Sick leave how to draw up: instruction, sample

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Sick leave how to draw up: instruction, sample
Sick leave how to draw up: instruction, sample

Video: Sick leave how to draw up: instruction, sample

Video: Sick leave how to draw up: instruction, sample
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No one, not a single person is immune from illness, everyone gets sick: both managers and ordinary workers, therefore, in order not to leave people without a livelihood, sick people are issued a sick leave, confirming a good reason for absence from work and guaranteeing payment cash allowance. In this article, we will consider what a sick leave is, how this document is drawn up.

In order to avoid errors in the preparation of the document, as well as to facilitate the process of registration in the FSS, the Ministry of He alth developed and introduced a single document.

Short description of form

sick leave how to draw up
sick leave how to draw up

The unified form of sick leave in Russia was introduced four years ago. The form of the document consists of two sheets, double-sided color forms, adapted for reading special. typewriter.

To help fill out the back of the form, there is information about codes that determine the degree of disability, as well as tips onfilling.

On the front side of the document are subsections that are filled in by the employer and medical workers. institutions.

About sick leave form

We figured out the concept of sick leave. How is this document drawn up?

According to the new requirements, now the medical card number is indicated in the sick leave, many columns are filled in with codes (for example, the cause of illness and the conditions for which benefits are calculated). A list of codes can be found on the back of the sick leave. It is also mandatory to enter the TIN and the number of the pension insurance card. And sick leave is certified by the signature of the chief accountant and the signature of the general director.

Forms are filled in Russian in black ink and printed capital letters. To fill out the form, helium, capillary or fountain pens are suitable, ballpoint pens cannot be used, because. they will make it non-machine readable.

Despite the availability of clarifications from the Ministry of He alth and the Social Insurance Fund, many doctors still do not know how to issue a sick leave.

Features of abbreviations

According to the general rules, spaces between words are mandatory, and going beyond the boundaries of the designated fields is not allowed.

The name of the company (subdivision code) or the full name of the individual insurer is entered in the line “place of work - name of the organization”. The name of the organization that provided medical care and issued the sick leave is entered in the line "name of the medical organization". The line is designed for 29 characters, and if the name does not fit, an abbreviation is allowed, corresponding to the constituentdocuments.

how to file a sick note
how to file a sick note

"The doctor's surname and initials or indication number" are written in the following order: first the surname, then the initials separated by a space. In the event that the name of the doctor (more than 14 letters), transfer to the second row is allowed. If the last name contains more than 28 characters, it can be shortened. Since the doctor must first issue a sick leave, let's consider a few rules.

The name of the doctor's position in the line "Doctor's position" of the table "Exemptions from work", if there is not enough space, can also be reduced. If the sick leave is issued based on the decision of the medical commission, the initials and surname of the attending physician are written first, then the chairman. Only last names are allowed. If it does not fit in 14 cells, it is reduced.

The seal of the medical organization is put in a specially designated place. It may protrude slightly, but not overlap the information cells of the form.

A citizen who received a sick leave signs in the appropriate column on the back of the sick leave form.

Since sick leave is also issued in connection with pregnancy and childbirth, the new rules provide for a mandatory attachment to the document - a sheet on which temporary disability benefits are calculated on a separate sheet.

Mistakes

If there are errors in the "filled in by the doctor" section, the sick leave is considered spoiled. You need to issue a new document. Please note that the date of receipt of the form remainsold.

The section “to be filled in by the employer” is intended for the manager or responsible employee authorized by the director of the enterprise. The rules for formatting the section are clarified by the letter of the FSS of the Russian Federation dated September 8, 2011 No. No. 14-03-14/15-10022. The line "TOTAL ACCRUED" must contain the amount of the benefit, excluding the amount of personal income tax. And the full amount of the benefit is reflected in the lines: "The amount of the benefit: at the expense of the employer … at the expense of the FSS of the Russian Federation …"

Can I get sick leave?
Can I get sick leave?

Nuances

According to the general rules, sick leaves cannot be bent and crumpled. However, the FSS of the Russian Federation clarified that documents folded several times are not damaged and do not require reissuance.

It should also be said that seals and signatures that have gone beyond the boundaries allotted to them do not invalidate sick leave.

Pay attention! The shortcomings made during the filling do not give grounds for reissuing sick leave and refusing to pay benefits if all the records are well read.

Anti-counterfeit protection

Sick leave, like any official documents, is protected from forgery:

  • Multiple mesh backgrounds.
  • Watermarks.
  • Binary pin code.
  • Unique barcode.

What does the manual say?

