Extension of sick leave: how to extend sick leave and if you are not sick?

Extension of sick leave - key points and subtleties

Many patients have to think about how to extend sick
leave from a therapist or other doctor if the law establishes
a specific period
of possible incapacity for work, and the body has not yet had time to recover. This review will help you understand the main issues that arise in such situations. The article also contains information about what awaits the patient if he missed an appointment at the clinic, and for what maximum period the ballot can be extended.

In what cases and for how long is a certificate of incapacity for work issued?

Before sending a patient on sick leave, doctors are guided by the provisions of the Federal Law of November 21, 2011 No. 323-FZ “On the fundamentals of protecting the health of citizens in the Russian Federation

"
In particular, clauses 1 and 2 of Art.
59 of this normative act lists cases when it is necessary to issue a certificate of incapacity for work, and indicates the maximum time limit. So, sick leave opens in the following cases:

• the presence of diseases, injuries, poisonings and other conditions associated with temporary disability;
• after-care in sanatorium-resort organizations;
• the need to care for a sick family member or due to quarantine;
• for the duration of prosthetics in stationary conditions;
• in connection with pregnancy and childbirth, as well as when adopting a child.

Depending on qualification

medical worker, a certificate of incapacity for work is issued:

1. By a dentist or paramedic alone for a period of no more than 10 days.
2. A therapist and other specialized specialists for a period not exceeding 15 days inclusive.

The duration of the period for which a patient can be granted sick leave is determined either by the specifics of the patient’s disease, or by another reason causing his disability. You can learn more about this from the text of the Order of the Ministry of Health of the Russian Federation dated June 29, 2011 No. 624n “On approval of the Procedure for issuing certificates of incapacity for work

».

Many uncured patients go to an appointment with the thought of what to tell the doctor in order to extend sick leave? In essence, test results and symptoms will speak for them. The attending doctor does not take into account complaints about poor health and weakness without confirming these facts with compelling arguments in the form of external manifestations and laboratory tests. Therefore, complaints based on words alone cannot contribute to either the opening or extension of a certificate of incapacity for work.

Basic information and form of certificate of incapacity for work

The sick note is created in A4 format and has systematic protection.

The main protection of the form is:

1. Binary pin code.
2. Phenomenal barcode (consists of twelve digits).
3. Watermarks and background images: various types.

The forms were made double-sided, with cells for writing data (in printed font). Fill out only strictly according to the instructions. The information is read using a scanner and registered, and then stored in the Social Insurance Fund.

You need to fill out:

1. Clearly.
2. No mistakes.
3. Don't go beyond the boundaries.
4. Do not use a ballpoint pen.
5. Make entries in Russian.
6. Ink, only black.
7. Can be filled out using printing devices.
8. Write in block letters.
9. Possible filling: fountain pen, gel pen, capillary pen.

All errors will cause difficulties in reading, and ultimately a delay in payment of benefits.

The front part of the form is divided:

1. Space to be filled in by a medical facility employee.
2. Employer.
3. A counterfoil that a medical professional must write and tear out (for checking and systematization).

Before filling out, you need to study the information on the back side:

1. Information about prescriptions for various types of treatment.
2. Issuance of vacations for specified periods.
3. Sequence of payments.
4. Codes for establishing grounds for disability are shown.

This encoding significantly simplifies the accounting system and does not allow deviating from a certain interpretation.

Period for extending sick leave after hospitalization in a clinic

Order of the Ministry of Health of the Russian Federation No. 624n

, which was mentioned above, specifies cases of extension of the period of temporary disability. After all, it is obvious that 10-15 days for the complete rehabilitation of the patient’s body after a difficult operation or difficult childbirth is clearly not enough.

To avoid any problems when filling out the form, it would be a good idea for patients to know how to extend their sick leave after surgery.

.
In this situation, all issues are resolved with the attending physician - the doctor in such cases personally determines the patient’s physical condition and can independently increase the period
of incapacity for work without convening a commission (in this case, weekends and holidays are also included in this period). His competence extends to the following situations:

1. The patient must attend additional treatment procedures
   at the clinic (an additional 15 days may be prescribed).
2. Inpatient treatment
   in the hospital was not enough (plus 10 days to the due date).
3. If the sick leave was issued by a paramedic or dentist, then in case of complications
   can add another 10 days for rehabilitation.

