About the document
- Who files:
- Rural worker (segurado especial)
- Where to submit:
- INSS (Meu INSS or an agency)
- Authority:
- National Social Security Institute (INSS)
- Country:
- Brazil
- Category:
- Social security and pensions (INSS)
- How to fill:
- Cards with hints → original form → PDF
- Price:
- form free · chat R$40 per document
- Last updated:
What this document is
The Autodeclaração do Segurado Especial – Rural is the INSS model in Annex VIII to Normative Instruction PRES/INSS No. 128 of 28 March 2022. The special insured person (segurado especial) — someone who works the land alone or with their family — describes their periods of rural work, the land, the family and other income.
The form states that all information is checked against official systems; it is signed under liability under article 299 of the Brazilian Penal Code.
Who files it and where
- a rural worker proving segurado especial status for an INSS benefit or pension;
- it is attached to the INSS application — via Meu INSS or at an agency; check the exact procedure and documents with INSS;
- the form states no fees or deadlines.
What the form asks
- name, nickname, date and place of birth, address, CPF, RG;
- periods of rural work, status on the land, working alone or as a family;
- members of the family group;
- land ceded to others and details of each plot (ITR, area, owner);
- produce, IPI, hired workers;
- other work and income, cooperative membership;
- place, date, signature or thumbprint.
What to bring
- RG or CIN and CPF;
- land documents: lease or sharecropping contract, INCRA certificate, ITR — whatever you have;
- documents proving rural work in the declared periods.
How to fill it in with FoxDocs
- Answer the chat questions: personal data, periods, land, family, income.
- Check the values on the cards.
- Download the PDF, sign it and attach it to your INSS application.
Source
Official INSS model: gov.br/inss — Autodeclaração do Segurado Especial – Rural (DOCX). Checked 2026-10-27. This is not legal advice.