In order not to think about how to properly issue a sick leave every time, you can make a brief instruction. It can include the following items:

  • Strictly in special cells, enter the employee's data in capital letters.
  • Forbiddenuse ballpoint pen to fill.
  • You can't go outside the cells.
  • You can't use capital letters.
  • The form is filled with black ink only.

The instructions may contain other rules.

how to get sick leave
how to get sick leave

Failure to complete sick leave forms may result in delayed benefits.

Required information

On the front side there are several sections filled in by the registry staff. How do these employees of a medical institution draw up a sick leave? They also have rules. So, we draw up a sick leave according to the model shown below.

how to get sick leave for an accountant
how to get sick leave for an accountant

Employee of a medical institution must mark the primary document or a duplicate. If this is a duplicate, the sick leave number that is duplicated is indicated next to it.

The name of the medical institution, its exact address and the date of issue of the form are written below.

Followed by the date of commencement of disability. On the back of the form is the disability code, which consists of two numbers and an additional three-digit code.

The OGRN of the hospital must be indicated. If the number is written incorrectly, the sick leave will have to be changed.

Next, indicate the date of birth and gender of the patient.

Cell "date 1" is intended for the day of the change in the cause of the disease, you can enter in these columns, for example: the date of the trip or the estimated day of delivery. And in the cell "date 2" the end datevoucher, and its number is indicated.

What other sick leave is there?

You can apply for a sick leave to care for a child or other disabled relative.

There are 2 lines in the corresponding block. They are provided for the case when care is provided for two relatives. You need to enter their age, indicate the relationship and full name.

Below are cells for medical data. Here the time of stay in the hospital is noted, whether there were violations, if there is a disability. In addition, the data of the ITU bureau are entered.

The duration of the disease, its outcome and the data of the attending physician who made the diagnosis are indicated. Be sure to indicate the calendar date of going to work.

The doctor handles the spine of the sick leave form. This part of the sheet contains a brief description of each subsection with the addition of the case number, the date of issue and the patient's signature on receipt of the sick leave.

draw up a sick leave sample
draw up a sick leave sample

How is sick leave issued for pregnancy?

An important document for a future mother is a sick leave for pregnancy and childbirth. This is the only basis for receiving benefits for a working woman. Often, expectant mothers fill out the block about the employer on their own. The disability certificate is issued, as a rule, for a period of 30 weeks. The duration of the sick leave is 70 days before the birth and the same amount after them.

Can I apply for sick leave retroactively? Yes, if documents confirming the onset of the disease are provided. This can happen when a person was on a business trip forabroad and fell ill, went to a he alth center, instead of a clinic, or he needs to get to a medical facility for a long time.

Recommendations for employers

The employer fills out the second section himself. You must follow the instructions below:

  • The full name of the organization is indicated.
  • The primary or secondary activity is marked.
  • You must enter the TIN and SNILS.
  • In case of an industrial injury, the date of execution of the act f. H-1.
  • Indicate the length of service and all non-insurance periods. In case of a part-time working month, zeros are put in the column (non-insurance periods include service in firefighters, law enforcement agencies or the army).
  • when canceling an employment contract, the start date of work is entered.
  • Average or average daily earnings are indicated excluding taxes. This information is needed to calculate holiday compensation.
  • The seal and signature of the chief accountant or head of the enterprise and full name are put. (if the latter is not at the enterprise - the data of the head in 2 lines).
  • apply for sick leave for child care
    apply for sick leave for child care

Advice to an accountant

Above, we examined in some detail how to issue a sick leave. The accountant responsible for the correct calculation of benefits must also know these rules, since he will have to check the correctness of the document. In addition, when calculating monetary compensation for disability, a specialist must take into account the following nuances:

  • Employeecan be called to work from sick leave only with his consent.
  • Employer consent is not required to extend sick leave.
  • Compensation is paid only after the certificate of incapacity for work is submitted to the accounting department.
  • The calculation period is 10 days from the date of receipt of the sick leave by an accountant, but, as a rule, compensation is paid together with an advance payment or salary.

Terms of illness

Can I get sick leave for a long period? The doctor independently determines the duration of the sick leave, depending on the patient's condition. It could be several days or even months. But there are certain deadlines:

  • 15 days to care for sick children;
  • Term of care for sick relatives is 15 days, of which only 3 are paid;
  • caring for a disabled child under 15 years of age - for the entire period of treatment (maximum 120 calendar days per year);
  • treatment due to illness and after injuries no more than 30 days;
  • maternity leave is issued for 140 days, in case of any complications it can be extended.

Sick leave records cannot be edited and should be legible. In case of inaccuracies in the design, you need to ask for a re-issuance of sick leave or make a duplicate.

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