In private medical institutions, doctors are authorized, just like their “state” colleagues, to increase the period of incapacity for work by an additional 15 days.

Extension of a certificate of incapacity for work for a period of more than 1 month is carried out by a medical commission

.
In this case, the patient must agree to undergo a specialized examination
, which will prove the need for a longer period for satisfactory recovery of the body.

Maximum term

sick leave after a decision to extend it by the commission is 10 months. Doctors make this decision in the following cases:

• carrying out major surgery;
• experienced a heart attack or stroke;
• the presence of complex fractures.

There is also an exceptional period

disability of 1 year. Such long-term sick leave is allowed for patients:

• those suffering from an open form of tuberculosis;
• having illnesses associated with oncology;
• those experiencing severe physical trauma or complications after difficult operations.

Against the backdrop of such serious problems, many are worried about something else - whether they will extend their sick leave if the runny nose continues. In this case, the attending doctor will increase the period independently without the involvement of a commission. However, you should not count on a long renewal of the ballot. In such cases, no one gives more than 1-2 weeks for recovery.

Is it possible to extend sick leave after expiration?

The laws do not establish strict boundaries for the period of sick leave; they are determined individually in each case. But the last day depends on the patient’s complete recovery, which determines his suitability to begin work.

Another outcome of the disease and postoperative treatment is the assignment of a degree or group of disability, which is within the competence of the ITU.

If a disability is established, the certificate of incapacity for work is closed automatically on the day of the examination. And if this option is excluded, then the period of illness is set to the period until complete recovery.

Example: tuberculosis patient T.T. Ivanova underwent resection in 2012, that is, removal of tuberculoma (1/3 of the upper lobe of the right lung). This is an abdominal operation. An examination was scheduled 1 month after the operation. To attend the examination from the place of work, it was necessary to provide a description that reflected the nature of the work, position, personal qualities of the employee, etc.

Based on the results of the examination, a council of doctors made a decision to extend the treatment. Since such a disease requires complete recovery and deregistration. And after one and a half years of outpatient treatment, T.T. Ivanova was deregistered from the tuberculosis dispensary.

If the patient has another form of tuberculosis, it can be fibrous, with decay or cavernous, then in such cases treatment can last for years and a cure does not occur. In such cases, ITU specialists assign disability group 3.

The example shows that the extension of deadlines depends on ITU specialists.

Features of registration of a certificate of incapacity for labor for women in labor

In Art. 255 Labor Code of the Russian Federation

(hereinafter referred to as the Labor Code of the Russian Federation) states that:

Women, upon their application and on the basis of a certificate of incapacity for work issued in accordance with the established procedure, are granted maternity leave of 70 (in the case of multiple pregnancies - 84) calendar days before childbirth and 70 (in the case of complicated childbirth - 86, for the birth of two or more children - 110) calendar days after childbirth.

However, in Order of the Ministry of Health of the Russian Federation No. 624n

There are cases when the hospital period may become longer. Such cases include:

1. Childbirth performed by cesarean section, or the presence of complications during the birth of the child.
2. If the ultrasound did not show the expectant mother the presence of a multiple pregnancy, and this circumstance became clear only during childbirth.
3. Childbirth that began earlier than expected (before the 30th week), the birth of a stillborn child.
4. If a woman has diseases of the cardiovascular system or other chronic illnesses.
5. If in vitro fertilization was performed.

Calculation of the extension of sick leave after complicated childbirth or other cases is made by an obstetrician-gynecologist

. In all situations, a woman giving birth has the right to an additional 16 days of maternity leave. If a woman gives birth to triplets or more, the doctor may extend the period of incapacity for another 40 days.

How to register at the clinic?

The procedure for renewing a certificate is as follows:

1. When the sick leave ends, we go to the doctor who issued it. It is advisable to do this on the last day of the sick leave, and not when the period has already expired.
2. The doctor conducts an examination and makes a decision based on its results. There can be 2 solutions - either close the sick leave or extend it.
3. If a decision is made to extend, the doctor enters the date until which the sheet is extended in the free field on this form.
4. We inform the employer about the extension of sick leave, if necessary. This is worth doing, because the employer is probably familiar with the deadlines for issuing certificates of incapacity for work, and he will be at a loss if the employee does not show up after a long time.
5. On the day indicated by the doctor as the final day for extending sick leave, we come back to the clinic for another examination. This must be done even if the person is already healthy. In this case, the sheet will be closed, and in case of illness, it will be extended for a short time.

