What is the difference between civil disability and law 104?

Civil disability determines economic benefits. Law 104 recognises severe disability and grants work leave rights (3 days per month), tax benefits and deductions. You can have both.

Does the caregiver allowance have income limits?

No. The caregiver allowance does not depend on income and is not counted for ISEE purposes. It is available to those who are totally incapacitated and not self-sufficient.

How long does the recognition last?

It depends on the condition. Some disabilities are permanent, others are subject to periodic review. The report indicates whether a review is scheduled and the date.

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Civil disability application

Civil disability recognition gives access to economic benefits (monthly allowance from 74%, total disability pension at 100%) and a caregiver allowance for those who are not self-sufficient. The procedure starts with your GP, who certifies the condition online. Then you apply to INPS, which schedules a medical commission visit.

Authority

INPS

Time

30 min (+ tempi della commissione medica)

Updated

Apr 2026

What you need

✓SPID, CIE or CNS (or authorise a patronage office)
✓GP's introductory medical certificate (the GP submits it online)
✓Medical certificate number
✓Health documentation: reports, medical records, specialist diagnoses
✓Identity document

Step-by-step procedure

Your GP submits the certificate

Go to your GP and request the introductory medical certificate for civil disability. The GP submits it online to INPS via the doctors' portal. They give you a certificate number which you will need to apply.

Bring all your medical documentation to your GP: the more complete, the better.

Submit the application to INPS

Log in to inps.it with SPID or CIE. Go to Benefits > Civil disability and fill in the application entering the medical certificate number. Alternatively, authorise a patronage office (CAF, INCA, ACLI) to do it for you for free.

Attend the medical commission visit

INPS schedules an appointment at your local ASL. Bring all medical documentation. The commission (made up of INPS and ASL doctors) assesses your condition and determines the disability percentage.

If you cannot travel, you can request a home visit.

Receive the report and benefits

INPS sends the report with the recognised disability percentage. Based on the percentage, benefits are automatically triggered: monthly allowance (74-99%), total disability pension (100%), caregiver allowance (if not self-sufficient).

If you disagree with the report you can appeal within 180 days.

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Domanda invalidità civile su INPS

INPS

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Frequently asked questions

Responsible authority

Authority

INPS

Phone

803.164

Certified email

Website

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The information in this guide is for orientation only and does not constitute legal or tax advice. Always verify on the official portal of the responsible authority.