A guide for family carers · Romania
Make a plan for what matters today. Then check the wording on the person’s valid certificate and the support your family may be able to request.
Keep the questions, documents and people who can help in one place.
Legal sources and amounts checked on 16 October 2026. This is not a clinical review.
01 · Start with what you know
Write down only what the family needs for its next step. Discuss the plan with the person and the professionals who know them.
Download the A4 sheet. It is designed to print and complete on paper; the website does not keep answers.
02 · Use the grade on the document
Choose only wording you can read on the person’s valid disability certificate. Your choice stays in this browser tab; it is not saved or sent anywhere.
Do not infer a grade from diagnosis, age, MMSE, support needs or whether the person lives alone. If a valid certificate exists but you do not have it with you, ask for a copy and check its exact wording; its absence from your hands does not mean a new assessment is needed. Ask for the assessment application list only if there is no valid certificate. The adult assessment commission decides the grade after a complex evaluation.
The law sets amounts by grade. In 2026, DGASPC Sector 6’s current schedule and an April 2026 DGASPC Vrancea notice show:
| Grade on certificate | Allowance | Complementary budget |
|---|---|---|
| Grav (severe) | 529 lei | 199 lei |
| Accentuat (marked) | 350 lei | 146 lei |
| Mediu (moderate) | — | 80 lei |
| Ușor (mild) | Article 58(4) does not list a monthly adult benefit for this grade. | |
Article 57 provides for payment from the month after classification. In 2026, the social reference indicator (ISR) remains at its December 2025 level. The solidarity allowance in Article 58¹ is postponed until 1 January 2027, and the support points in Article 58² do not apply during 2026; do not include them in a 2026 estimate. These amounts are not a personal total and do not include other routes.
Check the exclusions: Article 58(4) benefits are unavailable in some situations listed in paragraph (6), including publicly funded residential care for more than one month (except respite care), detention, and an adult with grav or accentuat who has income and receives care from a professional personal assistant. This is a different role from the personal assistant under Articles 42–43. Ask DGASPC how the rule applies to the person.
Sources: Law 448/2006, Articles 57–58; DGASPC Sector 6, social benefits; DGASPC Vrancea, 7 April 2026; Law 141/2025, Articles XXXIII and XLVII.
03 · Three separate routes
One certificate grade does not answer every question. Check each route with the institution that administers it. Do not add separate options into a promised family total.
The allowance and complementary budget in the table depend on the adult’s grade and the legal exclusions. Article 58(4) says the benefits are payable regardless of income, subject to paragraph (6).
Ask DGASPC which documents are needed to start payment and when it begins.
For an adult with grav, except grav visual, the law provides a choice between a personal assistant and the monthly Article 43 allowance. The choice is submitted in writing to DGASPC and takes effect after its written agreement.
The allowance is tied to the net salary of a personal assistant at grade 0 and is paid by the local authority. DGASPC Sector 3 lists 2,699 lei from 1 July 2026 for a certificate marked “grav with personal assistant”. The amount may change over time and by locality.
If the person also has a grade-I invalidity pension decision and a grav disability certificate, Law 448/2006 provides a choice between the pension-law companion allowance and a personal assistant. This choice is retained when the invalidity pension converts to an old-age pension.
Bucharest’s Public Pension House reported 2,163 lei a month from 1 July 2026. The amount is linked to the gross minimum wage and requires a separate grade-I pension decision. Ask DGASPC and the local pension house which route applies to the person.
Article 58 benefits may be paid alongside a care route if none of the paragraph (6) exclusions applies. For an adult with grav, Article 42 provides a choice between a personal assistant and the Article 43 allowance; where the person also has a grade-I invalidity pension, it provides a choice between a personal assistant and the pension-law companion allowance. Do not add these routes into a personal total. Ask DGASPC and the pension house to confirm in writing which rights can be paid together in this case.
Sources: Law 448/2006, Articles 42–43 and 57–58; Law 360/2023, Articles 67 and 72; Government Decision 146/2026; Bucharest Public Pension House, 2026 notice; DGASPC Sector 3, local conditions and amount.
04 · Preparing an application
The national procedure sets the basic documents. Each DGASPC publishes its own detailed procedure. The list and filing route can vary by county or sector.
Ask for the adult assessment list and where to submit the file.
Usually: application, ID, specialist medical report and, for a first assessment, a letter from the family doctor.
Discharge papers or test records, the town hall’s social inquiry, and proof of work, pension or no income, as applicable.
The procedure allows filing at the town hall or DGASPC registry. A complex assessment comes before the adult commission’s decision.
If the person cannot travel, the national procedure provides for assessment at home, based on a medical letter and social inquiry. Confirm the steps and documents with DGASPC. The assessment team may request additional records for the specific case.
Sources: Framework procedure under Order 2298/2012, Articles 7–15; Law 448/2006, Articles 85–87. Current assessment criteria are in Joint Order 2300/1457/2025, Annex 1. Diagnosis, age, MMSE, autonomy or living alone do not let a family assign the grade in place of the commission.
05 · Time to provide care
Romania’s Labour Code provides five paid working days per calendar year to care for or support a relative or a person in the same household who has a serious medical problem.
For this leave, “relative” means the employee’s son, daughter, mother, father or spouse. There is a separate route for a person who lives in the same household as the employee. The serious medical problem must significantly limit basic and instrumental daily activities and require support from another person. The annex to Joint Order 2172/3829/2022 includes forms of dementia that do not require hospitalisation or admission to a permanent-care centre; the general Article 1 test still applies.
Make a written request. Within 30 working days after submitting it, provide the employer with the required proof of the relationship or shared household and the medical problem. Ask the treating doctor or family doctor for the medical document specified in the order.
Check the documents with your employer. A special law or the applicable collective agreement may provide more than five days.
Sources: Labour Code, Articles 152¹ and 153¹(4); Joint Order 2172/3829/2022, Articles 1–4 and psychiatry list.
The World Health Organization’s iSupport programme offers material on being a carer, everyday care and looking after your own health. WHO’s page does not list a Romanian-language adaptation; it is not a Romania-specific service.
Sources and limits
Legislation and institutional pages were checked on 16 October 2026. Amounts can change; procedures and forms differ between counties and sectors.
Limit: this is an administrative orientation and care-planning guide, not individual legal advice, a diagnosis or treatment recommendation. The sources were checked; the material has not been clinically reviewed. Ask the responsible institution to confirm the person’s conditions and amounts.
Legal rules and amount review is due by 31 December 2026, before known statutory changes in 2027.