Important! You cannot ignore the extension of sick leave. If a person does not show up for work for 2 weeks, and he only has sick leave for 7 days, then he will be given benefits in 7 days. Moreover, he will get into trouble for not showing up in the second week.

For how long?

At the clinic, sick leave is extended for no more than 3 days. When this period passes, you need to appear at the clinic again and meet with the doctor.

• 
  If the disease does not subside, the certificate is extended for another 3 days. The maximum number of extensions is 5, that is, 15 days.

• If after 15 days the person is still sick, a medical commission is convened. The further procedure is similar to what happens when extending sick leave after hospitalization.

If the illness occurred while on vacation

Sometimes a much-desired vacation can be ruined by a sudden deterioration in health. Trips to medical institutions do not add any color to your vacation, and citizens who are little familiar with the law assume that these days cannot be returned. A reliable and proven way to extend sick leave during vacation

, there is - this is knowledge of the laws.

How to extend sick leave if you are not sick

Some would dream of not going to work longer, resting at the expense of their organization or the state. However, the attitude of doctors towards such scoundrels has never been favorable. Each issued certificate of incapacity for work is registered

, and unscrupulous patients may be added to the “
ignore list
”. Therefore, it will become more difficult for deceivers to get medical help in the future.

There is no way to extend sick leave if you have recovered while complying with Russian laws. However, a healthy person can apply for a certificate of temporary incapacity for work if supervision of a sick person

family member (in particular, a minor child). The period will vary depending on the age of the sick children:

• For disabled children, the parent or guardian has the right not to go to work until the child has fully recovered;
• sick children over 7 years of age but under 15 can “exempt” their legal guardians or parents from work for a maximum of 2 weeks;
• 3 days is the period of sick leave if family members over 15 years of age need care (in exceptional cases, the commission may release an able-bodied citizen from work for a week so that he can look after his loved ones).

Many illnesses are cured when the mark on the thermometer does not rise above 36.6, and patients worry about how long they can extend sick leave without a fever

?
Some patients mistakenly believe that if they do not have a fever, they will be considered healthy. This is not so - the doctor takes into account the general condition
of the patient who contacts him, and according to a single rule, he can increase the period of temporary disability to 15 days.

Sick leave in another city

Sometimes it happens that a person gets sick while traveling to other localities or during a business trip. When contacting a medical institution not at the place of residence, the patient may encounter some difficulties in obtaining a certificate of incapacity for work ( lack of a card

patient at the local clinic complicates the doctor's job).

However, in other cities it is possible to issue a certificate of incapacity for work. However, is it possible to extend sick leave in another city if it was opened at the clinic at the place of registration of the citizen? There are no legislative obstacles to such a procedure, but doctors may have fair questions for a patient who seems to be sick, does not go to work, but for some reason travels around the country.

Is it issued for outpatient treatment?

In cases where the patient only needs medication and (or) bed rest, but there is no need to constantly visit the clinic, he is provided with outpatient treatment.

Can there be a limit on days if the employee is at home, how to pay?

In accordance with Art. 11 of Order No. 624n for outpatient treatment, a maximum period of 15 days is established (10 if issued by a paramedic or dentist); the sheet can be extended for the same period by the chief physician of the clinic.

Further extension of the certificate of incapacity for work is carried out only on the basis of the decision of the medical commission (what are the rules for extending sick leave through the VC?).

When being treated in a private medical organization, the attending physician, after 15 days, sends the patient to the clinic at his place of residence to undergo a commission. If the decision to extend the BL is positive, the maximum extension period is 10-12 months - more for treatment after surgery, long-term healing injuries and tuberculosis (what is the duration of sick leave depending on the disease?). In this case, you must visit your doctor every 15 days.

Sick leave is paid according to the general rule (3 days - at the expense of the employer, subsequent days - by the Social Insurance Fund), depending on the length of insurance coverage.

The amount of sick leave can be reduced if the patient violates the regime established by the doctor, about which a corresponding note is made on the sheet.

Any person whose employment is official has the right to paid sick leave. Read our materials about how compensation is calculated and how a certificate of incapacity for work that falls on a weekend or holiday is calculated.

Unextended sick leave: consequences at work

At school or in universities, non-system truants are generally treated with loyalty, and the absence of a pupil or student from classes not confirmed by a doctor’s certificate can entail, at most, only a reprimand with the need to make up the hours missed without a good reason. It’s another matter when a person works under an employment contract. What happens if you don’t extend your sick leave

?

