How to draw up a sick-list: instructions, sample

Nobody, not a single person is safe from illnesses, everyone is sick: both managers and ordinary workers, therefore, in order not to leave people without livelihoods, they get sick sick leave, confirming the good reason for not being at work and guaranteeing payment of cash benefits. In this article, we consider what a sick leave is, how to draw up this document.

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 Health developed and introduced a single document.

Brief description of the form

sick leave how to draw up

A single form of registration of sick leave in the Russian Federation was introduced four years ago. The form of the document consists of two sheets, two-sided color forms, adapted for reading specials. typewriter.

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

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

About the form of sick leave

We figured out the concept of sick leave. How to draw up this document?

According to the new requirements, now the medical card number is indicated on the sick-list, many columns are filled with codes (for example, the cause of the disease and the conditions under which benefits are awarded). A list of codes can be found on the back of the sick leave. The TIN and pension insurance card number are also required. And sick leave certified by the signature of the chief accountant and necessarily the signature of the general director.

Forms in Russian are filled in black ink and printed in capital letters. Helium, capillary or fountain pens are suitable for filling in the form ; ballpoint pens cannot be used, because they will make it not machine readable.

Despite the availability of clarifications from the Ministry of Health and the FSS, many doctors still do not know how to draw up a sick leave.

Features of abbreviations

According to the general rules, it is mandatory to enter spaces between words, and going beyond the boundaries of the allotted fields is not permissible.

The name of the company (unit code) or the full name of the individual insured shall be entered in the line “place of work - name of 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, the abbreviation corresponding to the constituent documents is allowed.

how to draw up a sick leave

“Last name and initials of the doctor or indication number” are written in the following order: first the last name, 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 issue a sick leave, first of all, consider a few rules.

The name of the doctor’s position in the line “Doctor’s position” in the table “Exemption from work”, if there is not enough space, can also be reduced.
If the sick leave is drawn up on the basis of a decision of the medical commission, the initials and surname of the attending physician are written down first, then the chairman. Only the last name is allowed. If it does not fit in 14 cells, they cut it.

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

A citizen who has received a sick leave certificate shall sign in the corresponding box on the spine of the blank sheet of disability.

Since the sick leave is drawn up also in connection with pregnancy and childbirth, the new rules provide for a mandatory annex to the document - a sheet on which the calculation of temporary disability benefits is made on a separate sheet.

Mistakes

If there are errors in the "filled by a doctor" section, the sick-list is considered damaged. It is necessary to draw up a new document. Please note that the date of receipt of the form remains the same.

The section "filled by the employer" is intended for the head or responsible employee authorized by the director of the enterprise. The section design rules are explained in a letter from the FSS of the Russian Federation dated September 8, 2011. No. 14-03-14 / 15-10022. The line “TOTAL CALCULATED” should contain the amount of benefits without taking into account the amount of personal income tax. And the full amount of the allowance is reflected in the lines: "Benefit amount: at the expense of the employer ... at the expense of the FSS of the Russian Federation ..."

Is it possible to apply for a sick leave

Nuances

As a general rule, sick leaves cannot be bent or wrinkled. However, the FSS of the Russian Federation clarified that several times bent documents are not damaged and do not require re-issuance.

It should also be said that seals and signatures that went beyond the boundaries allotted to them do not invalidate the sick-list.

Note! The shortcomings made during the filling out do not give grounds for reissuing the sick-list and refusing to pay benefits if all the records are well read.

Counterfeit protection

Hospital sheets, like any official documents, have anti-fake protection:

  • Numerous mesh backgrounds.
  • Water marks.
  • Binary pin code.
  • Unique barcode.

What does the instruction say?

In order not to think every time how to properly draw up a sick leave, you can draw up a brief instruction. The following items can be included in it:

  • Strictly in the special cells the employee data is entered in block letters.
  • It is forbidden to use a ballpoint pen to fill.
  • It is impossible to go beyond the cells.
  • You cannot use uppercase letters.
  • The form is filled only with black paste.

The instructions may contain other rules.

how to apply for sick leave

Failure to comply with the conditions for filling out sick leave forms may delay the payment of benefits.

Mandatory Information

On the front side there are several sections filled out by the registry staff. How do these medical staff draw up a sick leave? Rules have also been developed for them. So, we draw up a sick leave according to the model presented below.

how to draw up a sick leave accountant

An employee of a medical institution should mark the primary document or duplicate. If this is a duplicate, the number of the sick leave, which 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 recorded below.

The following is an indication of the date on which disability began. On the reverse side of the form is indicated the disability code, which consists of two numbers and an additional three-digit code.

Be sure to indicate the PSIS hospital. If the number is written incorrectly, the sick-list will have to be changed.

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

The cell “date 1” is intended for the day the cause of the disease changes, in these columns you can enter, for example: the date of the permit or the estimated day of delivery. And in the cell “date 2” is the date of the end of the voucher, and its number is indicated.

What else is sick leave?

Can issue a sick leave certificate for the care of a child or other disabled relative.

There are 2 lines in the corresponding block. They are provided in case when care is carried out by two relatives. It is necessary to enter their age, indicate the relationship and name.

Below are the cells for medical data. It indicates the time spent in the hospital, whether there were violations, if there is a disability. In addition, the data from the ITU Bureau fit in.

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 number of exit to work.

A doctor is engaged in the design of the root of a sick leave form. This part of the sheet contains a brief description of each subsection with the addition of the number of the medical history, date of issue and signature of the patient on receipt of the sick leave.

draw up a sick leave sheet sample

How to draw up a sick leave for pregnancy?

An important document for the expectant mother is a maternity sick leave certificate. This is the only reason for receiving benefits for a working woman. Often, expectant mothers independently fill out a block about the employer. An incapacity certificate is issued, as a rule, for a period of 30 weeks. Duration of sick leave - 70 days before childbirth and the same after them.

Is it possible to issue a sick leave certificate retroactively? Yes, if documents confirming the onset of the disease are provided. This can happen when a person was on a business trip abroad and fell ill, turned to a health center, instead of a clinic, or he needed to get to a medical facility for a long time.

Recommendations for employers

The employer fills out the second section. Follow the instructions below:

  • The full name of the organization is indicated.
  • The main or additional type of activity is noted.
  • Be sure to enter the TIN and SNILS.
  • In case of work-related injury, the date of filling out the act f. H-1.
  • The insurance period and all non-insurance periods are indicated. In case of an incomplete working month, zeros are put in the column (non-insurance periods include service in the fire, law enforcement agencies or in the army).
  • upon cancellation of the employment contract, the date of commencement of work shall be entered.
  • The amount of average or average daily earnings is indicated without taxes. This information is needed to calculate vacation compensation.
  • The seal and signature of the chief accountant or director of the enterprise and full name (if the latter is not at the enterprise - data of the head in 2 lines).
    issue a sick leave certificate

Accountant Tips

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

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

Disease Dates

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

  • 15 days are given for caring for sick children;
  • the term for caring for sick relatives is 15 days, of which only 3 are paid;
  • caring for a child with a disabled person up to 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.

Records on the sick leave do not allow corrections and should be well read. In case of detection of inaccuracies in the design, you need to ask for a renewal of the sick-list or make a duplicate.


All Articles