending an extract from the appealed decision of the expert team to the complainant (his/her authorized representative).
      • If the deadline for filing a complaint is missed for valid reasons (business trip, temporary disability, military service), you can submit a request for its renewal to the Evaluation Center.
        • In the petition, indicate your full name, address of registered residence, phone number, e-mail, justification of valid reasons for missing the deadline for filing a complaint, and the date.
        • Copies of documents confirming the existence of valid reasons must be attached to the petition.
        • The petition can be sent in paper form by registered mail to the Center for the Assessment of the Functional Status of a Person at the address: 1-A Feodosia Makarevskoho Lane, Dnipro, 49005, Ukraine.
        • You can submit the application in person or through your authorized representative.

      Consideration of the complaint by the expert team of the Evaluation Center should be completed no later than 30 calendar days from the date of its receipt.

    • After the assessment is completed by the expert team, the serviceman will receive a decision on the results of the assessment. This decision is formed in an electronic system that ensures its accessibility to all interested parties.

      The serviceman will receive it in the form of an e-mail sent to the specified e-mail address. In the absence of an e-mail address, the decision is sent by registered mail to the address of the actual stay.

      In paper form, if desired, which the expert team can issue immediately after the assessment is completed. The decision is printed, signed by the team members, and, if necessary, stamped.

      The document will also be available in the office of the doctor who initiated the referral for evaluation.

      The decision of the expert team on the assessment of daily functioning is the basis for the calculation of a one-time financial assistance and other social benefits.

      The expert team will prepare an extract from the decision for the JV's TPCC and send it to the JV's TPCC for information and further processing.

    • In case of injury or illness in connection with:

      • defense of the homeland, performance of military service duties - there are no restrictions on passing the assessment of daily functioning within 3 months after discharge from military service, so you can pass the DFO later;
      • military service - it is advisable to undergo a PFSP within 3 months after the date of discharge from service, but this is not critical, since it is allowed even after 3 months, the main thing is that the disability is related to military service;

      From the moment of submission of the electronic referral, the assessment of daily functioning should be carried out within 30 days. The administrator of the healthcare facility where the expert team works must review the submitted case within 5 days of receiving the referral to either queue the case and the system will determine the date and time of the assessment, or return the case for revision due to inaccuracies.

    • Depending on the state of health of the serviceman, the examination by the expert team can be conducted in person, in absentia, remotely or in the format of an on-site examination.

      • Full-time form. The serviceman personally arrives at the health care facility for examination and interview.
      • Correspondence form. The expert team reviews the documents without the personal presence of the serviceman, if a sufficient amount of information is provided.
      • Remote form. Telemedicine is used to interact with a serviceman.
      • On-site form. The assessment is carried out at the place of treatment or actual stay, if the serviceman cannot come to the institution on his own.
    • So, you have asked your doctor for a referral for an assessment of daily functioning and have prepared all the documents for submission to the expert teams. The following will happen next:

      • The doctor will create an electronic referral, indicating all the necessary information and the purpose of the referral.
      • Together with your doctor, choose a healthcare facility where it will be more convenient for you to undergo the assessment and where there is an expert team with the required profile, and at this stage, the doctor indicates the form of consideration of the case (in-person, correspondence, remote or on-site).
      • The team administrator will receive the referral generated by the doctor through the electronic system, check it and the documents attached to it for completeness and compliance with the approved requirements. After checking, the administrator will put the case in the queue for the next available time.
      • You will receive an email notification about the place and time of the evaluation. The person and the doctor will be informed only of the date and time of the examination; the composition of the expert team remains unknown to all participants. If you do not have an e-mail address, the information will be sent by registered mail to the address of the serviceman's actual residence. You can specify an authorized person, and the information will be sent to this person's mail.
      • On the day of the assessment, members of the expert team have access to the patient's data. At the appointed time, the expert team assesses the patient's daily functioning, if necessary, refers the patient for additional medical examination (this is allowed only once in order not to delay the decision-making process); makes a decision on whether or not to establish a disability. You or your authorized representative have the right to make video and audio recordings of the expert team's consideration of the case. The recording may be attached to the materials submitted when appealing the decision.
      • The expert team jointly develops a decision, each doctor signs it, and this decision replaces the MSEC certificate. It will contain not only the disability status, but also recommendations and prescriptions, in particular, for an individual rehabilitation program (IRP).
      • Consideration of the case by the expert team must be completed no later than 30 calendar days from the date of acceptance of the electronic referral for consideration by the medical institution.
      • You will receive the decision of the expert team to the specified e-mail address. If you do not have an e-mail address, you will be able to receive the decision of the expert team by registered mail, and the information will also be available to your attending physician. Additionally, the necessary information will be automatically transferred to the Ministry of Social Policy for use in the appointment of payments, auxiliary rehabilitation devices or social services.
    • You need a referral to get an assessment of daily functioning.
      Your actions:

      1. If you are undergoing inpatient treatment after an injury or illness, you will be referred for a daily functioning assessment by your attending physician or the head of the military medical examination board after a military medical examination.
        • Consult your specialized doctor (if you were treated for a trauma - a traumatologist, if you were treated for a wound - a surgeon or a traumatologist (depending on the damage to the bones of the skeleton), if you were treated for cardiovascular disease - a cardiologist, etc;)
        • Prepare documents that are not yet available in the electronic system (for example, old statements or conclusions).
        • The doctor will generate an electronic referral, indicating all the necessary information and attaching all the documents for review by the expert team.
      2. If you are in a military unit:
        Military unit NOT can refer you directly to the ECT, because the ECT is issued directly:
        • Attending physician (specialized or family doctor, if there is no access to a specialized specialist)
        • Military Medical Commission (MMC)
        That's why we recommend it:
        • If possible, take the ECOPFO during your medical leave. To do this, contact your doctor.
        • If you are directly in a military unit, contact the military unit's medical officer with a request to
          • or send to passing the medical examination board, which has the right to issue a referral to ECOPFO;
          • or refer for a consultation to a specialized doctor, which, after the review, will be able to generate an electronic referral to the ECTF.
      3. If you are discharged from military service, your family doctor will give you a referral for an assessment of your daily functioning. The procedure is as follows:
        • Go to your family doctor, either at a district hospital or at a local military hospital, and ask a specialized doctor (traumatologist, neurologist, etc.) for a referral for evaluation. Prepare all the necessary documents.
        • The doctor will generate an electronic referral, indicating all the necessary information and attaching all the documents for review by the expert team.
    • a passport or ID card with an extract from the Unified State Demographic Register regarding the registration of the place of residence;

      a copy of the identification code;

      military registration documents (certificate of military service, extract from the service record) or copies thereof;

      a certificate of illness or a certificate from the medical examination committee, or an extract from the minutes of the meeting of the regular medical examination committee on establishing the causal relationship of diseases, injuries (wounds, contusions, mutilations);

      medical documentation, originals (extracts from the outpatient record form 025/o, extracts from the inpatient record form 027/o, results of laboratory, instrumental, radiation examinations, consultative opinions of specialized regional specialists, etc;

      if you are a participant in the liquidation of the consequences of the Chornobyl accident (or a person who suffered from the Chornobyl disaster or was exposed to radioactive radiation as a result of any accident):

      • a certificate of a participant in the liquidation of the consequences of the Chernobyl accident (a certificate of a victim of the Chernobyl disaster or a certificate of a participant in the liquidation of nuclear accidents of the relevant category or a certificate of a victim of radiation exposure) of the relevant category;
      • an expert opinion of the interdepartmental expert commission on establishing the causal relationship of illness, disability and death with the effects of ionizing radiation and other harmful factors as a result of the Chernobyl accident on the causal relationship of the disease to the Chernobyl disaster.

      An individual rehabilitation plan (IRP) if you underwent rehabilitation in the healthcare sector

    • Expert teams for the evaluation of the person's daily functioning (ECDF) establish the disability, determine the need for further medical care or social support, and decide on further steps for rehabilitation or treatment.
      Military personnel can contact ECOPFO for installation:

      • disability groups (groups I, II, III);
      • degree of disability (in percentage terms);
      • Determining the need for prosthetics, orthotics and other auxiliary means of rehabilitation;
      • recommendations for an individual rehabilitation program for a person with a disability;
      • medical indications for the right to receive a manual car or an adapted car.

      You need to undergo an assessment of daily functioning if you have a significant disability after an injury, illness or injury and your overall physical or mental health has changed. This includes if there is a suspicion of a disability group or a need for prosthetics. The consequences of traumatic brain injuries, including concussions, are also grounds for such an assessment.

      The list of medical interventions and diagnoses that are the basis for referral for an assessment of daily functioning is available in Annexes 1 and 2 to the Resolution of the Cabinet of Ministers of Ukraine No. 1338 dated November 15, 2024.

      The decision of the expert team on the assessment of daily functioning is the basis for the calculation of a one-time financial assistance, payment of a pension and other social benefits.

    • From January 1, 2025, the following were created to replace the MSECs (medical and social expert commissions) expert teams to assess the daily functioning of the person (ECOPF), which aims to increase the transparency and efficiency of the process of establishing a disability or disability group. The creation of the ECOPFO is part of a large-scale process of transforming state support for people with disabilities or rehabilitation needs that will last throughout 2025 and involves cooperation between different agencies, where each ministry works towards a single result - to help people have the most active and fulfilling life in society.

    • It is advisable to put on the hip or lower leg prosthesis in the morning, no later than 30 minutes after waking up. If necessary, a compression bandage can be applied to the stump for 10-30 minutes beforehand. The stump should be washed with soap and water every day - this reduces the risk of irritation and prevents infections. It is not recommended to use powders, oils, or ointments, as they can damage the prosthesis materials. If you wear a stump cover, it should be washed at least every other day, i.e. at least three times a week. Some manufacturers advise that you only use covers that are in good condition and free of defects. Keep the inside of the prosthesis in contact with the stump clean. Clean the residual limb daily with wet wipes or a soft sponge soaked in soapy water of neutral pH. After wet cleaning, it is important to wipe the inner surface dry with a soft cloth or napkin. Do not use the hard side of the sponge as this may damage the coating. Denture parts that do not have direct contact with the skin should be cleaned from dust with a dry cloth. Do not wet wash the components unless it is specified in the manufacturer's instructions. If you suspect that moisture has gotten inside, contact the service center as soon as possible - the contacts are in the technical documentation for the prosthesis. The ankle area of the prosthesis is particularly susceptible to contamination by road dust. Special footwear should be worn for foot prostheses and the area of contact with the surface should be cleaned regularly. To prevent dust from entering the mechanisms, dry clean according to the manufacturer's instructions. The prosthesis must be removed before going to bed, regardless of the level of amputation, so that the stump can rest and you can perform all hygiene procedures. Remember that the skin needs regular access to air. Failure to comply with this rule can lead to the development of infections and dermatological diseases.

