Insurance & costs

How to apply for work-injury recognition in China

Find the competent authority, protect the 30-day and one-year clocks, prove employment and submit the correct medical evidence.

Editorial illustration of a passport, insurance card, policy documents and hospital paperwork.
AI-generated editorial illustration; not a real hospital or patient.

Work-injury recognition is the administrative decision that connects an accident or statutory occupational disease to China's work-injury insurance system. It is not created by an internal company report, a hospital diagnosis, payment by private insurance or a safety investigation. The employer ordinarily should apply within thirty days of the accident or occupational-disease diagnosis or appraisal. If it does not, the worker, a close relative or the trade union ordinarily may apply directly within one year. The national baseline application includes the recognition form, evidence of an employment relationship including a factual relationship, and a medical diagnosis certificate or statutory occupational-disease diagnosis or appraisal certificate. Local authorities can require event-specific proof and a correct jurisdiction. This guide explains how to build, submit and track an administrative file without manufacturing evidence. It does not decide whether the legal test is met, resolve an employment relationship, diagnose a condition, predict an appeal or replace qualified legal advice.

Use this as a practical starting point

Provider procedures can change, so confirm time-sensitive details with the hospital, insurer or service. A licensed professional must make clinical decisions for an individual patient.

At a glance

Key points

  • Recognition is a formal administrative decision; employer notice, safety reporting and diagnosis are supporting states, not substitutes.
  • Track the employer's thirty-day period and the worker, close-relative or trade-union one-year period independently.
  • A special extension is not automatic and generally requires the social-insurance administrative department's approval.
  • Identify the competent pooling-area or employer-registration authority before relying on an online submission.
  • The national baseline materials are the form, employment-relationship evidence and medical or occupational-disease evidence.
  • Employment evidence should identify the responsible legal entity, not only a workplace brand, client or payroll vendor.
  • An ordinary diagnosis supports an accident application; only a compliant statutory occupational-disease diagnosis or appraisal supports that route.
  • An incomplete application should trigger a one-time written correction notice; preserve the notice and response.
  • When the employer disputes work injury, it bears the specified evidentiary burden, but the applicant still needs a coherent baseline file.
  • Recognition does not itself grade disability, approve rehabilitation, calculate every benefit or settle every hospital expense.
01

Step 1: identify the competent authority and pooling area

Start with the legal employer and current work-injury participation record. The national regulation generally directs the application to the social-insurance administrative department of the responsible pooling area, with provincial-level matters handled according to the stated local allocation. Local implementation often uses the employer's registration place rather than the hospital, accident scene, employee residence or payroll vendor. A worker injured on assignment in another province may still apply through the employer's insurance area.

Obtain the employer's exact Chinese registered name, unified social-credit code, registration address, work-injury participation area and district. Ask the official service channel which authority accepts the case and whether a branch, project participation or labor-dispatch arrangement changes jurisdiction. Save the answer and service link. If an application is transferred between offices, obtain proof of transfer and the receiving authority. An online form that accepts data is not necessarily proof that the correct department has formally accepted the case.

The accident location and hospital location do not automatically determine recognition jurisdiction.

02

Step 2: protect the two filing clocks and any approved extension

The employer should apply within thirty days of the accident or the date on which the worker is diagnosed or appraised as having an occupational disease. In special circumstances, an extension may be available only after the social-insurance administrative department agrees. Ask for the written extension decision, its scope and end date. A manager's email, hospital stay, private-insurance review, safety investigation or unresolved internal blame process is not by itself an approved extension.

If the employer does not file, the injured worker, close relative or trade union ordinarily may apply within one year of the same trigger. Calendar the date immediately and work backwards. Do not wait until the last month: employment-status disputes, traffic-responsibility records, translations, death or relationship documents and jurisdiction can take time. If the worker is incapacitated, confirm the representative route. A person approaching or beyond the deadline should obtain qualified advice promptly; this guide cannot determine whether suspension, interruption, force majeure or another exception applies.

