Step-by-step procedure - how to close a sick leave. Closing in another city, ahead of schedule and other cases

Rules for closing sick leave

Correct execution of sick leave, in particular its closure, is essential for the employee for the following reasons:

• the document makes it possible to confirm a valid reason for absence from work;
• the possibility of receiving the required funds from the social insurance fund is ensured. This is especially true for employees with work experience that exceeds 8 years - in this case, the amount of compensation for the period of incapacity for work is 100% of the average salary;
• provides the opportunity to receive compensation of a certain nature in the event that the illness suffered leads to disability of the employee.

The procedure for issuing sick leave and the procedure for closing it is regulated by the following documents:

• general provisions - by order of the Ministry of Health and Social Development of the Russian Federation No. 624-N dated June 29, 2011;
• clarifications related to the procedure for opening and receiving sick leave – order No. 31-N dated January 24, 2012.

According to these regulations, sick leave can be closed in any state, municipal or private institution that has a license to carry out this type of activity.

Specialists who can process sick leave certificates:

• attending physicians of medical organizations;
• paramedics and dentists with permission from the territorial FSS of Russia;
• practicing doctors of research institutes and specialized clinics with permission from the Ministry of Health of the Russian Federation.

The current rules for issuing sick leave contain information that its closure must be carried out exclusively in the institution in which it was opened, i.e. where the employee went at the first sign of illness. This fact is not mandatory if during the treatment the citizen was examined or observed by more than one specialist or was hospitalized in several hospitals.

For example, if a sick leave was opened by a local doctor, and the course of the illness led to hospitalization of the person, then the document is closed after recovery by the hospital doctor.

Again, if, due to illness, the person was immediately hospitalized, and subsequently the stay on sick leave was extended by treatment at home, then the document is closed by the local doctor or a more specialized specialist with whom the patient completed the course of treatment.

As a rule, an employee of an organization applies to a medical institution at the place of his permanent residence. In some cases, when staying in another locality with an injury or illness, any citizen can seek medical help at the nearest medical facility. In this case, the closure of the document must also be carried out in the same city (with the exception of cases when the patient was sent to continue treatment in another medical institution).

Where to close the document

The sick leave certificate is closed in the same clinic where the patient was treated. If doctors prescribe home treatment, the local doctor will complete the sick leave.

Important! The bulletin must be closed by the same specialist with whom the patient was treated. To fill out the ballot, you need a passport and the exact name of the employer.

If the company name is indicated incorrectly, the accounting department will not accept the document for payment. Therefore, you need to carefully check that the document is filled out correctly by your attending physician. Each sheet must be recorded in a special accounting journal.

4 rules for drawing up a document on incapacity for work:

1. The certificate must be closed by the same doctor who opened it, even if the person was examined by several specialists.
2. For inpatient treatment, the bulletin is closed only when the patient is discharged.
3. If the patient was independently treated at home, the local district police officer can close the sick leave.
4. The document indicates the position of the doctor. If the issue was decided by a committee of doctors, then the chairman of the committee is written.

It doesn’t matter where to go, to a public clinic or a private one. Closing sick leave can be done by any medical institution with a license.

How to close a sick leave: sequence of actions

Closing the document proceeds as follows:

1. The medical worker receives from the person on sick leave a passport, TIN, information about the place of residence (if it does not coincide with the registration information in the passport), as well as information about his employer. Particular attention should be paid to the correct name of the organization or institution, since it is often because of errors in it (incorrect abbreviations, abbreviations, etc.) that sick leave certificates have to be redone.
2. Indication of the possibility of returning to work due to recovery.
3. Indication of the date from which the employee is required to return to work.
4. Registration of sick leave in the journal of such documents. This includes the following information:

• date of issue;
• sheet number, automatically entered on forms according to the uniform numbering of the Social Insurance Fund.

1. Placing a doctor's stamp and a general hospital stamp (at the reception desk or a special office for issuing such documents).