    • To ensure that the prosthesis serves for a long time, works effectively, and does not cause discomfort to the stump, it is important to follow the following recommendations:

      • Do not overload the prosthesis
        Prostheses are designed for a certain level of physical activity. Strenuous exercise or intense work can cause the device to break or injure the stump. Follow the instructions of your prosthetist regarding acceptable activities.
      • Careful with water
        Not all prostheses are resistant to moisture. If the design does not involve contact with water, avoid swimming or washing with the prosthesis - this can damage the mechanisms and cause them to wear out.
      • Avoid impacts and contamination
        Protect the prosthesis from impacts and contamination. Dirt and dust can get into the parts of the mechanism, which negatively affects its operation. Wipe the prosthesis regularly with a soft, dry cloth.
      • Do not disassemble the prosthesis or change the settings yourself
        Attempts to clean or repair components by yourself may damage the complex mechanisms. Tampering with the prosthesis adjustment system is prohibited. Improper adjustment can impair the functionality of the prosthesis and cause injury. All work and changes in the settings should be performed only by qualified specialists.
      • Timely maintenance and service
        Visit a specialist regularly for routine maintenance and repair. This allows for timely detection of malfunctions and maintaining reliable operation of the prosthesis.
        For models with moving parts, it is recommended that you have a check-up at least once every six months. This helps to prevent wear and tear and keeps the prosthesis functioning properly.
      • Keep an eye on your shoes
        If you change your shoes, make sure that the heel height remains the same. Changing it can disrupt the balance and function of the prosthesis, affecting your gait.
        Do not use the prosthesis without shoes. Wearing your prosthesis without shoes can cause damage or discomfort. Shoes must be suitable for the design of your prosthesis.
      • Control changes in the shape of the stump
        If the volume of the stump changes, it may cause discomfort during use. In this case, you should contact the prosthetic center for an appropriate adjustment.
    • If you are offered prosthetics abroad, make sure you understand the conditions of prosthetics and ask about the plan for further maintenance of the prosthesis. During the first year, the volume of the stump changes and it is often necessary to adjust the prosthesis regularly.

      There may be a situation when you need a prosthesis and/or an orthosis with increased functionality that is not produced in Ukraine. At the expense of the state, prosthetics and/or orthotics with increased functionality and/or special products are provided by a foreign provider of specialized care only if there are no specialists in Ukraine who have the appropriate qualifications and positive practical experience in manufacturing the designs (technologies) of such products.

      A combat participant can apply for a corresponding product 12 months after the primary prosthetics was performed. However, if he/she has an amputation of the upper limb at the level of the shoulder joint, middle and upper third of the shoulder, primary prosthetics can be provided with products of increased functionality (for example, a bionic prosthetic arm).

      Your actions are as follows (Resolution of the Cabinet of Ministers of Ukraine No. 518 of October 1, 2014 "Some issues of prosthetics and orthotics with products of increased functionality using the latest technologies and manufacturing technologies that are not available in Ukraine, and/or special products for sports for certain categories of citizens who have lost the functionality of a limb or limbs"):

      1. Gather your documents:
        • application of a combatant for provision of a product with increased functionality based on the latest technologies and/or a special product for sports, indicating information about the chosen domestic prosthetic and orthopedic enterprise;
        • a copy of the passport of a citizen of Ukraine;
        • a copy of the identification code;
        • a decision of the MTC or the DMC on the need for prosthetics and/or orthotics;
        • an extract from the medical history;
        • photos and videos of the stump and the available range of motion;
        • a copy of a certificate of direct participation in hostilities.
        • If you need a product for sports:
          • a conclusion on the provision of a special product for sports activities according to the form (see. Annex 24), issued by a physician of physical and rehabilitation medicine or a specialist in physical rehabilitation, or an orthopedic traumatologist by a medical institution with appropriate qualifications in sports prosthetics, on the possibility of using a special product for sports for systematic training in the relevant sport(s), taking into account the results of the assessment of the person's functional capabilities;
          • a letter from the central executive body regarding the need to provide a special product for sports activities to a transaction participant who is systematically engaged in the relevant sport(s) (in case of participation in sports competitions of the national or international level).
        • If you need a product to ensure physical therapy and sports rehabilitation:
          • a conclusion on the provision of a special product for sports activities according to the form (see. Annex 24), issued by a physician of physical and rehabilitation medicine or a physical rehabilitation specialist of a medical institution with appropriate qualifications in sports prosthetics, on the possibility of using a special product for sports for physical training and sports rehabilitation, taking into account the results of the assessment of the functional capabilities of persons;
          • a recommendation letter from the Commissioner of the President of Ukraine for Rehabilitation of Combatants on the need to provide a special product for sports for the operation participant for the purpose of his physical training and sports rehabilitation.
      2. Send the collected documents to the Social Security Fund (hereinafter referred to as the Fund).
      3. Within 10 working days from the date of receipt (mailing) of these documents, the Fund processes and submits them for consideration by the expert group.
        • The term for consideration of documents by the expert group may not exceed 25 working days from the date of their receipt (mailing) by the Fund.
        • IMPORTANT! If not all documents have been submitted, the Fund will notify you within 3 days of the documents that need to be submitted additionally. In this case, the date of application is the date indicated on the postmark (in case of sending documents by mail) or the date of their actual receipt by the Fund (in case of personal submission).
      4. The Fund enters into a tripartite written agreement with the foreign provider of specialized assistance and the participant in the operation or his legal representative, which sets out the terms and conditions:
        • providing such a participant with financial assistance and non-cash transfer of funds to a foreign provider of specialized assistance;
        • further warranty and post-warranty service of products;
        • provision by a foreign provider of specialized assistance of a technical description of the design and configuration of a product with increased functionality and/or a special product for sports activities using manufacturing technologies that are not available in Ukraine;
        • providing information on the stages of prosthetics, manufacturing technologies, the use of computer diagnostics and modeling, and the types of work required during preparation;
        • training in the use of such a product;
        • training to walk on the final structure in case of lower limb prosthetics;
        • responsibility of the parties;
        • submission of a certificate of completion by a foreign provider of specialized assistance.
      5. You will be issued a device with increased functionality manufactured by a foreign provider of specialized care for 4.5 years.
      6. To pay for your travel, accommodation and meals (and, if necessary, for the person accompanying you) abroad, the Foundation transfers funds to your account or to the account of a foreign provider of specialized assistance.
      7. After returning from abroad and for the final payment, you or your legal representative must submit to the Fund within 10 working days the relevant documents confirming all actions and procedures.
      8. In order to replace the receiving sleeve (stump receiver) and carry out post-warranty repair of a prosthetic orthopedic device with increased functionality and/or a special device for sports using manufacturing technologies that are not available in Ukraine, you need to submit a corresponding application to the Fund, on the basis of which the Fund applies to a foreign medical institution.
      9. The replacement of the intake liner and post-warranty repair are carried out on the basis of the decision of the expert group and the relevant agreement concluded by the Fund and the foreign provider of specialized assistance, abroad or with your consent at the official representative office of the foreign provider of specialized assistance or at another enterprise in Ukraine.
    • Ukraine provides free prosthetics for both military personnel and civilians. In order to receive a prosthesis at public expense, you need to do the following:

      1. Collect documents:
        • Application for provision of a prosthetic device (Annex 14).
        • Passport of a citizen of Ukraine or other relevant identity document.
        • A document with data on the registration number of the taxpayer's account card (identification code).
        • The decision of the DMC/IC or the conclusion of a multidisciplinary team on the need to provide a prosthetic device (Annex 25).
        • An extract from the order of the commander of the military unit or a certificate of the circumstances of the injury issued by the commander of the military unit.
        • The UBD certificate.
      2. Submit documents:
        • through a social worker at the hospital;
        • at the ASC or a social welfare agency;
        • online through the electronic cabinet on the website of the Ministry of Social Policy ek-cbi.msp.gov.ua
      3. Get a referral for prosthetics in the electronic cabinet.
      4. Contact the prosthetics company in a convenient way: online, by phone, in the hospital through a social worker.
      5. Submit an official application to the prosthetic company (in paper or electronic form).
      6. The company begins to manufacture the prosthesis. You will be measured, and then you will have several fittings. You will interact with the company's employees during the entire prosthesis manufacturing process.
      7. Within 45 working days, you will receive the finished prosthesis free of charge.

      After you receive your prosthesis, you need to start using it as soon as possible to get used to it. You will need to do exercises, gymnastics, physical activity, and use the prosthesis in your daily activities.

      Remember, the prosthesis should be comfortable. If the skin turns red while wearing the prosthesis and it does not disappear within 15 minutes, contact your prosthetist to have the stump holder adjusted.

      Your motivation is a significant part of the success of the prosthetic limb. You need to do regular exercises and familiarize yourself with the prosthesis.

    • To choose a prosthetic company on your own, we recommend using the website protezhub.com - is a reliable source of information about all prosthetic companies in Ukraine.

      1. Go to the "Enterprises" section - select the area where you want to undergo prosthetics and the type of amputation.
      2. Check out the ratings - choose companies that have good reviews and experience with similar cases.
      3. Call and make an appointment for a consultation - ask questions that interest you and pay attention to professionalism in communication.
      4. Be sure to find out how the prosthesis is serviced and repaired under warranty. Any prosthesis needs to be adjusted and fitted from time to time.
      5. Prosthetic rehabilitation and training take place at the stage of manufacturing and receiving the prosthetic product. Ask how the company can help you get the most out of your prosthesis.
      6. Compare options - it is advisable to have 2-3 consultations in different companies. This will give you a more complete picture and help you make an informed decision.
      7. Discuss the proposed options with your attending physician / rehabilitation therapist and make a final decision.
    • The following criteria will help you determine whether the specialist working on your prosthesis has the right qualifications:

      1. The prosthetist-orthotist is included in the list of certified prosthetists-orthotists protezhub.com/blog/protezhub.com/reyestr;
      2. Has at least 2 years of experience in successful prosthetics of amputated limbs;
      3. He holds a degree in prosthetics and orthotics, biomedical engineering, or healthcare;
      4. He is proficient in a variety of technologies and selects the one that meets the patient's needs;
      5. Other patients give good feedback about the specialist (the specialist, not the company as a whole).
    • It is more expedient to undergo prosthetics in your own region, as this provides convenient and quick access to prosthesis maintenance.

      Some prosthetics companies have a narrow specialization, for example, in the manufacture of prostheses for high amputations of upper or lower limbs, as well as for prosthetic fingers.

      If you are offered prosthetics abroad, make sure you understand the conditions of prosthetics. Ask about the plan for further maintenance of the prosthesis. During the first year, the volume of the stump changes and it is often necessary to regularly adjust the prosthesis. Therefore, you will have to solve the issue of traveling abroad for prosthesis maintenance, take this into account.

      If you are offered prosthetics at a private prosthetics company, ask if they provide free maintenance of the prosthesis.

      When choosing a place of prosthetics, be sure to find out which specialists work in this institution. If a particular company is recommended to you or insists on a prosthesis that does not meet your needs, you have the right to refuse - both at the stage of ordering and within 14 days after it is placed.

    • Modern technologies, such as bionic prostheses, microprocessor-based and hydraulic knee assemblies, allow for more natural and smooth movement.

      • Bionic prostheses are able to read signals and accurately imitate natural leg movements.
      • The microprocessor-based knee units automatically adjust to your gait pace, which increases stability and comfort.
      • Hydraulic units provide a smooth ride, especially useful for active users.
      • For an active lifestyle, there are also sports prostheses for running, waterproof prostheses for swimming, and others.
      • Purpose (for daily use, sports, swimming, etc.)
      • The ability to move comfortably in everyday life - at home, at work, in public places.
      • Comfort during wearing, taking into account the type and level of amputation.

      After an amputation, it is extremely important to choose a prosthesis that fits your lifestyle and physical capabilities. A well-fitting prosthesis makes everyday activities easier and gives you more freedom of movement.

    • Everything is individual. Usually, prosthetics begins 6-8 weeks after amputation, but in patients with peripheral vascular disease and traumatic amputation, it may be later.

      Prosthetic treatment begins when the stump is ready for prosthetics:

      • the shape of the stump without excess or lack of soft tissue;
      • the stump wound has completely healed;
      • the postoperative scar is strong, elastic, and painless;
      • there is no damage to the skin of the stump;
      • swelling of the stump is reduced;
      • The stump is supportive;
      • improves muscle strength in the hip, back, and other limbs, balance, etc.

      The decision to start prosthetics is made by a multidisciplinary team (doctor, physical therapist, prosthetist, patient).