You can calm down: in practice, an employee who neglects his duties to visit a doctor is deprived of only part of the benefit

due to violation of the regimen prescribed by the doctor.
The benefit on the day of missing a visit to a medical institution and after it will be calculated according to the minimum wage, and not based on the employee’s salary. Doctors usually extend the certificate of incapacity for work retroactively
.

However, there are exceptions

, and this must be remembered.
No one will renew a ballot if they suspect that an absolutely healthy person is deliberately shirking work. Therefore, in order to avoid various disputes with the doctor and the accounting department of the company in which the patient works, it is recommended not to violate the deadlines for visiting
the doctor.

There is a category of patients who are late to see the doctor and who are concerned about whether their sick leave can be extended by 1 day. They don’t have to worry about this - there is such a possibility. Medical staff for good reasons

can meet halfway. At the same time, there is no need to pester doctors too intrusively so that they put an extra day on the sick leave list due to the negligent behavior of the patient who missed an appointment.

Degtyareva A.G. (11/24/2017 at 15:45:45)

Hello, dear Ekaterina!

Extension of sick leave

Let me explain the essence of the issue as follows:

1) The procedure for issuing certificates of incapacity for work is approved by Order of the Ministry of Health and Social Development of Russia dated June 29, 2011 N 624n (as amended on July 2, 2014) “On approval of the Procedure for issuing certificates of incapacity for work.” Registration of sick leave, as well as their issuance, is carried out using a sick leave form approved by order of the Ministry of Health and Social Development No. 347n, and taking into account the Procedure for issuing certificates of incapacity for work.

The duration of illness, of course, is impossible to predict or limit, but it should be remembered that the attending physician has the right to issue sick leave for a maximum period of up to 15 calendar days, a dentist and paramedic - up to 10 calendar days.

If the incapacity for work exceeds these periods, then the sick leave is extended by the medical commission for a maximum of 15 calendar days at a time.

2) The closed sick leave must be submitted to the accounting department no later than six months from the date of discharge. However, you should not hesitate, because the certificate of incapacity for work confirms your legal absence from work. Without receiving it, the employer may raise the issue of absenteeism. The accounting department will fill out the sick leave in its part and calculate temporary disability benefits. It will be paid along with the advance or salary.

3) The state of temporary disability can last either until complete recovery or until the patient is referred to MSEC to establish disability. In this case, the additional period of sick leave is determined by a one-time decision of the medical commission.

During the period established by the medical commission, the patient is required to visit the attending physician 2 times a month.

Attention: by decision of the medical commission, with a favorable clinical prognosis, sick leave can be issued in the prescribed manner until the day of restoration of working capacity, but for a period of no more than 10 months, and in some cases (in case of injury, condition after reconstructive operations, tuberculosis) - for a period not more than 12 months with a frequency of extension by decision of the medical commission at least every 15 calendar days.

Note!

In para. 2 clause 14 of Order No. 624n a clarification has been made, according to which not only the issuance, but also the extension of a certificate of incapacity for work is not allowed for the past days when the citizen was not examined by a medical professional.

Ekaterina, also do not forget that any actions of doctors and the medical institution as a whole can be appealed in accordance with the procedure established by law, including in accordance with the law “On the Protection of Consumer Rights,” according to which a citizen of the Russian Federation is a consumer of medical services. The same law and the Civil Code of the Russian Federation provide for civil liability of physicians, including compensation for moral damage. Good luck! If you still have questions or need more detailed advice and assistance in drawing up documents on a controversial issue, please contact me, including my email. address. I would appreciate your feedback. I hope it was useful. Sincerely,

Sick leave periods after various operations

In medical practice, all types of surgical interventions are divided into two groups:

• Lungs;
• Moderate;
• Heavy.

Light operations are those after which the sick patient gets up independently the next day and can be discharged from the hospital on the 3rd or 5th day. In some cases, sick leave may be issued for 15 days, and on the 16th day it is necessary to begin performing work duties.

Moderate-severe operations are operations after which the hospital stay can be prolonged, and recovery requires up to 30 days.

Major operations are cases when a person after surgery may require long-term assistance from qualified personnel to rise to his feet. In this case, the duration of the illness may drag on for several months.