After affixing all the necessary stamps, the employee can submit the document to the place of work. If, when checking a sick leave certificate, inaccuracies are discovered, the employee has the right to contact a medical institution to correct the errors, where he cannot be denied such a procedure.

Is it necessary to close the ballot?

Until the ballot is closed, it will not be accepted for payment. The Social Security Fund checks whether the ballot was written correctly. If the ballot is filled out with errors, payments will be denied.

The longer the length of service, the more benefits the employee will receive. When the work activity is eight years, the benefit will be one hundred percent of income.

The procedure for preparing forms is regulated by two legal acts

An employee can open a ballot if he himself or his relatives become ill.

4 reasons for closing a ballot:

• employee recovery;
• improving the health of sick relatives whom he cared for;
• the end of the period on sick leave;
• patient's request.

The doctor can prescribe it if the patient’s health condition has improved and is not dangerous to others.

In what cases is the certificate of incapacity for work closed?

Sick leave can be closed in the following cases:

1. Upon recovery of the employee himself, as well as a relative or child, during whose illness he was granted sick leave for care. The fact of recovery is determined by the attending physician based on the examination and test results.
2. At the end of the established maximum period for which sick leave can be opened. In general cases, the duration of this period is 15 days. If the person is still diagnosed with signs of the disease, then simultaneously with closing one sheet, the next one is started with a note that it was not opened initially.
3. At the personal request of the patient. There are cases when an employee, for one reason or another, needs to begin his work duties - at the request of the employer, for personal reasons related to short work experience and a small amount of payment for the period of incapacity. In any case, it is the doctor who will decide whether to close the sick leave ahead of schedule and whether to allow the patient to perform his work duties. A physician may refuse a patient for the following reasons:

• if the employee undergoing treatment is not yet strong enough to go to work. Since the attending physician is responsible for it, it is not always possible to obtain consent to close the sheet;
• if the employee’s illness is infectious and his appearance at work can provoke illness in people in contact with him. In such cases, doctors can be allowed to work and the document can be closed after receiving test results that indicate the absence of the disease or, for certain ailments, after the incubation period of a particular virus has passed, when the danger of infecting others has passed.

After what period does the next sick leave open without passing a medical commission?

The average daily salary will be:

15170.40: 128 = 118.52 (UAH).

The amount of payment for the first five days of temporary disability will be:

118.52 x 3 = 355.56 (UAH),

where 3 is the number of working days falling on the first five days of temporary disability, paid at the expense of the employer.

The amount of temporary disability benefits will be:

118.52 x 11 = 1303.72 (UAH),

where 11 is the number of working days, starting from the sixth day, missed by the employee due to temporary disability and paid from the Social Insurance Fund.

The total amount of sick leave payment for the first insured event was:

355.56 + 1303.72 = 1659.28 (UAH).

We pay for the second LN

Second sick leave from 03/11/2015

Is it possible to close a certificate of incapacity for work retroactively?

Most of us associate the process of applying for sick leave retroactively with falsification of documents, when an employee of a particular company simply needs documentary evidence of absence due to an illness that actually did not exist. However, in some cases, when there are grounds for issuing a certificate of incapacity for work, it is legally possible to both open and close sick leave retroactively.

A similar procedure is possible in the following cases determined by the legislation of the Russian Federation:

• during pregnancy of women, when sick leave is issued for a certain period before the expected date of birth and after it;
• employees raising disabled children under 15 years of age, as well as children with HIV;
• employees who have issued a certificate of incapacity for work due to caring for a child suffering from a severe illness (cancer, tuberculosis, etc.)

It is also worth noting that the closing day of the sick leave must fall on a working day according to the doctor’s schedule, otherwise this document may be challenged as invalid. More information about applying for sick leave retroactively -.

Does the doctor on duty have the right to close the hospital limit?

> > Therefore, if a medical institution is open on a weekend and the attending physician is attending, the patient can apply to have the sheet closed.

But if the doctor does not see you on a day off, then the sick leave must be closed on the last weekday before the upcoming work week. Closing a BC retroactively is not always a violation of the law, since for some categories of citizens, regulations establish the opening and closing of these documents retroactively.