      Amputation is often combined with injuries to other limbs, internal organs, etc. In this case, if the patient is stable and the stump is ready for prosthetics, then despite, for example, a fixed fracture of the bones of the contralateral limb, prosthetics should be started. The task is to verticalize the amputee as quickly as possible. Delaying the start of prosthetics negatively affects the outcome in the future, as muscle hypotrophy occurs faster, contractures form, etc. This complicates prosthetics and significantly reduces the adherence to using the prosthesis (O. Shchegluk, neurologist, senior resident of the rehabilitation department for patients with amputated limbs (Military Medical Clinical Treatment and Rehabilitation Center)).

    • Restoration of motor functions of an amputated limb is based on compensatory adaptation, the effectiveness of which largely depends on muscle strength and endurance. To maintain the muscular system in an active state, physical therapy should be performed at all stages - from the formation of the stump to preparation for the first prosthetic and further training in the use of the prosthesis.

      It is recommended to perform morning hygienic gymnastics and therapeutic exercises for 10-15 minutes daily with a gradual increase to 20-25 minutes. Independent training should be carried out 5-6 times a day - this helps to gradually reduce hypersensitivity.

      The stump should be rubbed with a stiff towel or dry washcloth, using only materials that do not irritate the skin. The movements should be directed from the end of the stump towards the body.

      Massage is prescribed after sutures are removed to prepare the stump for prosthetics and for further comfortable use of the prosthesis. The main goal is to preserve the functional state of the stump, in particular, by kneading and displacing scar tissue.

      Vibration techniques are used to improve the support function in the area of the distal edge of the stump: tapping, chopping, etc. During the massage, attention should be focused on the preserved muscles involved in the restoration of mobility.

      At the initial stage, the duration of the massage should be 5-10 minutes with a gradual extension to 15-20 minutes. An important factor in restoring function is to maintain the mobility of nearby joints. Along with massage, it is recommended to start exercising as early as possible.

      To reduce pain, acupressure massage is effective. It is performed with the pad of the thumb or index finger: the movements should be slow and smooth, with a gradual increase in intensity and pressure. The finger moves counterclockwise, from the center of the point to the periphery by 2-3 cm. The duration of massage of one point is 3-5 minutes. In the second minute, it is recommended to alternate pressure with light stroking and circular rubbing. The first 3-5 sessions of acupressure massage should be performed under medical supervision.

    • Compression therapy and lymphatic drainage are aimed at reducing the swelling of the stump and effectively preparing for the first prosthesis. Correctly selected compression helps to improve blood circulation, reduces pain, including phantom pain, accelerates tissue regeneration and, in the long run, facilitates the adaptation of the stump to the prosthetic device, reducing the period of acclimatization.

    • After an amputation, there is usually significant swelling of the stump and surrounding tissues - this is a natural reaction of the body to surgery. This swelling is expected and usually decreases within a few weeks. Immediately after the surgery, a sterile dressing is applied to the wound, which is replaced regularly by medical personnel.

    • Stump care: compression bandaging to form the correct shape of the stump, taping, scar massage, blood circulation stimulation. Gymnastics, stretching and strengthening of the necessary muscles: exercises to maintain the range of motion and strengthen the muscles (limb movements, flipping a balloon, resistance with the shoulder or hip, etc.) Learning to walk, training balance and coordination. Reduction of phantom pain. Achieving maximum independence in everyday life.

    • You have the right to choose the company where the prosthesis will be manufactured. Modern prostheses are manufactured in Ukraine (based on components from leading global companies) at the expense of the state.

      Advantages of prosthetics in Ukraine compared to prosthetics abroad:

      1. Manufacturing a prosthetic product is a painstaking and individualized process that requires several fittings, adjustments, etc. It is more convenient to do this closer to home.
      2. Due to the rapid development of the prosthetic industry in Ukraine since 2014, a significant number of Ukrainian specialists have mastered the latest techniques and technologies and are able to apply them effectively.
      3. Living with a prosthetic limb means regular maintenance of the product. If the prosthesis is made abroad, then after returning to Ukraine, you need to look for a specialist who can service the product, reissue the documentation... or constantly travel abroad at your own expense for the slightest problem (something rubs, something doesn't work, something needs to be adjusted, etc.)
      4. When a prosthetist takes care of a patient from the moment the product is manufactured, he or she knows what works and how it works, what components need to be selected to optimize functionality, and how to further improve the prosthesis according to the patient's activities.
        Limb prosthetics in Ukraine is more effective and rational than prosthetics abroad.
    • If you have not been informed about the possibility of electronic document exchange, are denied the electronic document management service or are required to personally bring documents to the military unit, contact the hospital management or talk to representatives of your military unit about the legal possibility of exchanging medical and other documents of servicemen between health care institutions, military units and territorial centers of recruitment and social support during the special period in accordance with the Resolution of the Cabinet of Ministers. If the answer to your request is negative, call the hotline of the Ministry of Defense 15-12.

      • If you are in a medical institution, contact your attending physician or the secretary of the MEC. If you are in a military unit, contact the head of the medical service of the military unit. If you are in the TCC and JV, contact a representative of the personnel records department;
      • Write a report on obtaining the required document by means of electronic document management, indicating the name of the document, the number of the military unit that must provide the documents and where the relevant documents should be sent;
      • Sign an informed consent to the processing of personal and medical data and its electronic transfer to the relevant institutions.

      For a detailed procedure for applying for medical leave, see the section "Leave for treatment due to illness or injury"
      For a detailed procedure for registration of discharge from military service with exclusion from the military register or reserve, see the sections "Dismissal from military service...".

    • Military and civilian healthcare institutions that house garrison and hospital MECs can exchange MEC documents with military units of the Armed Forces of Ukraine and territorial recruitment and social support centers through the secure electronic document management system EDMS of the MoD (Resolution of the Cabinet of Ministers of Ukraine of August 23, 2023 No. 901 "On Approval of the Procedure for the Exchange of Medical and Other Documents of Servicemen during a Special Period..."; Order of the Ministry of Defense of Ukraine No. 280 of 15.09.2022 "On Approval of the Instruction on the Organization of Personnel Records in the System of the Ministry of Defense of Ukraine {As Amended by Order of the Ministry of Defense No. 614 of 23.10.2023}").

      Documents transferred by a military unit, medical institution or TCC and JV under EDI:

      • a certificate of the circumstances of the injury,
      • packages of documents required to apply for medical leave or extend medical leave (application for medical leave, extract from the medical record, and other documents of the serviceman).
      • packages of documents for dismissal from military service (report for dismissal from military service, certificate of illness and other documents documents of the serviceman)

      That is. wounded servicemen are no longer required to bring the originals of the listed documents to the hospital, MCC and JV or military unit in person. If desired, a serviceman always has the opportunity and right to submit documents to the military unit in person.

    • Medical examination of servicemen undergoing treatment abroad and who need to continue their long-term treatment abroad can be carried out remotely.

      Such medical examinations are conducted by garrison MCCs of the All-Ukrainian Military Medical Center "GVKH", regional MCCs upon referral of commanders of military units at their place of service or officials in charge of servicemen. In such cases, along with the referral for medical examination, the medical documents of the serviceman (documents confirming the referral for treatment abroad, extracts from the medical records of an inpatient, consultative opinions of specialist doctors, results of additional research methods, a certificate of the circumstances of the injury (wounds, contusions, mutilations), medical documents of foreign health care institutions (copies certified in accordance with the procedure established by law and translated into Ukrainian) and military registration documents (proof of

      The resolution of the MEC on the continuation of long-term treatment is issued as a certificate of the MEC, which is not subject to approval by the regular MEC and is sent to the official who issued the referral for medical examination.

      After returning from treatment abroad, servicemen are subject to medical examination by the medical examination commission of health care institutions in the system of the Ministry of Defense of Ukraine to determine their fitness for military service or the need for long-term treatment, upon referral of the head of a health care institution or other persons.

    • A medical examination by a military qualification commission is mandatory for servicemen who need long-term treatment abroad and are sent for treatment abroad to receive medical and/or rehabilitation assistance.
      The need for long-term treatment is determined as follows:

      • If you are in inpatient treatment, the head of the treatment unit makes a submission to the head of the health care facility to refer you for a medical examination by the MEC to determine the need for long-term treatment
      • If you are not an inpatient in a health care facility (facilities), your direct supervisor will refer you to a medical examination by the MEC to determine the need for long-term treatment.
      • A corresponding entry will be made in your medical record, certified by the signature of the head of the medical institution

      After receiving the decision of the MEC on the need for long-term treatment, your procedure for going abroad for treatment is the same as described in the section "Treatment abroad".

    • Continuation of treatment/rehabilitation after inpatient treatment
      If you have received a decision of the MEC to continue treatment/rehabilitation after inpatient treatment, you will be transferred from the medical institution by the decision of the MEC to a health care facility that provides rehabilitation treatment (Order of the Ministry of Health of Ukraine No. 495 of 16.03.2022 "On the organization of rehabilitation treatment and rehabilitation care in the field of health care for servicemen of the defense forces") or to a rehabilitation hospital in the system of the Ministry of Defense of Ukraine.

      Treatment after an outpatient medical examination by the VLC
      If you have received a decision of the MPC on the need for treatment after an outpatient medical examination by the MPC, and your health condition allows you to return to the military unit, then you need to:

      • Write a report with a request to provide a referral for treatment (rehabilitation) to a health care facility, indicating the terms of treatment specified in the decision of the MEC (see Annex 27). Submit a report in writing or through the Army+ mobile application https://aplus.mod.gov.ua/.
      • Get a referral for rehabilitation/treatment from the military unit.

      If you need to start treatment immediately and your health condition does not allow you to return to your military unit, you should:

      • Write a report with a request to provide a referral to a health care facility, indicating the period of treatment specified in the decision of the MEC (see Annex 27). In the report, indicate where to send the referral for treatment - the MCC and JV at your place of residence, or the medical facility where you will receive treatment if it is connected to the EHR system (military hospitals) or EHR Online (civilian medical facilities).
      • Contact the attending physician of the medical institution or the secretary of the MEC with a request to send the MEC documents via the EDMS. The medical institution must send your report, the certificate of the MEC and other documents to the military unit in electronic form, if necessary.
      • Receive a referral for treatment from the military unit using EDMS at the TCC and JV at the place of residence or in a medical institution, as indicated in the report.
    • To get an extension of sick leave or medical treatment leave after injury (contusion, trauma or mutilation), you need to do the following:

      1. Contact the MCC and JV at the place of vacation or the military medical institution 2-3 days before the end of the vacation.
      2. Receive a referral to the MEC from the head of the medical service of the UTC and JV to decide whether you need to extend your leave. If you go to a military medical institution, the head of the department where you received treatment or the chief specialized specialist will refer you for a medical examination.
      3. Inform the commander/medic of your military unit by phone, messenger or in any other way about the receipt of a referral to the MEC.
      4. Undergo a medical examination by the Medical and Health Care Commission to the extent necessary to make a decision on the need to extend the leave.
      5. After receiving a decision to extend your medical leave, write a report on medical leave (Annex 13) follow the procedure specified in the section "Leave for treatment due to illness or injury". Submit a report in writing or through the Army+ mobile application https://aplus.mod.gov.ua/.
      6. After receiving your vacation ticket at the TCC and JV, go to the place of your vacation.

      If you are unable to resume your duties after the extension of your sick leave or leave for treatment after injury (contusion, trauma or mutilation), you will be scheduled for a medical examination by a military qualification commission to determine your fitness for military service.

    • Based on the decision of the medical examination commission, leave for treatment due to illness or leave for treatment after injuries (wounds, contusions) may be granted:

      • sick leave is granted to servicemen for 30 calendar days
      • leave for treatment after an injury, trauma, contusion or surgical treatment - for 30, 45 or 60 calendar days.
      • If medically indicated, sick leave or leave for treatment after injury (contusion, trauma or mutilation) is extended by the HCPC for 30 calendar days, and in some cases - for 45 or 60 calendar days.