03

Step 3: complete the recognition form as a factual record

The application form should state the accident time, place, reason and injury in clear factual language. Use the employer's registered name and the employee identity linked to the social-insurance record. Describe the assigned task, work context and event without exaggerating, diagnosing or arguing every legal element. For a commuting case, identify the commuting purpose, reasonable route and time and attach the competent traffic-responsibility document. For work travel, attach the assignment, itinerary and evidence that the activity served the employer's work.

For an occupational-disease case, use the disease name and employer or exposure history shown in the statutory diagnosis or appraisal certificate. Do not replace that document with a routine physical-examination report. For a fatal event, use official medical and death records rather than family estimates. Review dates and names across every attachment. If a detail is genuinely unknown, say so and identify the evidence requested. Keep the filed version and a document index so that later corrections can be matched to the original submission.

04

Step 4: prove the employment or responsible-work-unit relationship

The national baseline requires evidence of a labor relationship, including a factual relationship, or the relevant employment relationship. Strong files can include the labor or appointment contract, employer registration, payroll and bank records, social-insurance record, work permit, tax record, staff badge, access logs, work email, shift schedule, task instructions, performance records and witness evidence. No single item should be assumed decisive. For foreign workers, link the English or overseas company name to the registered Chinese entity and explain any dispatch, secondment, staffing or client-site arrangement.

The 2025 national Opinion (III) states that the authority should examine the employment relationship at the acceptance stage; where a dispute is difficult to resolve, it may direct the applicant to arbitration or litigation. It also identifies certain illegal subcontracting, subcontracting to an unqualified actor and business-affiliation situations in which a responsible qualified entity may be involved even without a conventional labor relationship. These are fact-sensitive rules. Do not label an arrangement yourself. Preserve the contracting chain and obtain qualified advice before choosing the respondent or abandoning a claim.

05

Step 5: attach the correct medical or occupational-disease document

For an accident, attach the medical diagnosis certificate and relevant records showing the injury and treatment. Include the earliest emergency record and later specialist or inpatient documents where they clarify the injury. The social-insurance authority can request a clearer or complete medical document under the applicable procedure. A physician describes medical facts and diagnosis; the physician does not grant work-injury recognition. Ask for correction of identity or transcription errors through the provider's formal process and retain the revision trail.

For an occupational-disease application, use a statutory occupational-disease diagnosis certificate or appraisal certificate issued through the qualified route. The recognition authority does not reinvestigate a compliant occupational-disease diagnosis as if it were the diagnosing institution, but it still handles recognition and employment responsibility. A suspected occupational disease, abnormal occupational-health examination, ordinary specialist diagnosis or foreign medical opinion can be important clinical and evidentiary material but is not automatically the statutory certificate required by the recognition regulation.

06

Step 6: add event-specific evidence without burying the baseline

Attach the evidence that maps to the claimed route. A workplace accident can use incident records, work instructions, CCTV preservation, witness accounts and safety-investigation material. Work-related violence can require police or judicial records. A commuting traffic case depends on the competent authority's accident and responsibility documents. A sudden illness deemed-work-injury claim relies on the medical timeline and statutory conditions. A work-travel case uses travel orders, location, purpose and event evidence. Each route has distinct elements; sending an unindexed archive can make the decisive proof harder to find.

Create a cover index with document title, date, issuer, original or copy status and the fact it supports. Translate key foreign-language material and keep the source. Do not exclude inconvenient records; explain apparent inconsistency accurately. If an authority requests an original, obtain a receipt and preserve a copy. If the employer holds crucial evidence, identify it specifically and ask the authority to investigate. The regulation requires employers, workers, unions, medical institutions and relevant departments to assist an authorised investigation.

07

Step 7: distinguish precheck, acceptance, correction and investigation

At filing, ask whether the documents were merely scanned or prechecked, formally received, accepted, or returned for correction. Obtain a dated receipt or case number. If materials are incomplete, the national regulation requires a one-time written notice of all required corrections. Compare the notice with the baseline rule, respond before the stated deadline and retain proof. If the office refuses to accept the application, request the formal written nonacceptance decision and its reason rather than relying on a counter conversation.