This benefit can be enjoyed by:

1. workers who have young children (under 7 years old) with serious illnesses (oncology, tuberculosis);
2. citizens with children under 15 years of age who are disabled or have HIV.
3. pregnant women;

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In this case, the closing date must also coincide with the appointment schedule of the treating specialist, otherwise the document may be declared invalid.

What does a closed sick leave look like?

The document, drawn up according to all the rules, contains the following information:

• Full name of the patient's attending physician.
• Position of doctor (indicated in the qualification directory).
• The patient's name and date of birth.
• The name of the clinic, hospital or other licensed organization where the employee was observed during the period of illness, and the name may be indicated in full or abbreviated.
• Address of the medical institution.
• The date on which the sick leave was issued.
• The disease for which the employee was issued a certificate of temporary incapacity for work: not the name of the disease is indicated, but its special code for belonging to a certain type of incapacity for work.
• The name of the organization to which the sick leave will be provided. In the event that the patient works simultaneously in two jobs, where one is the main job and the other is part-time, then two certificates of incapacity for work are also issued for presentation to each of the necessary organizations.
• The date on which the former patient must begin work duties.
• Signature and seal of the doctor, as well as the seal of the organization where the employee was treated.

Filling out a sick leave certificate can be done either by hand (in block letters) or in printed form.

Photo of a closed sick leave:

What is required from the patient

Registration of a patient’s sick leave is the responsibility of the attending physician. If a form is issued to care for a dependent or sick relative, it is filled out by a doctor.

The form of certificates of incapacity for work and the procedure for making entries were approved by order of the Ministry of Social Development of April 26, 2011 No. 347n. The procedure for issuing leaflets is by order of the same department dated June 29, 2011 No. 624n.

The health worker makes some entries based on the data provided by the sick employee.

The patient must provide the doctor with:

• passport details;
• TIN;
• address of permanent residence or place of temporary residence;
• the correct full name of the organization for which he works.

The doctor enters this data when opening a sick leave.

The doctor has the right to indicate the date of opening the sheet, which does not coincide with the day the patient applied for medical care, if the actual incapacity for work occurred earlier.
Find out how you can order sick leave retroactively here. Please note: when receiving a closed document, the employee should carefully check the correctness of the specified data.
If the sick leave certificate is filled out with errors, the employer and/or the Social Insurance Fund have the right to reject the document and refuse to pay compensation to the person for temporary incapacity for work. In order not to miss a single essential detail when checking, it is worth understanding how a sick leave certificate is closed and what constitutes a correctly executed document.

What happens if you don’t close your sick leave?

Sometimes a situation may arise in which an employee, for some reason, decided not to close an open sick leave or was unable to do so. Naturally, a completely logical question arises: is it possible to submit the document in this form? Regarding this situation, based on regulatory legislation, the following can be noted:

• a sick leave certificate that does not contain a note indicating its closure and, accordingly, if it does not contain all the necessary details, cannot be considered a basis for confirming the employee’s temporary disability;
• an unclosed sick leave cannot be accepted by the employer and used to mark absence from work due to illness on the report card;
• a sick leave without a closure mark cannot become the basis for the accrual of funds in accordance with the terms of social security;
• a medical worker who has not closed the patient’s sick leave has the right to cancel the certificate of incapacity for work and put a mark on it regarding violation of the hospital regime.

The procedure for closing sick leave is very important and can have a significant impact in determining the validity of this document. Only doctors admitted to such a procedure can mark the end of the illness, reflecting the mandatory details and affixing the stamps required for the certificate of incapacity for work.

I closed one sick leave, when can I open the next one?

It indicates that the patient’s hospital regime was violated, and there can be no talk of any payment of benefits.

In addition to the patient himself, an unclosed sick leave can also involve a health worker in trouble. Sometimes medical workers are fined or reprimanded for leaving unfilled sick leave certificates. This is a rare practice, but it still occurs sometimes.