      The total period of continuous stay of servicemen for treatment in military (civilian) medical institutions, including medical leave, should not exceed 12 consecutive months. The doctor's decision on the period required for treatment depends on each individual clinical case, with mandatory compliance with the requirements for diagnostic and therapeutic methods of medical care defined by clinical protocols, standards of medical care, and adapted clinical guidelines.
      After a certain period of continuous medical treatment and sick leave (or post-injury leave) has expired, you must undergo a second military qualification examination to determine your fitness for military service. If, after extending the leave for treatment due to illness or leave for treatment after injury (contusion, trauma or mutilation), a serviceman cannot resume his duties, he is examined by the military medical commission to determine his fitness for military service.

      If the MEC decides to grant you a sick leave or a leave for treatment after injuries (wounds, contusions), your actions are as follows:

      1. While in a health care facility, write a report for medical leave (Annex 13), indicating the place of its passage and the name of the MCC and JV at the place of vacation, to which the military unit should send the leave ticket, and hand it over to the attending physician. The report can be submitted in writing or via the Army+ mobile application https://aplus.mod.gov.ua/.
      2. Receive from your attending physician the original documents (certificate of the medical examination commission, report for leave and extract from the medical record of an inpatient) that the health care institution sent to your military unit by means of electronic document management with a mark "sent to the EDMS", the number of the outgoing letter to the EDMS, the date of its sending, and a stamp for verification of the document
      3. Go to the TP and JV that you indicated in the report and register.
      4. Wait for the military unit to issue a leave order and a leave ticket, which will be sent through the electronic document management system to the TCC and JV you indicated in the report.
      5. Get a vacation ticket at the TCC and JV

      Keep in mind that the duration of sick leave or medical treatment after injury must be exactly the same as indicated in the certificate of the medical examination board (Clause 2.1, Chapter 2, Section I of the MoD Order No. 402). The commander, taking into account the location of the military unit and the place of vacation, may provide up to 2 additional days for travel.
      If your commander granted you fewer vacation days than indicated in the certificate of the military medical commission and you do not agree with this decision, appeal to your higher command. If this does not work, call the hotline of the Medical Forces Command of the Armed Forces of Ukraine (044 522 83 58) or the Ministry of Defense of Ukraine (15-12).

      A few days before the end of the leave, go to the MCC and JV and take a second referral to the MEC at the place of leave to determine fitness for military service or to decide whether to grant a second leave for treatment due to illness or leave for treatment after injury (contusion, trauma or injury) (Clause 6.15 of Section 6 of the Order of the Ministry of Defense of 14.08.2008 No. 402 "On Approval of the Regulations on the Military Medical Commission").
      If your medical leave is over and you have not received a referral to the MCC and JV from the commander of the MCC and JV to determine your fitness for military service or to determine the need for a second medical leave, the referral to the MCC is provided by the commander of your military unit, which can be obtained through the electronic document management system in the MCC and JV.

    • After completing inpatient treatment, you may need to undergo rehabilitation, prosthetics, etc. Accordingly, after the medical examination, the MEC can make decisions on the needs of the serviceman:

      1. Needs leave for treatment due to illness or after injury (contusion, trauma or mutilation) at _____ calendar days - such decisions are made after the end of inpatient treatment in cases where a period of at least one month is required to fully restore function and ability to work. In other cases, a decision is made on the need to be released from duty or to be sent to a convalescent battalion. In cases where there is indisputable evidence that the ability to perform military service will not be restored, the decision of the military medical commission on the need for medical leave is not adopted, and the issue of their fitness for military service is decided.
      2. Needs treatment (rehabilitation) in (health care facility) for a period of ___. - such a decision will be made if you need additional treatment (rehabilitation), including transfer to another health care facility. In this case, the resolution specifies the health care facility and the duration of treatment (rehabilitation).
      3. Requires long-term treatment - if a serviceman needs long-term treatment (4 consecutive months, including leave for treatment due to illness (or after being wounded)), a decision is made on the need for long-term treatment. If there is no need to continue long-term treatment, a decision is made in the formulation "does not require long-term treatment". Medical examination by the MEC to determine the need for long-term treatment is carried out no later than four months after the start of treatment.
      4. Needs long-term treatment abroad - the resolution is adopted in respect of servicemen who need long-term treatment abroad and are sent for treatment abroad to receive medical and/or rehabilitation assistance, as well as those who are undergoing such treatment.
      5. HLCs may also adopt resolutions on need for inpatient examination, transfer to a health care facility.
      6. Needs to be released from duty for health reasons - The MPC may issue a resolution on the need for release from official duties for the period necessary to issue the release or for the period necessary to issue and approve a sickness certificate, but not more than 30 calendar days.
      7. Needs to be assigned to a convalescent battalion (team) (the resolution is adopted for wartime).
      8. Needs prosthetics and/or orthotics. The military medical commission may issue a conclusion on the need to provide a serviceman with auxiliary rehabilitation means, which include prosthetic and orthopedic devices, including orthopedic footwear; special means for self-care and care; auxiliary means for personal mobility, movement and lifting; mobility aids; furniture and equipment; special means for orientation, communication and exchange of information, and other auxiliary rehabilitation means provided for in the List (except for electric scooters) (Resolution of the Cabinet of Ministers of Ukraine
      9. Needs an accompanying person (specify the number), needs transportation (indicate the type of transport and the category of seats);
    • Servicemen and women who are recognized as persons with disabilities of the first, second or third group have the right to be discharged from military service to the reserve in accordance with Article 26 of the Law of Ukraine "On Military Duty and Military Service" of March 25, 1992, No. 2232-XII (as amended). The application of this right does not depend on the time or circumstances of the disability, whether it occurred during service or before the introduction of martial law. The right to dismissal is granted to both contract servicemen and those who serve under mobilization, regardless of the time or cause of the disability.
      If they wish, servicemen with disabilities can continue to serve in the Armed Forces.

      Documents for dismissal in case of disability:

      • Report on discharge from military service in case of disability (see Annex 30)
      • Certificate to the report of the examination by the MSEC
      • Identification card of a person with a disability (including a person with a disability due to war) or a pension certificate with a disability mark

      Submit your resignation letter together with notarized copies of the documents to your immediate commanding officer. The report should be reviewed within 30 days.

    • So, you have a resolution of the Military Qualification Commission declaring you unfit for military service and removing you from the military register. This is the grounds for dismissal from military service in the Armed Forces of Ukraine, however, if you wish, you can write a report for continuing your service in the positions provided for in the List (Order of the Ministry of Defense of Ukraine No. 410 of 14.08.2018 "On Approval of the List of Positions that can be filled by servicemen who are recognized by military medical commissions as unfit for military service").

      If you are found unfit for military service by a military qualification commission and are excluded from the military register, your procedure is as follows:

      1. Directly at the health care facility where you underwent the VLC, write a report for dismissal (Annex 12), indicating the name of the MCC and JV to which the military unit will send extracts from orders for discharge from the military, personal files and other documents returned to servicemen upon discharge from military service. Find the exact name of the CCC and JV by the name of the settlement here https://lookerstudio.google.com/u/1/reporting/3767e073-aa12-4b03-b6e0-009aa5fef28d/page/p_jzyf4rudcd
      2. Hand the report to a representative of the medical institution to send it to the military unit and the CMC and JMC. The medical institution will send the report and the medical documents electronically to the military unit, and then return the original documents to you with a note about their sending.
      3. Report from the medical institution to the CC and JCC with the original documents within 2 days. All documents from the medical facility and the military unit will be sent directly to your MCC and JMC. If, upon your arrival, the MCC and JV does not receive discharge documents from your military unit, the MCC and JV will register you as temporarily absent and temporarily arrived at the military unit.
      4. Wait for the military unit to issue an order for the personnel and for the military unit. You do not need to go to the military unit to hand over your files and position - this happens without your personal presence (by commission) (Clause 9.1.5 of Section 9 of the Order of the Ministry of Defense of Ukraine of 16.07.97 N 300 (as amended) "On Approval of the Regulation on Military (Ship) Economy of the Armed Forces of Ukraine"). Upon completion of this process, the commander issues an order for the military unit to remove the serviceman from the personnel lists, after which the military unit sends electronic copies and physical originals of the personal file and other documents to the CMC and JIC specified in the serviceman's report.
      5. After the documents are received by the MCC and JF, which you indicated in the report, the original personal file and other documents of the serviceman provided upon discharge, come to the MCC and JF to complete the procedures for deregistration and make an entry in the serviceman's service identity document (e.g. military ID card).
    • The MPC may decide that a serviceman is unfit for military service with a re-examination in 6-12 months in cases where a period of 6-12 calendar months is required to restore fitness for military service. For the period of unfitness indicated in the certificate of the MPC, a serviceman is discharged from military service to the reserve with the subsequent MPC (Article 26 of the Law of Ukraine "On Military Duty and Military Service"). If you wish, you can write a report to continue your service in the positions provided for in the List (Order of the Ministry of Defense of Ukraine No. 410 of 14.08.2018 "On Approval of the List of Positions that Can Be Filled by Servicemen Recognized by Military Medical Commissions as Unfit for Military Service").

      Servicemen who have been declared unfit for military service by the MEC with a re-examination in 6-12 months are sent from the health care facility to the MCC and JIC where the serviceman will be registered after discharge (for example, at the place of residence). A serviceman discharged to the reserve does not need to return to the military unit to complete the documents for discharge. Documents can be obtained from the military unit at the MCC and JF at the place of residence, and the certificate of illness (certificate of the military medical examination) and other documents will be sent to the military unit and the MCC and JF by the medical institution where the serviceman was treated (Article 262 of the Statute of the Internal Service of the Armed Forces of Ukraine; Resolution of the Cabinet of Ministers of Ukraine of August 23, 2023 No. 901 "On Approval of the Procedure for the Exchange of Medical and Other Documents of Servicemen during a Special Period..."; Order of the Ministry of Defense of Ukraine No. 280 "On Approval of the Instruction on the Organization of Personnel Records in the System of the Ministry of Defense of Ukraine" of 15.09.2022), in electronic form.

      If you are found unfit for military service by the MPC with a re-examination in 6-12 months, your actions are as follows:

      1. Directly at the health care facility where you underwent the VLC, write a report for dismissal (Annex 12), indicating the name of the MCC and JV to which the military unit will send extracts from orders for discharge from the military, personal files and other documents returned to servicemen upon discharge from military service. Find the exact name of the CCC and JV by the name of the settlement here https://lookerstudio.google.com/u/1/reporting/3767e073-aa12-4b03-b6e0-009aa5fef28d/page/p_jzyf4rudcd
      2. Hand the report to a representative of the medical institution to send it to the military unit and the CMC and JMC. The medical institution will send the report and the medical documents electronically to the military unit, and then return the original documents to you with a note about their sending.
      3. Report from the medical institution to the CC and JCC with the original documents within 2 days. All documents from the medical facility and the military unit will be sent directly to your MCC and JMC. If, upon your arrival, the MCC and JV does not receive discharge documents from your military unit, the MCC and JV will register you as temporarily absent and temporarily arrived at the military unit.
      4. Wait for the military unit to issue an order for the personnel and for the unit.
        The handing over of files and positions takes place without your personal presence (by commission) (Clause 9.1.5 of Section 9 of the Order of the Ministry of Defense of Ukraine of 16.07.97 N 300 (as amended) "On Approval of the Regulation on Military (Ship) Economy of the Armed Forces of Ukraine"). Upon completion of this process, the commander issues an order for the military unit to remove the serviceman from the personnel lists, after which the military unit sends electronic copies and physical originals of the personal file and other documents to the CMC and JIC specified in the serviceman's report.
      5. Control the receipt of monetary payments that the military unit is obliged to make upon discharge from military service (the list of such payments can be found in the section "Payments").
      6. After the documents are received by the MCC and JV, which you indicated in the report, the original personal file and other documents of the serviceman provided upon discharge, come to the MCC and JV to complete the procedures for discharge from military service in the reserve.
      7. After the expiration of the period of ineligibility specified in the certificate of illness, report to the MCC and SP and receive a referral for a second military qualification examination to determine your fitness for military service.
    • Such a resolution determines the unfitness of a serviceman for service on submarines, surface ships, marines, airborne assault troops, special facilities, special purpose units, etc. At the same time, a resolution on fitness for military service is issued.