After acceptance, the authority may investigate, interview parties, inspect records and rely on conclusions from other competent agencies. The national regulation ordinarily provides sixty days for a decision, with fifteen days for cases where facts are clear and rights and obligations are unambiguous. The period can be suspended while a necessary judicial or administrative conclusion is pending. These are statutory process rules, not a promise of a particular calendar result. Keep contact information current and answer requests factually.

08

Step 8: read the decision and activate the next workflow

A recognition decision should identify the worker, employer, injury or occupational disease and the result. Check identity, dates and recorded injury parts promptly. A favourable decision establishes the administrative work-injury status; it does not automatically approve every treatment, determine the suspension-of-work-with-pay period, confirm rehabilitation, grade disability or calculate each benefit. Give the decision to the employer, work-injury insurance agency and agreement medical institution as required and ask which next confirmation or claim is due.

If the application is not accepted or the decision is disputed, the national regulation provides administrative reconsideration or administrative litigation routes for specified decisions. Benefit-calculation disputes and employment disputes can use different procedures. Record the service date because challenge periods can run from receipt. Do not rely on an informal promise that the decision will be changed. Obtain qualified legal advice on the available remedy, responsible party, deadline and evidence. Continue clinically necessary care under the treating team's guidance while preserving payment records.

09

Keep the five administrative states separate

Emergency care and 120 ambulance transport; an accident report; work-injury insurance participation; work-injury recognition; medical treatment or rehabilitation; labor-capacity assessment; benefit and responsible-payer calculation; and employment evidence are separate records and workflow layers. A workplace event can create several of them without completing the work-injury route. An internal accident notification tells the employer what happened. A production-safety report, when legally required, alerts the safety authority and supports rescue and investigation. A hospital record documents presentation, findings and treatment. A work-injury recognition decision determines the administrative character of the accident or statutory occupational disease. A labor-capacity assessment later grades work-function or self-care impairment after recognition and appropriate medical stability. None of these records is a substitute for the others, and the order can matter.

Create a status table with one row for emergency care, employer notice, safety reporting if applicable, recognition application, recognition decision, rehabilitation confirmation, labor-capacity assessment and benefit payment. For each row record the responsible party, authority, submission date, receipt, missing item and deadline. This prevents a sentence such as “the company reported it” from hiding whether the company only completed an internal form, reported a production-safety accident, or actually filed recognition with the social-insurance administrative department. It also prevents a clinician's diagnosis from being described as an insurance decision.

Accident report, medical diagnosis, occupational-disease diagnosis, work-injury recognition and disability assessment are five different records.

10

Match foreign identity and employment records before a deadline transaction

A foreign employee may have a passport, a newer replacement passport, a Chinese name, an employer-created transliteration, a Foreigner's Work Permit number, a residence document, a social-security number and one or more hospital patient numbers. Compare these before filing. Record the exact legal employer in the labor contract, payroll, work-permit and social-insurance records, and distinguish it from a client, host company, payroll vendor, overseas parent, dispatching company or office brand. A name mismatch does not determine entitlement, but it can block record retrieval, provider settlement or service of a decision.

Keep the original-language document and a careful Chinese translation when a counter cannot work from English. Ask whether the authority requires a translation, company seal, original, certified copy or an identity-update transaction. Do not rewrite an accident narrative simply to make the wording match. Preserve the earlier identifier and evidence of the change. If a bilateral social-security agreement is mentioned, request the exact agreement, covered branch, exemption certificate and valid period; nationality alone does not prove that work-injury insurance is exempt. If an app rejects a passport, use the official counter or authorised representative route rather than assuming the benefit is unavailable.

11

Build an evidence log without manufacturing a conclusion

Preserve contemporaneous material: messages assigning the task, shift or access records, photographs, machine or vehicle identifiers, witness names, first-aid records, ambulance records, hospital timestamps, diagnoses, invoices, leave certificates, employer notices and system receipts. Export electronic material with dates and context rather than circulating edited screenshots. Keep an untouched original and a working copy. For exposure cases, add job titles, dates, hazard names, protective equipment, workplace monitoring, occupational-health examination results and prior employers. Evidence should help an authority reconstruct facts; it should not be edited to assert a legal or medical conclusion that the evidence itself does not contain.