Such operations include:

• Open fractures or displaced fractures;
• Injuries to the skull of a person with a concussion;
• Deep, severe wounds or abrasions resulting from heavy work;
• Appendicitis with peritonitis;
• Cardiac interventions;
• On the spine.

Let's consider how long it takes to stay in hospital after various operations.

The period of sick leave depends on the type of operation:

• Laparotomy;
• Laparoscopy.

The first case of abdominal surgery is the most complex and requires long-term hospital stay, so the attending physician himself can issue a medical document for a long time.

The second type is less traumatic for humans. It involves punctures with special instruments, after which the body is able to quickly recover, so the period of stay in the hospital is 15 days.

The maximum period of illness cannot be determined unambiguously; it all depends on the complexity of the operation itself and the speed of restoration of human health.

All of the above cases of meeting with a surgeon must be paid for by the employer in accordance with the law.

What is the situation with plastic surgery? If a patient turns to a plastic surgeon for help to improve one or another part of the body, then sick leave is not issued in this case.

But when performing an operation to eliminate difficulties in life, for example, a deviated septum in the nose or oral cavity, the doctor cannot refuse a certificate of incapacity for work. It is issued for the period from admission to hospital until discharge from it.

How to get sick leave at a Moscow clinic?

According to current legislation, if a person falls ill, he has the right to issue a certificate of incapacity for work and not attend work until he recovers. However, this issue also has its own nuances. Not in all cases it is possible to issue sick leave. The exact criteria required for exemption from attending school or work are specified in the relevant legislation.

This article will be useful to everyone. You will learn how to easily solve this problem and how to get sick leave at the clinic.

Opening a sick leave: step-by-step process

It is impossible to take a sick person off work without a preliminary examination by a doctor.

When you come to the hospital for an appointment at the reception desk, you need to present a document that can verify your identity:

1. Passport.
2. Driver license.

Next, you:

1. They will create a personal card or take it from the archive (if you have previously contacted this medical institution).
2. An insurance policy must be presented.

In what cases can sick leave be extended?

The doctor will examine the patient and refer him for tests. If the diagnosis is confirmed, a sick leave certificate is issued at the clinic.

Citizens undergoing a course of sanatorium-resort treatment are entitled to receive the document, with mandatory attendance at a day hospital. Certificates of incapacity for work can also be issued during pregnancy, childbirth or abortion. They are also issued if there is a threat of miscarriage, as well as if the patient needs to undergo treatment in a hospital to save the fetus.

If you have a child under seven years of age who is sick, you are also required to provide sick leave. Citizens caring for a disabled or elderly relative also have the right to obtain a document.

The manifestation of an allergy during its exacerbation is also grounds for receiving sick leave. Such people have the legal right to undergo treatment in a hospital and obtain a hospital certificate for up to seven days. If the patient’s condition improves earlier, it is necessary to immediately close the sick leave.

You can also get sick leave from the dentist. He issues you a certificate confirming the completion of treatment on a specific day. This document must be provided to your therapist, who, based on it, will issue you the appropriate paperwork.

You can go on sick leave even with conjunctivitis, if the disease occurs with complications. A certificate is also issued for poisoning, hemorrhoids, inflammation of the bladder, acute cystitis and other ailments. The main thing is that your doctor confirms that you have a particular disease.

Who extends and opens sick leave

By law, sick leave can only be issued in a clinic or hospital. It cannot be obtained from a blood transfusion station or from emergency medical personnel. If an employee gets sick, there are several possible scenarios:

Option 1. Sick leave is opened at the clinic. Consider the following situation: A citizen fell ill and, as a result, went to the clinic. The therapist opened a sick note and wrote out a referral to the appropriate specialist. After undergoing a series of tests, it was revealed that the patient needed surgical intervention. The operation is scheduled in a month, until then my health allows me to wait. An open sick leave is closed by a doctor at the clinic. The next one will be issued only from the day of admission to the hospital by this institution.

Option 2. Sick leave issued at the clinic, closed at the hospital. Due to illness, the citizen consulted a doctor at the clinic. After undergoing tests, it was determined that he needed urgent surgery. He was immediately taken to the hospital, where the doctor, upon completion of post-operative recovery, closed the certificate of incapacity for work. After this, a specialist from the clinic referred the patient to sanatorium-resort treatment, opening a new sick leave for the period of follow-up treatment.