      If you are recognized by the MPC as unfit for service in the Armed Forces of Ukraine or in a military specialty, your actions are as follows:

      1. contact your immediate superior and the head of the personnel service of the military unit to determine the position to which you can be transferred. In order to man up the Armed Forces of Ukraine during a special period, servicemen may be appointed to positions provided for by wartime staffing levels, in a new specialty, taking into account their experience.
      2. If there is no possibility of relocation in the military unit, the commander of the military unit must write a report to the higher command (brigade, operational command and further up the chain of command) to find a position that meets the health status, professional experience and skills of the serviceman.
      3. After a new position is assigned, the commander of the military unit may refer you to a medical examination by a military qualification commission before transferring you to that position. The purpose of the medical examination is to determine the fitness for military service in the military specialty (indicating the position to which the serviceman is transferred, type and branch of the military (forces)).
    • If you find yourself in a situation in which, according to the decision of the MPC, you are fit for service, but have health complaints, these are the steps you should take in this case:

      1. If you need emergency medical care (for example, due to an injury, accident, or life-threatening condition):
        • call 103 or go to the nearest health care facility;
        • inform your immediate commander about your illness or ask medical professionals to inform the nearest TCC and JV about your location with the credentials for further notification to your military unit;
        • after receiving medical care, follow the doctor's recommendations: return to service/refer to the nearest health care facility in the MoD system and notify your immediate commander.
      2. In case of exacerbation of chronic diseases (conditions that do not threaten health and life):
        • contact your immediate commanding officer and inform him/her of the disease and that you will be going to a health care facility;
        • consult a doctor the same day;
        • inform your commander of the results of the examination. Further actions will depend on the results;
        • If the results of the examinations indicate a satisfactory state of health or the need for routine treatment, it is necessary to return to the military unit and, if necessary, contact the chief medical officer of the military unit;
        • if the results of the examinations confirm the need for emergency medical care, follow point 1.
      3. If the commander does not allow you to stay at the place of residence for further medical examination.
        • Return to the military unit, inform the commander about your health problems, and visit the unit's medical center. If necessary, write a report with a request to receive a referral for treatment (in writing or through the mobile application Army+). https://aplus.mod.gov.ua/).
        • If necessary, immediately contact a doctor at your place of vacation and get recommendations on the need for examination, treatment, hospitalization or surgery.
        • The relevant medical certificates should be submitted to the TCC and the JV.
        • The TCC and JV or the CMC, on the basis of a doctor's recommendation, issues a certificate of legality of your stay outside the unit. It also provides your command with information about the need for your treatment.
    • If the HLC decides to "Fit for military service"If you are fit for military service, you remain eligible for both non-combat and combat operations and can be appointed to most positions. The only exceptions are defined in Annex 3 to MoD Order 402, which lists the cases when a fit serviceman cannot be called up to serve in certain branches of the military.

      Taking into account the peculiarities of health requirements for service in Special Forces units, the MPC decides "Fit for service in the Armed Forces of Ukraine or military specialtyfor which the serviceman is fit to serve (on submarines, surface ships, in the Marines, Air Assault Forces, special forces and special purpose units, participation in the Ministry of Defense, national personnel, etc.)

      If, after being wounded, a question arises as to whether a serviceman can perform duties in his/her military specialty, the MEC determines his/her fitness for military service in a particular position, taking into account his/her state of health. In this case, a resolution is adopted "Fit for service in a military specialty".

      If you are found fit for military service by the decision of the military qualification commission (for service in the Armed Forces of Ukraine, for service in a military specialty), your actions are as follows:

      1. return to the military unit;
      2. Immediately upon returning, submit a report to the commander of the military unit stating that you have returned from treatment and resume your duties;
      3. make sure that the headquarters staff group files a certificate of the circumstances of the injury in your personal file.
    • A medical examination of servicemen who have suffered diseases, injuries (wounds, mutilations, contusions) in order to determine the degree of fitness for military service is carried out with a certain medical expert consequence (result) of the disease, injury (wound, mutilation, contusion).

      A certain consequence (result) of a disease, wound, injury, trauma, contusion, or mutilation is a state of health when the results of examination and treatment give grounds for the military medical commission (MMC) to issue a decision on the degree of fitness for military service (service in a military specialty), and further treatment will not lead to the restoration of fitness for military service (Clause 6.9 of the Order of the Ministry of Defense of Ukraine No. 402 of 14.08.2008 "On Approval of the Regulation on Military Medical Examination in the Armed Forces of Ukraine").

      During the medical examination of servicemen who undergo a medical examination by a military medical commission after an injury, wound or illness, the following degrees of fitness are determined:

      1. APPROPRIATE
        1.1. TO MILITARY SERVICE - You are still fit to be involved in both non-combat and combat operations. You can be assigned to most positions. For categorical exceptions when you, as a fit person, cannot be assigned to certain branches of the armed forces, see Annex 3 of the MoD Order №402 .
        1.2. TO SERVE IN THE ARMED FORCES OF UKRAINE - determines the suitability of a serviceman for service on submarines, surface ships, marines, airborne assault troops, special structures, special purpose units
        1.3. TO SERVICE IN MILITARY SUPPORT UNITS, TCC and JV, military schools, training centers, institutions, medical units, logistics, communications, operational support, security units - such servicemen are unfit for service in Special Forces units, on submarines, surface ships, in special facilities
      2. UNSUITABLE:
        2.1 TO SERVE IN THE ARMED FORCES OF UKRAINE OR IN A MILITARY SPECIALTY - determines the unsuitability of a serviceman for service on submarines, surface ships, marines, airborne assault troops, special facilities, special purpose units, etc.
        2.2 TO MILITARY SERVICE WITH A REVIEW IN 6-12 MONTHS - During martial law, servicemen who are found unfit by the Military Qualification Commission and re-examined after 6-12 months are discharged from military service to the reserve (Article 26 of the Law of Ukraine "On Military Duty and Military Service).
        2.3 TO MILITARY SERVICE WITH EXCLUSION FROM MILITARY REGISTRATION - This degree of fitness entitles you to be discharged from military service with exclusion from the military register. However, if you wish, you can apply for continuation of service in the positions provided for in the List (Order of the Ministry of Defense of Ukraine No. 410 of 14.08.2018 "On Approval of the List of Positions that can be filled by servicemen who are recognized by military medical commissions as unfit for military service").

      The decision of the MPC on the degree of fitness for military service of a serviceman is valid for 12 months from the date of the medical examination.

    • The resolution is adopted if the disease arose in a person who has undergone a medical examination before being called up for military service, enlistment for military service under a contract (including diseases that were not diagnosed during the call-up (enlistment for military service), but their pathogenetic development began before the call-up (enlistment) for military service) and military service did not affect the pre-existing disease and fitness for military service, or if the disease arose after discharge from military service, when the onset of the disease cannot be attributed to the

    • The resolution is adopted if the disease arose during the period of service in military units and institutions, except for diseases (wounds, contusions, injuries, traumas) that arose (were received) during the periods of service provided for in the paragraph "Wound (contusion, injury, mutilation), YES, related to the defense of the homeland" of this handbook, or when a disease that arose before military service has developed during the period of service to the point that it leads to unfitness (including temporary) for military service or service in a military specialty.

    • The resolution is adopted if the disease occurred while protecting the independence, sovereignty and territorial integrity of Ukraine, directly participating in the anti-terrorist operation (joint forces operation), ensuring its conduct, being directly in the areas of the anti-terrorist operation during its conduct, during direct participation in the implementation of measures to ensure national security and defense, repulsion and deterrence of the armed aggression of the Russian Federation in Donetsk and Luhansk regions, being directly in the

    • The decision is adopted if it is received by a serviceman as a result of an accident under circumstances unrelated to the performance of duties or received as a result of an offense.

    • The resolution is adopted if the injury (trauma, contusion, mutilation) was sustained in the actual performance of official duties during military service, except for injuries (contusions, traumas, mutilations) sustained in the circumstances of the actual performance of official duties provided for in the paragraph "Injury (contusion, trauma, mutilation), YES, related to the defense of the Motherland".

    • The resolution is adopted if the injury was sustained while defending the homeland or performing military service duties while serving in the active army and navy, as well as while defending the independence, sovereignty and territorial integrity of Ukraine, while directly participating in the implementation of measures to ensure national security and defense, repulsing and deterring the armed aggression of the Russian Federation, being directly in the areas and during the implementation of these measures.

    • If during the medical examination of servicemen a diagnosis of any disease, trauma, contusion, mutilation or injury is made, the MEC also determines whether there is a causal link between these medical conditions and service in the Armed Forces of Ukraine.

      The decision of the MEC on the causal relationship between the injury (wound, contusion, mutilation) and its consequences is made on the basis of the following documents:

      1. A document issued by your military unit that indicates the circumstances of your injury, wound, or illness. This may include:
        • A certificate of the circumstances of the injury (wounds, contusions, mutilations),
        • Act of conducting an investigation (special investigation) of an accident (disappearance, death, accident)
        • An accident report (disappearance, death) in the case of an investigation into the circumstances of a serviceman's injury (wound, contusion, mutilation).
      2. The MEC also receives medical documentation on the initial request for medical care by a serviceman immediately after he was injured (wounded, contused, or maimed).

      Please note that electronic copies of these documents can be sent by the military unit to the security facility through the electronic document management system of the Ministry of Defense. You do not need to return to the military unit to pick up a certificate of injury or other documents for the purpose of undergoing a military qualification examination. You need to contact a hospital official (your doctor, head of department, secretary of the MEC) and request the relevant document from the military unit in electronic form (Clause 4 of the Resolution of the Cabinet of Ministers of Ukraine of August 23, 2023 No. 901 "On Approval of the Procedure for the Exchange of Medical and Other Documents of Servicemen during a Special Period").
      According to the amendments to the Order No. 402 of 14.08.2008, which were adopted in April 2024, the MEC adopts separate resolutions for servicemen who sustained injuries, traumas or diseases related to the performance of military service during the military aggression against Ukraine, during the Civil and Second World Wars, while in countries where hostilities were conducted, while participating in hostilities as part of the UN Peacekeeping Forces or at a nuclear facility. In this handbook, we will consider only those decisions of the MEC that relate to establishing a causal link between injuries, wounds or diseases sustained by a serviceman during military service in the period from 2014 to the present on the territory of Ukraine.

    • If you have undergone a medical examination by the MEC, and the decision of such a commission does not reflect your real state of health, there are two ways to appeal this decision: in a pre-trial procedure and in court. It is better to start appealing the decision in the pre-trial procedure, and if it does not have a positive result, you can then go to court.

      Your actions to appeal against the decision of the SLC in a pre-trial procedure:

      1. Write a complaint (Annex 26) regarding disagreement with the conclusions of the MEC and a request to review the decision by a higher MEC according to subordination in accordance with the administrative-territorial zones of responsibility (regional MEC (Order of the Ministry of Defense of Ukraine No. 608 of 16.11.2016 "On Approval of Administrative-Territorial Zones of Responsibility of Health Care Institutions of the Armed Forces of Ukraine for the Organization of Medical Care")).
      2. Attach to the application all relevant medical documents and a copy of the previous decision of the MLC.