Ask witnesses to describe what they personally saw or heard, not whether the event was “definitely a work injury.” Ask clinicians to document the clinical history and findings accurately, not to decide employment causation outside their role. Ask the employer to preserve CCTV, access, equipment, safety and payroll records in writing and note the retention risk. If a record is incorrect, use the provider's or employer's formal correction process and retain both the original and correction trail. This website cannot assess causation, diagnose disease, grade disability or tell a person whether to accept a settlement; those questions require the responsible institutions and, where needed, qualified professional advice.

Useful language

Navigation phrases

Show the Chinese characters when pronunciation is uncertain. Use the copy button to send one phrase through a trusted channel without retyping it.

Which authority has jurisdiction over this application?哪个部门对这份工伤认定申请有管辖权?Nǎge bùmén duì zhè fèn gōngshāng rèndìng shēnqǐng yǒu guǎnxiáquán?
Is this file formally accepted, or is it only being prechecked?这份材料已经正式受理,还是只在预审?Zhè fèn cáiliào yǐjīng zhèngshì shòulǐ, háishì zhǐ zài yùshěn?
Please give me the complete written correction notice.请给我完整的书面补正通知。Qǐng gěi wǒ wánzhěng de shūmiàn bǔzhèng tōngzhī.

Avoidable problems

Common mistakes

  • Treating a company report, safety report or hospital note as the recognition decision.
  • Filing with the hospital or accident-location office without confirming jurisdiction.
  • Waiting for the employer until the worker's one-year period is nearly over.
  • Assuming a special extension exists without written authority approval.
  • Naming a client site or payroll vendor without identifying the responsible legal employer.
  • Submitting a routine examination or suspected-disease note as a statutory occupational-disease diagnosis.
  • Sending large unindexed files while omitting the baseline form or employment proof.
  • Changing a witness or clinician's wording to match a desired legal conclusion.
  • Leaving a counter without a receipt or written nonacceptance decision.
  • Assuming recognition automatically calculates disability, wages, rehabilitation and every expense.

Common questions

Frequently asked questions

Who normally files first?

The employer ordinarily should file within thirty days. If it does not, the worker, a close relative or the trade union ordinarily may apply within one year.

Can the employer extend the thirty days itself?

No. A special extension generally requires agreement from the competent social-insurance administrative department.

What are the national baseline materials?

The recognition application form, proof of the labor or employment relationship, and a medical diagnosis or statutory occupational-disease diagnosis or appraisal certificate.

What if there is no written labor contract?

Evidence of a factual labor relationship can be used, but a difficult dispute may require labor arbitration or litigation. Preserve payroll, work direction, access, permit and other records.

Does an occupational-disease diagnosis finish the process?

No. It supplies the statutory medical diagnosis. A separate work-injury recognition decision and later benefit steps remain.

How long does the authority have to decide?

The regulation ordinarily provides sixty days after acceptance, or fifteen days for clear cases, with possible suspension when another competent conclusion is required.

What if the employer says the accident was not work-related?

The employer bears the specified burden when it disputes work injury, but the applicant should still submit the baseline file and available evidence.

Can I apply where I live or where the hospital is?

Not automatically. Recognition jurisdiction generally follows the responsible employer or pooling area under local allocation. Confirm the competent authority.

Does recognition guarantee reimbursement of the whole bill?

No. Provider, treatment, catalogue, confirmation, settlement and payer rules still apply at item level.

Evidence

Sources consulted for this guide

National rules are separated from city and provider examples. Access dates show when a source was collected; source pages and procedures can change afterward.