Thus, the right to open and close certificates of incapacity for work is granted to both clinics and hospitals - it all depends on the specific situation. If previously, when referring for surgery, only the clinic doctor had to do this, now he can register in one place and close in another.

Where do you get sick leave?

A document on temporary disability is issued by a doctor who has the right to conduct an examination and diagnose the patient’s disability due to illness. So, you can get it at:

• specialized hospital;
• dental office;
• public and private clinics and hospitals.

Please note that the document can be legally issued only in those institutions that have the appropriate license to provide medical services to the population. It is issued exclusively on state-issued forms.

Not everyone knows, but private medical institutions also have the right to issue sick leave. According to current legislation, the patient himself decides which clinic to undergo treatment. Therefore, a certificate issued in a private hospital is equivalent to a document received in a public medical institution.

Quick issuance of a certificate of incapacity for work

To quickly and effectively solve the problem, we recommend that you buy a sick leave from the hospital on our website. You will save your nerves and time if you buy sick leave on our website. In this case, the document that you receive in your hands will be real and not fake. This way you will solve the problem facing you in one fell swoop. Please note that the cost of document preparation is low. Almost anyone can purchase it without significant expenses for their budget.

Discharge from a hospital with an open sick leave is carried out upon completion of inpatient treatment, if it is necessary to continue the therapeutic process on an outpatient basis.

The certificate in question provides information regarding the patient’s medical history, additional information regarding the state of his health at the time of discharge, medical recommendations, as well as instructions on the need for further treatment and disability.

What is it for?

A certificate of discharge from a medical institution is a necessary document for issuing sick leave, and, in some cases, can be used as an alternative.

Discharge from a hospital with open sick leave is necessary in order to justify a person’s absence from work after completion of the hospitalization process. This document also serves as the basis for accruing a fixed salary to an employee who was absent due to illness.

Also, the document in question may be needed in the following cases:

1. To register the patient's re-hospitalization.
2. To receive a voucher to a health facility to undergo sanitary-resort treatment.

How to properly extend sick leave?

This process, associated with travel, standing in endless queues at the reception desk and directly at an appointment with a specialist, being among sick people, against the background of a general weakening of the body and reduced immunity, can have extremely undesirable consequences for the patient’s health.

Another difficulty is that in order to issue and receive this certificate, registration is required, which can become a serious problem for a foreign citizen who is struck by illness during a business trip, tourist or guest visit.

However, all these inconveniences can be avoided by ordering a certificate of discharge from hospital with open sick leave or a sick leave certificate on our website. We help in obtaining medical certificates, medical books, without registration. All documents are signed by real doctors by agreement, the certificates are genuine and fully comply with the requirements of the state standard. By contacting us, you can be guaranteed to receive the certificate you need in free form, for the traffic police, in the shortest possible time and with home delivery.

See also:

Medical certificates as one of the methods for controlling migration flows

Medical book for 1 day

Medical record period

086/у certificate form new sample

How is sick leave paid?

When accepting sick leave from a patient, an accounting employee must pay attention to the correctness of filling out the document confirming the disease.

1. If the duration of illness is more than 30 days, then in addition to the signature of the attending physician, there must be a signature of a VC specialist.
2. And when undergoing a medical examination, columns must be filled in indicating the date of conduct, extension of sick leave or its closure with the appointment of something else.
3. Employee personal data.

In case of violations, the employee must contact the place of treatment with a request to correct the errors. If this does not happen, then the certificate of incapacity for work is considered invalid.

In any case, sick leave after surgery or not must be paid for by the employer if an employment contract has been concluded with the employee and insurance contributions are paid to the Social Insurance Fund (FSS).

When the operation and rehabilitation are within a 15-day period, the employee must submit sick leave to the company, where it will be paid within 10 days.

Payment for any sick leave depends on several factors:

• Duration of illness from the first day of illness until discharge;
• The length of service of the employee during which insurance contributions were made for him;
• Average earnings for the last two years preceding the illness.

If the period of illness is calculated in months, then payment is made in installments, for each extended leave. This is due to the fact that the form contains only a few lines for prolonging the illness.

The patient is required to hand over all the sheets as each one is closed, otherwise the absence of such sheets is defined as absence from work without reason.

The accountant calculates the disability benefit, reimburses the funds from the Social Insurance Fund, and then pays the employee. The amount of payment depends on the number of years of service and is paid in the amount of 60, 80 and 100%.