      The application, medical documents, and a copy of the resolution of the MEC must either be brought to the higher MEC (regional MEC) or sent by Ukrposhta by registered mail with acknowledgment of receipt and a list of enclosures to the address of the relevant MEC.
      Based on the results of the complaint, you may be referred for a second or follow-up medical examination by the Medical Council. Based on the results of this medical examination, you will be given a new conclusion (resolution) on your health condition, which will be taken into account.

      If you do not agree with the decision of the regional MEC, you can appeal it to the Central Military Medical Commission (CMHC).
      However, if you do not agree with this conclusion of the Central Labor Labor Commission, you can appeal the decision in court.
      An appeal against the decision of the SLC in court is carried out in the administrative proceedings in accordance with the requirements of the Code of Administrative Procedure of Ukraine.
      It is impossible to appeal against the decision of the MLC solely on medical grounds, as this is not within the competence of the court. For its part, the court has the right to check the legality of the decision of the MLC only within the framework of compliance with the procedure for its adoption.

    • The HLC may adopt the following resolutions:

      • decisions on fitness for military service,
      • resolutions on the causal connection of diseases (wounds, contusions, injuries, mutilations) with service in the Armed Forces of Ukraine,
      • resolutions on the need for medical treatment, medical leave, rehabilitation, prosthetics, etc.

      The resolution (decision) adopted by the HLC is formalized in one of the documents:

      • a certificate from a military medical examination board for issuing decisions on fitness for military service and the need for treatment, medical leave, etc.
      • a certificate of illness if the serviceman is recognized as unfit for military service
      • minutes of the meeting of the regular HQC in cases when servicemen, persons discharged from military service, family members of deceased (killed) servicemen apply to the regular HQC to establish (change, appeal) the causal connection of injuries (traumas, contusions, mutilations, diseases) with military service.
    • The timeframe for medical examinations of the HCVs at the TCC and JV, as well as laboratory and instrumental studies, including the need for referral for additional research methods, laboratory examinations, is determined taking into account the need to obtain complete and objective information about the state of human health, and cannot exceed 14 days.

    • In Ukraine, there are regular MECs, which include the Central Military Medical Commission of the Armed Forces of Ukraine (Kyiv) (hereinafter referred to as the CMEC); regional MECs (located in Lviv, Kharkiv, Dnipro, Odesa, Vinnytsia). There are also freelance permanent MECs (which include: hospital MECs; garrison MECs; medical flight commissions; MECs of the Airborne Assault Forces; MECs of territorial recruitment and social support centers; MECs of the Land Forces of the Armed Forces of Ukraine, MECs of the Special Operations Forces of the Armed Forces of Ukraine, MECs of state and municipal health care facilities with the rights of a hospital MEC.
      The composition of the VLC includes: a surgeon, an internist, a neurologist, an ophthalmologist, an otolaryngologist, a gynecologist (for women), and, according to medical indications, doctors of other specialties. General blood and urine tests, ECG examinations, and chest X-rays are mandatory.
      Procedure for passing the VLC:

      1. The chief medical officer of your military unit must provide you with a referral to the VLC on the letterhead of the military unit signed by the commander of the military unit (see the sample in Annex 11). In some cases (for example, if the serviceman and the chief medical officer are located in different remote places), the referral for an EC may be sent to a health care facility or to the TCC and JV by means of electronic document management.
      2. The chief medical officer of your military unit must remotely register you through the E-queue system for an appointment with an official of the military medical commission and provide you with the time and date on which you need to arrive at the health care facility to undergo the VLC. If for some reason this did not happen (for example, the serviceman performs tasks in an area where there is no communication), you need to come to the health care facility where you will undergo the VLC with a referral (Annex 11) and contact the registry of the medical institution.
      3. The registration office of the health care institution should provide you with it:
        1. a card of examination and medical examination, which will be filled out by doctors in the future;
        2. appointments with all necessary doctors.
        3. The receptionist will explain to you where the necessary offices are located and make an appointment through the e-queue (in those institutions and to those doctors for whom the electronic appointment form is already available).
      4. First, you need to take all the necessary tests and undergo an examination. Then you have to see a doctor. After the examination, each of the doctors writes a conclusion on the state of health of the soldier. It is worth noting that the doctor must sign and seal his or her opinion.
      5. The MEC examines the medical file of the serviceman and makes a corresponding decision
      6. The secretary of the MPC provides the conclusion of the MPC to the serviceman
    • To undergo a wartime VLC, you need to have the following documents with you:

      • a referral for a medical examination by the HCPC (see the sample in of Annex 11);
      • medical documents confirming the onset, development of the disease or injury (wound, contusion, mutilation): medical record, inpatient (outpatient) medical records or extracts from them, certificates from healthcare facilities, certificates of illness, extract from the outpatient record book at the time of the initial medical care;
      • ID (military ID or officer's ID);
      • medical characteristic (in wartime, it is provided only in cases of referral for medical examination of servicemen with mental and behavioral diseases, as well as in case of repeated referral for medical examination by the MEC to determine the degree of fitness for military service within 12 months from the date of the previous medical examination);
      • service characteristic (in wartime, it is provided only in cases of referral for medical examination of servicemen with mental and behavioral diseases, as well as in case of repeated referral for medical examination by the MEC to determine the degree of fitness for military service within 12 months from the date of the previous medical examination);
      • a certificate of the circumstances of the injury from your military unit (in case of injury, wounding, contusion, mutilation as a result of hostilities) and/or a certified copy of the accident report (acute occupational disease (poisoning), wounding, contusion, injury, mutilation, except for those cases that occurred as a result of damage or actions by the enemy);
      • a certificate of the UBD (if any);
      • excerpts from personal files and other reference materials for military personnel who participated in hostilities (may be in the form of photocopies, but certified by the relevant officials and the seal of the military unit);
      • medical documents on your health condition, the data from which will be taken into account by doctors when formulating the decisions of the MEC.
    • If the military unit and other authorized persons unlawfully, in your opinion, refuse to refer you to the MEC, your actions:

      1. Call the hotline of the Ministry of Defense of Ukraine (15-12) and explain your problem.
      2. If this does not work, you need to file an application with the court demanding to oblige the commander of the military unit to provide a referral to the MEC. Currently, there is a practice of positive decisions in the following cases
    • The electronic queue for registering for the VLC was introduced to simplify the VLC for servicemen, as having the time and date of the examination in advance, there is no need to waste time in lines and long waits.
      IMPORTANT: registration through the electronic queue at the VLC is not equivalent to and does not replace a referral for a medical examination by the MEC - an appointment through the e-queue allows you to arrive for a MEC examination at a predetermined time and place. However, you still need a referral from your commander for a medical examination by the MEC.
      To get an appointment for a medical examination by the HCF through the eCheck-In, you need to do the following:

      • contact the head of the medical service with a request to register you through the eCheck in for a medical examination at the HCF.
      • The chief medical officer will select the facility where you will undergo the VLC through the e-Check-In system and choose the time and day when you need to come to the medical facility.
      • With a referral to the EC, an appointment through the e-Check-in and documents for the EC, come to the medical institution for the EC on the specified day and time and contact a representative of the health care institution (in different medical institutions, this may be the secretary of the EC, a head nurse of a polyclinic, or a therapist), who will prescribe the necessary doctors and examinations based on the characteristics of the serviceman's disease, injury or wound, and book the day and time of the visit to these specialists in the electronic queue of the medical institution.

      All military units must use the system of remote registration (e-Queue) of servicemen for the military medical commission. However, in some cases, this may not be possible if the military unit is located in an area without communication.
      If the head of the medical service sends a serviceman to a health care facility without an appointment, your algorithm of actions is as follows:

      1. Get a referral to the VLC
      2. Go to the specified healthcare facility and contact the registration office of the healthcare facility
      3. An official of the medical institution will make an appointment with the relevant specialists through the e-queue of the registration office for the nearest available date.

      If the head of the medical service of your military unit does not know how to use the e-Queue, does not know how to connect to it, he/she should contact the military medical and clinical center of his/her garrison, whose officials will register the military unit in the e-Queue system and conduct training on how to use the system if necessary.

    • Referral for a medical examination by the HCPC (sample in of Annex 11) can be given by a direct superior (from the unit commander and above), heads of staff MECs, heads of TCCs and JVs, heads (managers) of the health care facility at the place of treatment, as well as military command and control bodies/units of the Military Law Enforcement Service of the Armed Forces of Ukraine, prosecutors, and courts (Clause 6.1 of Article 6 of the Order of the Ministry of Defense of 14.08.2008 No. 402 "On Approval of the Regulation on Military Medical Expertise in the Armed Forces of Ukraine").

      Referral for a medical examination by the VLC during treatment:
      If you are being treated or examined in a medical institution, you can be referred for a medical examination by the head of the medical institution (upon the recommendation of the head of the medical department or a specialized specialist) in two cases:

      • If, during the examination or treatment in a medical institution, a doctor identifies diseases or injuries that render you unfit for military service;
      • If, after treatment, there is a need for sick leave (after an injury) or release from duty (including repeatedly)

      Referral for a medical examination by a military unit:
      If you are in a military unit, a referral for a medical examination by the MEC is made by the head of the medical service with the signature of the commander of the military unit. In this case, you need to:

      • upon arrival at the military unit after returning from treatment, write a report to the commander of the military unit with a report on the completion of treatment and a request for referral to undergo an MTE (Annex 10). The report can be submitted in writing or through the mobile application Army+. https://aplus.mod.gov.ua/.
      • to receive a referral from the chief medical officer for the preliminary medical examination signed by the unit commander (Annex 11).
      • Receive information from the head of the medical service about the place, time and date of your arrival at the health care facility for the military medical commission (see section "Appointment for examination by the MAC through the electronic queue").

      Referral for a medical examination by the VLC through the TCC and JV:
      If you are on leave for treatment after an illness or injury, a few days before its completion, contact the head of your TCC and JV for a referral for a second medical examination at the place of leave to determine your fitness for military service or to decide whether you need to extend your leave for treatment due to illness / after injury (Clause 6.15 of Article 6 of the Order of the Ministry of Defense of 14.08.2008 No. 402 "On Approval of the Regulations on the Military Medical Commission"). The head of your TCC and JV provides a referral for a medical examination by the MEC without returning to the military unit. If treatment takes place in a territorial unit other than your military unit, you must temporarily register with the local MCC and JV.

    • The need to conduct a medical examination of the VLC in order to determining the causal relationship injury, wounding or disease in connection with military service occurs when a diagnosis of any disease, injury, contusion, mutilation or wounding is made during a medical examination of servicemen. In this case, the MEC determines whether there is a causal link between these medical conditions and service in the Armed Forces of Ukraine.
      The decision on the causal relationship between the disease, injury (wound, contusion, mutilation) and military service will be important for you when receiving the relevant financial benefits, so take care to obtain the relevant documents from the military unit certifying the circumstances of your injury, trauma or disease (see "Certificate of injury circumstances") The need to conduct a medical examination by a CMC in order to determine the degree of fitness for military service arises in case of detection of a disease or consequences of an injury (wound, contusion, mutilation) that cause unfitness for military service during examination or treatment in a medical institution. In this case, servicemen are sent for a medical examination to determine the degree of fitness for military service by the decision of the head of the medical institution on the basis of a submission from the head of the medical department where the serviceman is being examined (clause 6.4, chapter 6, section II of the Regulations approved by the Order of the Ministry of Defense of Ukraine No. 402 of 14.08.2008).
      If the disease or injury did not lead to impairment of the functions of organs and organ systems or led to minor impairment (which is also determined by the doctor), there is no need to undergo a medical examination by the MPC, since the degree of fitness for military service has not changed.
      In case of evasion of the prescribed examination or violation of the hospital (hospital) regime, a person may be discharged without undergoing a medical examination. The unit commander is notified of the refusal to undergo the examination. The need for a medical examination by a MEC to determine the need for the need to continue treatment or to take a leave of absence for treatment or transfer to another medical institution is determined by your doctor during treatment. If there is such a need, the head of the medical institution (on the recommendation of the head of the medical department or a specialized specialist) will refer you to a medical examination by the MEC to determine the need for further actions to help complete your treatment.