01Regulation on Work-Related Injury Insurance, Current Consolidated TextNational Administrative Regulations Database, Ministry of Justice · accessed 16 July 2026 · The current consolidated State Council regulation, originally issued in 2003 and revised by State Council Order No. 586 in 2010. It supplies the national framework used throughout these guides: covered employers, employer-only contributions, recognition grounds and exclusions, the employer's thirty-day and worker or family or trade-union one-year application routes, baseline evidence, emergency treatment, agreement providers, rehabilitation, work-capacity assessment, suspension-of-work-with-pay, disability and death benefits, employer liability when uninsured, and dispute routes. It does not decide whether a particular event is a work injury, establish every local form or amount, or replace professional legal and clinical judgment.02Interim Measures for Foreigners Employed in China to Participate in Social Insurance, 2024 RevisionMinistry of Human Resources and Social Security, republished by Beijing Municipal Government · accessed 16 July 2026 · The current official republication of the national measures after the December 2024 amendment. It requires qualifying foreign nationals lawfully recruited by covered organisations in China, and qualifying foreign nationals dispatched by overseas employers to registered branches or representative offices in China, to participate in employee pension, medical, work-injury, unemployment and maternity insurance through the China employer or domestic work unit. It also recognises that an applicable bilateral or multilateral social-security agreement can control the covered branches. It does not cover visitors merely because they are foreign, prove an individual's active registration, or show that an agreement exempts work-injury insurance in a specific case.03Social Insurance Law of the People's Republic of China, 2018 RevisionState Administration for Market Regulation, official republication · accessed 16 July 2026 · The current national Social Insurance Law as revised in 2018. It establishes work-injury insurance as a statutory social-insurance branch, requires employees to participate and employers to pay the work-injury contribution, identifies fund-paid and employer-paid benefit categories, provides for employer payment when required participation was omitted, and contains a social-insurance-fund advance-payment and recovery framework in specified circumstances. It supports the responsibility map in these guides but does not itself decide work-injury recognition, calculate a local award, determine liability between multiple entities, or guarantee that an advance-payment application will be approved.04Measures for Work-Related Injury RecognitionMinistry of Human Resources and Social Security · accessed 16 July 2026 · The national departmental rules effective from 1 January 2011 governing the recognition procedure. They repeat the employer's thirty-day filing duty, provide the worker, close-relative and trade-union one-year route when the employer does not file, require a written application and evidence, govern acceptance, correction, investigation, service and decision, and state that a compliant occupational-disease diagnosis certificate is not reinvestigated as a medical diagnosis by the social-insurance authority. They do not turn a workplace incident report or hospital diagnosis into recognition and do not eliminate separate disputes about employment status, accident facts, causation, exclusions or jurisdiction.05Opinion (III) on Implementing the Regulation on Work-Related Injury InsuranceMinistry of Human Resources and Social Security, official Ministry of Commerce legal database · accessed 16 July 2026 · Current national interpretive policy, Human Resources and Social Security Ministry Issue [2025] No. 62, effective 13 November 2025. It clarifies work time, work place, work reason, commuting routes, home-working evidence, medical-provider infringement, traffic-responsibility proof, death-time evidence, employment-relationship review, certain illegal subcontracting or business-affiliation responsibility situations, reassessment effects and the meaning of an uninsured employer. These are administrative interpretation factors, not automatic outcomes. The guides use them to improve evidence preservation and question design, not to predict whether an authority, arbitrator or court will recognise a particular claim.06Regulation on Reporting, Investigation and Handling of Production Safety AccidentsMinistry of Emergency Management · accessed 16 July 2026 · The national production-safety accident-reporting regulation. It requires people at an accident scene to report promptly to the unit, requires a responsible unit leader to report qualifying production-safety accidents to the competent authorities within one hour, requires rescue and preservation of the scene and evidence, and allows items to be moved for rescue when marks, diagrams and written records are retained. Its safety-reporting and investigation process is different from an individual work-injury recognition application. Not every workplace injury is necessarily a reportable production-safety accident under this regulation, and a report under it neither grants nor refuses work-injury insurance entitlement.07Notice on Nationwide Direct Settlement of Cross-Province Work-Injury Medical CareMinistry of Human Resources and Social Security, Ministry of Finance and National Health Commission · accessed 16 July 2026 · The current national notice and operating rules, Human Resources and Social Security Ministry Issue [2025] No. 17, implementing nationwide