    • A medical examination by a military medical commission is carried out for the purpose of:

      • establishing a causal link between the disease, injury (wound, contusion, mutilation) and the defense of the homeland/performance of military service/performance of military service;
      • determination of fitness for military service;
      • determining the need for sick leave or leave for treatment after injury (contusion, trauma or mutilation), long-term treatment, prosthetics, orthotics, or release from duty.
    • You must have proof that you sent a report (to obtain a certificate of the circumstances of the injury) to the military unit. For example, copies, stubs of valuable letters, etc. Write a complaint about the inaction of the military unit or the delay in issuing an order from the commander of the military unit about the injury (contusion, trauma, maim) of a serviceman. Send your complaint to the headquarters of the operational command to which your military unit is subordinate. Contact the Military Law Enforcement Service of the Armed Forces of Ukraine or the hotline of the Ministry of Defense of Ukraine (15-12). Record your appeal: keep copies of complaints, hotline number, etc. (Appendix 5). If you do not receive a response from the operational command or the Ministry of Defense of Ukraine, you can apply to an administrative court. It can declare the refusal of the commander of the military unit to provide a certificate of injury circumstances unlawful and oblige him to issue it. Such precedents exist in court practice.

    • You can get a certificate of the circumstances of the injury directly at the military unit, or at the place of treatment or leave (Resolution of the Cabinet of Ministers of Ukraine of August 23, 2023, No. 901 "On Approval of the Procedure for the Exchange of Medical and Other Documents of Servicemen during a Special Period..."). Depending on where you are, your actions:

      1. Contact the head of the medical service of the military unitHe/she draws up a certificate on the circumstances of the injury (wound, contusion, mutilation) and approves it with the commander of the military unit.
      2. Contact a representative of the health care facility (secretary of the MEC, etc.) where you are receiving treatment. The medical facility must make a request to the military unit to obtain a Certificate of Injury Circumstances from the list of servicemen who arrived for treatment. After receiving this certificate from the military unit, it will be registered and handed over to you.
        If you need to obtain the original certificate of injury (e.g., for the purpose of completing the EITI), submit a report to your military unit through a representative of a medical institution, indicating the address where the original certificate should be sent (to the MCC and JV, medical institution, or home address) and sign a consent to data processing (see Annex 21).
      3. If you are already on vacation or at home in the process of being laid off, please contact the nearest TCC and JV (usually where you are registered). Write a report to the MCC and SP to obtain a certificate of the circumstances of the injury from the military unit (Appendix 3), in which you must indicate the form of the certificate (electronic copy or paper original) and the address to be sent (to the TP and JV, medical institution, or home address).
    • A certificate of the circumstances of the injury is drawn up by the head of the medical service and approved by the commander of the military unit on the basis of an order of the commander of the military unit on the injury (trauma, contusion, mutilation) of a serviceman (Article 260 of the Statute of Internal Service of the Armed Forces of Ukraine).

      The order of the commander of a military unit on the death, injury (contusion, trauma, maim) of a serviceman is made on the basis of a report of the unit commander, a combat log, a combat report, a map of the forward area, a primary medical card (form No. 001), etc.

      Thus, in order for you to receive a certificate of injury, the commander of the military unit must issue an order on the injury of a serviceman.

      Therefore, contact your immediate commander and make sure that he/she has filed a report on the incident (your injury, wound, contusion) with the unit headquarters. Make sure there is a corresponding entry in the combat log.

      If this has not been done, you need to write an explanation and a report to the commander of the military unit. In the report, you should ask for a certificate of the circumstances of the injury (Appendix 3). Attach an explanation of the circumstances of the injury to the report (Annex 4). If possible, but not required, also include explanations from 2-3 witnesses (other soldiers who were with you at the time of your injury). Send a report on the incident, your own explanation and the explanations of witnesses (if any) to your military unit in one of the following ways:

      • In person. Go to the headquarters of your military unit and hand over the documents to the military unit. Also, make copies of all documents and ask the person who receives the documents to sign, date and stamp your copy of the documents.
      • Through the MCC and JV or a health care facility (if you are outside the HM on vacation or for treatment): make a request to an official of the MCC and JV or to the attending physician of the hospital. Ask that the original documents be stamped with a note that the documents were sent to the home country by means of electronic document management. Keep the original documents with the stamp of sending via EDMS and the seal - when you are in the military unit, hand over the originals to the headquarters unit.
      • By post: you need to send a "valuable letter" (a letter of declared value) with a description of the attachment and acknowledgment of receipt to the legal address of the permanent dislocation point. Each military unit has a legal address of the permanent duty station, which can be found on the YouControl website. If you do not have information about the address of the military unit, you can contact the military unit (command, department) to which your unit is subordinated. You can also contact the hotline of the Ministry of Defense (15-12) or contact the TCC and JV at the place of residence.

      We do not advise asking other soldiers from your unit to submit a report and explanation to the formation. First of all, because they may not accept documents that are not submitted in person. But even if they do accept them, you will not have any confirmation. Be sure to ask for and keep all the stubs and documents that prove that you sent a report for a certificate of injury. This will be of great importance in the event of an appeal.

      Our advice is to use the services of a TCC and JV or a healthcare facility to send and receive documents via the electronic document management system.

      If the injury (wounding, contusion, mutilation) of a serviceman is caused by the actions of the enemy, no investigation into the circumstances of the injury (wounding, contusion, mutilation) is conducted (Article 260 of the Statute of Internal Service of the Armed Forces of Ukraine).

      • In this case, the period for issuing a certificate on the circumstances of the injury (wound, contusion, mutilation) is five days.
        An internal investigation may be appointed if it is necessary to clarify the circumstances that are important for the commander's decision-making and to determine the causal relationship between the death, injury (contusion, trauma, mutilation) of a serviceman (being in a state of alcohol (drug) intoxication, committing an administrative or criminal offense, self-mutilation, etc.) in accordance with Article 260 of the Statute of the Internal Service of the Armed Forces of Ukraine.
      • The timeframe for issuing a certificate of injury will depend on the timeframe for clarifying the circumstances that are relevant to the commander's decision and issuing an order to the military unit commander on the injury of a serviceman.
    • A certificate on the circumstances of injury (wounds, contusions, mutilations - Annex 5 to the Regulation on Military Medical Examination in the Armed Forces of Ukraine, approved by the Order of the Ministry of Defense of Ukraine of 14.08.2008, No. 402 (as amended)) is a document that contains information about the circumstances in which you were injured, wounded or mutilated (sample certificate in Annex 3(a)).

      This certificate helps to establish a causal link between the circumstances of your injury and the defense of the homeland/performance of military service/performance of military service. Its presence is mandatory for the military qualification commission, examination by expert teams for the evaluation of daily functioning (ECDF), and affects the amount of one-time financial assistance in case of disability or partial disability.

      A certificate of the circumstances of the injury (wound, contusion, mutilation) is issued in at least two copies, we recommend 4 copies:

      • The first copy is to be attached to the order for payment of additional remuneration;
      • The second one is in the personal file of a serviceman;
      • The third is to the hospital (garrison) military medical commission to determine the causal relationship of the injury, illness, or wound to military service;
      • The fourth one is for applying for a one-time financial assistance.

      The certificate must indicate the circumstances under which the injury was sustained (contusion, trauma, mutilation); whether he/she was in a state of alcohol (drug) intoxication; whether the injury is related to the commission of an administrative (criminal) offense, etc. (sample certificate in Annex 3(a)).

    • The medical institution must provide you with it:

      • An extract from the medical record of an outpatient (inpatient) patient ("discharge epicrisis") drawn up by the head of the department and signed by the head of the hospital (medical institution).
      • A medical book.
      • Medical certificates, results of examinations and tests.
      • Primary medical record (form 100) (if it was transferred to doctors).

      The military unit should provide you with one:

      • A certificate of the circumstances of the injury signed by the unit commander.
      • If there has been an accident, a copy of the accident report.

      You need to come to the military unit with the documents on your own or with an accompanying person (if they were sent from the military unit). If the military medical commission has decided to grant you leave for medical treatment or has declared you unfit for military service, you do not need to physically come to the military unit to obtain documents for a leave ticket or for discharge from service (Resolution of the Cabinet of Ministers of Ukraine of August 23, 2023 No. 901 "On Approval of the Procedure for the Exchange of Medical and Other Documents of Servicemen during a Special Period...") - documents can be sent by means of the electronic document management system of the Ministry of Defense (for more details, see

    • Yes, in accordance with the current legislation, you can undergo treatment or rehabilitation abroad (Resolution of the Cabinet of Ministers No. 411 of 05.04.2022; Order of the Ministry of Health of Ukraine No. 574 of 05.04.2022; Resolution of the Cabinet of Ministers of Ukraine No. 361 of April 21, 2023 "On Amendments to the Procedure for Sending Persons from the Defense and Security Forces Affected by the Military Aggression of the Russian Federation against Ukraine for Treatment Abroad"). The procedure for applying for medical treatment abroad is as follows:

      1. Consult with your attending physician to determine whether you belong to the category of patients whose medical or rehabilitation care can be provided abroad in accordance with the criteria set forth in the order of the Ministry of Health of Ukraine No. 574 of 05.04.2022.
      2. If so, get a referral for a medical examination by the VLC to determine the need for long-term treatment abroad:
        • From the head of a health care facility if you are in inpatient treatment
        • From the commander of a military unit (if you are in a military unit) or the commander of the MCC and JV (if you are registered with the MCC and JV, for example, during vacation)
      3. If a positive decision is made to undergo long-term treatment abroad, the hospital where you are being treated and/or rehabilitated prepares the following documents:
        • consent of the defender of Ukraine or his/her legal representative for treatment abroad with the provision of unambiguous consent to the processing of personal data related to medical information (Annex 7);
        • consent to the processing and transfer of personal data to healthcare institutions of foreign countries in accordance with the law in any form (Annex 8);
        • an extract from the medical record of an outpatient (inpatient) patient in the form approved by the Ministry of Health;
        • a conclusion on the need for referral for treatment abroad in accordance with (Annex 9).
      4. The hospital sends the signed documents to the state body that is part of the security and defense sector in which the defender of Ukraine is serving (the SMS, State Tax Service, Security Service, State Emergency Service, National Guard, etc.).
      5. A state body that is part of the security and defense sector, such as the command of the Medical Forces of the Armed Forces of Ukraine, reviews the package of documents and sends it to the Ministry of Health of Ukraine.
      6. The Ministry of Health of Ukraine prepares a request to the EU countries for treatment and discusses the terms of transportation. After confirmation by the host country, the Ministry of Health of Ukraine sends a letter of confirmation to the Command of the Medical Forces of Ukraine, the State Border Guard Service of Ukraine, and the Ministry of Foreign Affairs of Ukraine.
      7. The host country pays for the transportation, escort and stay in the clinic of the serviceman and, if necessary, his accompanying person. A serviceman can be accompanied by his wife or husband, one of the parents, one of the children (including adopted children).
      8. A foreign diplomatic mission of Ukraine abroad (embassy, consulate) provides support to a serviceman abroad: it helps to solve problems within its competence.
      9. Upon completion of treatment, the host country ensures the return of the serviceman to Ukraine. To do this, the patient must inform the Ministry of Health of Ukraine or contact the attending physician at a foreign hospital with a request to facilitate his or her return to Ukraine.

      If you need more information, please send a request to me************@***il.com and leave a contact for feedback.

    • Yes, you can be treated at home, but only if you are an officer and/or serve under a contract, and such treatment is subject to a doctor's opinion (part 5 of Article 256 of the Statute of the Internal Service of the Armed Forces of Ukraine) and is approved by your immediate commander (Article 12 of the Statute of the Internal Service of the Armed Forces of Ukraine).

      Your actions in this case:

      1. Write a report to the immediate commander of the military unit with a request to petition the higher command to release you from duty on the basis of a doctor's certificate, add the grounds for home treatment (doctor's decision) with reference to the Statute of the Internal Service of the Armed Forces of Ukraine (Appendix 1).
      2. The immediate commander writes a request in your report to the commander of the military unit to satisfy the request you made in your report.
      3. Get a decision on treatment at home from the commander of the military unit.
    • Yes, you have the right to receive treatment in a private healthcare facility with the approval of the commander of the military unit and provided that the services of private healthcare facilities are provided free of charge (paid by the healthcare facility itself or under the NHSU Medical Guarantee Program - this should be clarified directly with the healthcare facility) or paid by you personally.
      Your actions:

      1. Obtain a letter of guarantee from a private institution - a commitment to provide services free of charge, confirming that the institution will accommodate you, provide food and sanitary and hygienic needs during treatment. For a sample letter of guarantee, see Annex 6.
      2. Write a report to the unit commander (submit it in person or through the Army+ mobile application https://aplus.mod.gov.ua/), where you clearly describe the nature of the issue and the circumstances. A sample of such a report can be found in Annex 1. Attach a letter of guarantee from a private health care facility to the report (both written and submitted via the Army+ app). If you pay for the services yourself, attach a personal commitment to pay for the services of the private institution. Get the approval of the head of the medical service of the military unit on the report.
      3. Receive a referral for inpatient treatment in a private institution signed by the unit commander.
    • Yes, you have the right to apply to state or municipal health care facilities and receive treatment at the expense of the state, but only:

      • if there are no military medical health care facilities, relevant specialized departments, or special medical equipment at the place of military service, training or special training; then you will need a referral from the head of the medical service signed by the commander of the military unit, as mentioned above.
      • in case of emergency (in particular, by calling an emergency (ambulance) medical team at 103 - Article 11(1)(4) of the Law of Ukraine "On Social and Legal Protection of Servicemen and Members of Their Families").

      If you visit a healthcare facility in an emergency, your actions are as follows:

      1. Inform the employees of the institution that you are doing military service.
      2. Make a report to your immediate commander (Article 12 of the Statute of the Internal Service of the Armed Forces of Ukraine).
      3. If it is not possible to notify the command, contact the nearest TCC and JFO and make a note there. You can also contact the Military Law Enforcement Service of the Armed Forces of Ukraine (MLSA) to report the situation. The AFU VPS will pass this information on to your military unit. If possible, you should have relevant medical documents with you.
    • After being admitted to a healthcare facility, many servicemen forget or do not know that they need to report their whereabouts and treatment to their command. After all, you remain a serviceman even during treatment, so your commanders need to know where you are and how your treatment is going. Lack of communication with the military unit can lead to the fact that a serviceman will be recognized as having left the unit without permission. So after getting to a health care facility, you need to do the following:

      1. Give the doctor a referral for treatment and wait for the treatment to be processed. If you are admitted to a health care facility after evacuation, give the doctor your primary medical record (form 001).
      2. Inform the hospital official that you need a certificate of injury. The healthcare facility will make a request to your military unit and receive a certificate of injury circumstances from the military unit through electronic document management (Resolution of the Cabinet of Ministers of Ukraine of August 23, 2023, No. 901 "On Approval of the Procedure for the Exchange of Medical and Other Documents of Servicemen during a Special Period...").
      3. Sign the consent to the processing of personal data, which will be stored in the healthcare facility and is required to ensure the possibility of sending your medical documents in the electronic document management system (sample consent to the processing of personal data in Annex 21)
      4. Inform the commander of your location, date of hospitalization, and the ward you are in. Verbally inform the commander of your request for a certificate of injury. Clarify the timeframe for issuing the certificate - remember that if the injury or wound was sustained during enemy action, an internal investigation is not required, and the timeframe for issuing the certificate is 5 days, according to Article 260 of the Statute of the Internal Service of the Armed Forces of Ukraine (see section "Certificates of injury circumstances").

      * Military and civilian healthcare facilities must keep records of servicemen admitted for treatment and inform the military units to which these servicemen belong, including indicating if a certificate of injury is required (Order of the Ministry of Defense of Ukraine No. 280 (as amended) "On Approval of the Instruction on the Organization of Personnel Records in the System of the Ministry of Defense of Ukraine" of 15.09.2022). However, due to the heavy workload, the process may fail, so control this issue and call your commander yourself.
      In a military hospital, you will be put on the institution's food supply. If you have a ration card, give it to the attending physician of the health care facility. If not, please note that the legislation does not require that you provide a food certificate to a healthcare facility in the system of the Ministry of Defense of Ukraine during martial law. Civilian healthcare facilities do not require a food certificate at all.
      For the period of treatment in a health care facility, you are subordinate to its head. This means that you can only leave the facility with the permission of your attending physician, hospital manager or hospital director.

    • Once you are admitted to a medical facility, you remain a serviceman and must maintain contact with your military unit. Control four questions:

      1. Constant awareness of the commander about the course of your treatment, location, date of hospitalization and date of possible discharge.
      2. Obtaining a certificate of the circumstances of the injury (wounds, contusions, mutilations). Details in the section "Certificate of injury circumstances"
      3. Write-off of property. If your property (which you received in the military unit and which is subject to write-off) is damaged or lost, notify your immediate commander and coordinate your actions.
      4. Payments. Control the payment of additional remuneration. Learn more about this in the Payments section.
    • After receiving a referral for treatment or examination at a military healthcare facility, you need to come to its reception department. You will need the following documents:

      • a referral signed by the command of the military unit;
      • a medical book;
      • a certificate of the circumstances of the injury (wounds, contusions, mutilations) or an accident report (in case of injury);
      • military ID card (officer's ID);
      • a certificate of food supply.

      To receive treatment in a civilian health care facility, a referral signed by the commander of the military unit is sufficient. No other documents are required.

      If at the time of admission to a health care facility you do not have a certificate of injury, the military unit must send it to the address of the medical facility (in the "Treatment" there is a separate paragraph on how to obtain this certificate and what to do if it is not issued).

    • The need for treatment (outpatient, inpatient) is determined by a doctor based on a medical examination and tests. Accordingly, your first step should be to contact the head of the medical center (service). If you need inpatient treatment and you are refused a referral to a health care facility, your actions should be as follows:

      • Write or submit via the Army+ mobile application https://aplus.mod.gov.ua/ a report to the immediate commander, clearly describing the nature of the issue and the circumstances.
      • If you are submitting a report in person, use the sample report in Annex 1. Bring the report to the military unit in person, make a copy of it and ask the person who receives the report to sign, date and stamp your copy. Keep your copy of the report.
      • If you submit a report via the Army+ mobile application: download the mobile application here https://aplus.mod.gov.ua/ and register. Next, select the required report from the list and submit it to your immediate commander using the Army ID number that he is obliged to provide you with. You will receive a notification of the report's execution directly to your mobile application.
      • In case of ignoring or refusal, file a complaint with the hotline 15-12 or the Military Law Enforcement Service of the Armed Forces of Ukraine.
    • If you have been injured or ill while performing military service, your actions are as follows:

      1. Verbally inform your immediate commander and the platoon/company medic.
      2. Get a verbal referral (consent) from your immediate commander to the unit's medical center.
      3. Undergo a medical examination at the unit's medical center. It should be conducted by a paramedic, doctor or chief nurse. After the examination, you may be prescribed treatment in the military unit or be referred for further examination or inpatient treatment in a health care facility outside the military unit.
      4. If you have been prescribed treatment.
        • After being examined at the military unit's medical center, you may be released from duty (for a maximum of 6 days)
        • If your health condition does not improve within 6 days, the chief medical officer will re-examine you and, if necessary, extend your exemption from duty. In general, inpatient treatment in a military unit's medical center can last no more than 14 days (Statute of the Internal Service of the Armed Forces of Ukraine, Article 259)
      5. If your condition does not improve, after treatment in the military unit or as a result of the initial examination, the need for additional examination (urgent cases, infectious diseases, etc.) is identified, the commander of the military unit gives you a referral for further examination or inpatient treatment on the recommendation of the chief medical officer.
      6. REQUIRE that each time you seek medical care, appropriate entries are made in the records (Statute of the Internal Service of the Armed Forces of Ukraine, Articles 254-256). This is important to establish the connection between your injury or illness and military service. This circumstance will be indicated in the conclusion of the MEC. Also, such records will be important if your commander refuses to refer you to a health care facility for treatment, surgery or a medical examination.

      PAY ATTENTION!
      The recommendations of the chief medical officer regarding the release from duty are subject to implementation by the command (Statute of the Internal Service of the Armed Forces of Ukraine, Article 257)!

    • A primary medical record (Form No. 001 - the use of a primary medical record (Form No. 001) is determined by Order of the Ministry of Defense of Ukraine No. 879 "258" On Approval of the Primary Accounting Documentation Form No. 001/o "Primary Medical Record" and Instructions for its Completion dated 31.12.2024) is a document filled out by a physician after providing first aid (emergency medical care), and which should be with you at all stages of treatment. An example of a primary medical record (form No. 001) of the established sample can be found here here.
      The primary medical record (form No. 001) should contain the soldier's personal data; the name of the unit to which he belongs; the type of injury; the fact that the injury was sustained during combat operations; the time of arrival at the stabilization center; what assistance has already been provided at the evacuation stage, etc. If possible, check the correct spelling of the surname, name and patronymic, as well as the number of the military unit.
      You may need a primary medical record in 2 cases:

      • To conduct an internal investigation into the injury and subsequently obtain a certificate of injury circumstances. The certificate of injury circumstances is required for the purpose of passing the military medical commission, examination by expert teams for the evaluation of daily functioning (ECDF), to receive additional remuneration in the amount of up to UAH 100,000, and it also affects the amount of one-time financial assistance in case of disability or partial disability.
      • If the military unit did not know about your treatment and mistakenly recorded your unauthorized absence from the unit, the primary medical record (Form No. 001) and other medical documents (discharge epicrisis) provided by the health care facility will help clarify the situation.
    • If you were wounded in a combat zone, you are evacuated from the battlefield by your comrades-in-arms and medics. As a rule, evacuation is carried out to a designated place of first aid: a medical company, a stabilization center or the nearest medical facility. 
      During the provision of first aid, your protective equipment (helmet, body armor, etc.), weapons and BCs are confiscated from you. These are material assets that are registered with your military unit and are the responsibility of the supply services. When you return to your military unit after treatment, you will get everything back.
      From the stage of providing first aid after evacuation from the battlefield, you should have only one document Primary medical record (form No. 001). Save this document.

    • Financial assistance for solving social and domestic issues is a payment made annually in an amount not exceeding the monthly salary.

      In 2023, according to the order of the Minister of Defense, these funds, in the amount of a monthly salary, will be paid as a lump sum to servicemen who are retired:

      • were injured while performing tasks during martial law;
      • received a disability as a result of an injury related to the defense of the homeland;
      • are continuously undergoing treatment, rehabilitation or on leave for treatment due to an illness related to the defense of the homeland (more than 30 consecutive days), as a result of injuries, diseases of the nervous, cardiovascular, musculoskeletal systems and other diseases of organs and systems with severe course or consequences, requiring multi-stage surgical treatment, prosthetics of the lost limb(s), organs, individual endoprosthetics, transplantation of care, anti-relapse treatment with long-term use of expensive medicines.

      Your actions to receive financial assistance to solve social and domestic issues:

      • Submit a report in person (if possible) or through combat sworn brothers to your immediate commander (Annex 17).