cross-province direct settlement from 1 April 2025. It covers qualifying insured workers who have completed the relevant recognition or confirmation and who are approved as long-term out-of-province residents or workers, or for eligible transfer, for compliant no-third-party-liability inpatient work-injury treatment, inpatient rehabilitation and assistive-device configuration at connected agreement institutions. It does not create recognition, cover every outpatient bill, remove filing or referral requirements, cover third-party-liability cases, or prove that a particular institution is connected today.08Regulation on Social Insurance AdministrationNational Administrative Regulations Database, Ministry of Justice · accessed 16 July 2026 · The State Council regulation effective from 1 December 2023 governing social-insurance administration. It recognises the physical and electronic social-security card as an insurance and benefit credential, requires accurate recording of registration, contributions and benefits, provides public-service channels, limits unsupported requests for extra proof and requires direct settlement between agencies and qualified service institutions for fund-paid work-injury medical, rehabilitation and assistive-device costs. A credential can retrieve a record but is not itself proof of work-injury recognition, medical necessity, benefit approval or the responsibility of a particular employer.09Measures for Labor-Capacity Assessment, Order No. 55Ministry of Human Resources and Social Security and National Health Commission · accessed 16 July 2026 · The current national assessment rules issued on 13 May 2025 and effective from 1 July 2025. They replace the former work-injury-only procedural rules and govern technical assessment of work-function impairment and self-care impairment, applications, material correction, expert selection, examination, decisions, service, review and reassessment. They support separating clinical treatment, administrative work-injury recognition and technical disability grading. The assessment committee does not diagnose the original accident, decide recognition, settle an employment dispute or select treatment, and a grade cannot be predicted from a diagnosis or scan alone.10Law on Prevention and Control of Occupational Diseases, 2018 RevisionNational People's Congress Standing Committee, republished by Beijing Municipal Government · accessed 16 July 2026 · The current national occupational-disease law after its fourth amendment in 2018. It defines the statutory occupational-disease framework, places prevention, workplace control, occupational-health monitoring and record duties on employers, protects exposed workers' rights, requires occupational-health examinations in the prescribed employment stages without shifting the cost to the worker, governs access to records, and establishes diagnosis, appraisal, treatment and employer responsibility rules. It does not mean every work-associated symptom is a statutory occupational disease, and it does not make an ordinary hospital note or routine check-up equivalent to a compliant occupational-disease diagnosis.11Administrative Measures for Occupational Health Examinations, 2019 RevisionNational Health Commission · accessed 16 July 2026 · Current national rules for occupational-health examinations, originally issued in 2015 and revised in 2019. They define these examinations as checks for workers exposed to occupational hazards before assignment, during employment and on departure, require a provider to be filed for the relevant category and project, require a qualified principal examiner, govern reports, records, privacy and quality, and require notification and reporting of suspected occupational disease. They do not authorise a general health-check centre to perform every occupational project, make an abnormal result a diagnosis, decide whether the condition was caused by work, or establish work-injury recognition.12Administrative Measures for Occupational Disease Diagnosis and AppraisalNational Health Commission · accessed 16 July 2026 · The national rules issued by National Health Commission Order No. 6 in 2021. They govern provider filing, diagnosis projects, worker access, evidence collection, employer cooperation, the use of occupational history, hazard exposure, workplace monitoring, clinical presentation and auxiliary examinations, the thirty-day decision period after complete materials, written certificates, diagnostic appraisal and privacy. They allow a worker to use a qualified institution at the employer location, household-registration location or habitual residence. They do not convert a screening finding into diagnosis, and a diagnosis still precedes the separate work-injury recognition and benefit processes.13Classification and Catalogue of Occupational Diseases, Effective 2025National Health Commission, Ministry of Human Resources and Social Security, National Disease Control and Prevention Administration and All-China Federation of Trade Unions · accessed 16 July 2026 · The current statutory occupational-disease catalogue issued in December 2024 and effective from 1 August 2025, replacing the 2013 catalogue. It is the controlling national classification for the diagnosis route reviewed here and now contains twelve broad classes and 135 diseases, including open clauses, with new categories and supporting standards. The catalogue is not a self-diagnosis checklist. Inclusion of a disease name does not prove exposure, causation, satisfaction of a diagnostic standard, work-injury recognition or benefit entitlement, and absence of a lay term may require mapping by a qualified occupational-disease institution.