So, even if a person does not need paid sick leave, he should close his sick leave, at least in order not to “substitute” another person.

Step-by-step actions of the employee

To close the certificate of incapacity for work, the insured person contacts his attending physician. Closing conditions and procedures are prescribed by law.

Algorithm of employee actions:

1. Collection of required documentation: passport, policy, SNILS, medical card. If the patient received a sick leave certificate when it was opened, then it must also be provided to the clinic. An employee of a medical institution must put the appropriate marks on the document. It is recommended to check with the employer for its exact name. Most errors are associated precisely with the incorrect designation of the employer's organization. If errors are made when preparing the document, the patient will not receive benefits until they are corrected.
2. Going to a medical facility and undergoing an examination. Usually, the doctor himself sets the next appointment date for the sick person. However, if the patient needs an earlier discharge, he needs to contact the reception and clarify the appointment time.
3. Receipt of a closed certificate of incapacity for work, issued in accordance with Order No. 624 - N. It is recommended to immediately check on the spot the correctness of the data entered in the document.

The closed certificate of incapacity for work must indicate the date when the person must begin work. Such a document is registered in a special journal of the medical institution.

The closed sheet must contain three seals: the attending physician, the stamp and the triangular one. The document is signed by the attending physician.

If the sick leave lasts longer than the period established by law, additional marks from the medical commission must be included. How long is sick leave granted for various diseases?

The employee hands over a closed form with all signatures and seals to the employer for payment.

If, during verification by the employer, filling errors are discovered, you will have to contact the medical institution again to correct them and issue a duplicate.

If not attached to a clinic, in another city

According to the law, medical care is provided to citizens in any city. Accordingly, sick leave certificates are not always issued and closed according to registration.

A person can go to a clinic or hospital for help at his place of residence or place of stay.

People also get sick on vacation or on a business trip. If the document is opened in a city other than your residence, the doctor will close it there after complete recovery or at the request of the insured person.

When there is a need to transfer a person to a hospital or clinic in another city, the doctor refers the patient for further treatment. In the clinic at your place of residence, based on the referral, the doctor will extend the treatment and, upon complete recovery, close the sick leave.

Read more about the procedure for closing sick leave at a location other than your place of registration in this article.

Before the deadline at your own request

The clinic doctor can close the certificate of incapacity for work ahead of schedule if the insured patient himself insists on this.

However, there are some diseases that require a comprehensive examination.

In order to protect himself from the consequences, the doctor may request a written refusal of further treatment and will close the sick leave in the usual manner.

If there are no grounds for additional examinations, then closing the certificate of incapacity at the insured person’s own request will not be difficult. It is enough to go to the attending doctor with documents and ask for a closed sick leave.

If the document was handed to the patient upon opening, it is necessary to present it to the doctor. He will put the necessary stamps, signatures there and indicate the date of return to work.

Closing after the patient is discharged from the hospital

If a person is in a hospital, a certificate of incapacity for work is opened for him in this particular institution and the method of treatment is called inpatient. With such treatment, sick leave is issued only upon discharge or transfer to another medical institution.

If, upon discharge from this medical institution, a person leaves completely healthy, the document is closed there and given to the insured person.

When, after discharge from the hospital, the patient continues to undergo treatment at home, the certificate of incapacity for work is closed by the clinic. But for this, the hospital doctor writes out a referral.

If a certificate of incapacity for work is opened in one place and ends in another

The state cares about the well-being of its population. Therefore, it issues laws in the interests of working citizens. It is allowed to close sick leaves opened in one clinic by another medical institution.

This is only possible if the patient has been referred for further treatment. This is stated in Chapter. 1 tbsp. 6, paragraph 3 of Order No. 624 - N “the closure of the certificate of incapacity for work is carried out by the medical organization to which the citizen was referred (applied) for treatment.”

For closure, you need to contact the doctor of the medical institution indicated in the direction. You must have with you: a passport, SNILS, insurance policy and open sick leave.

You cannot simply come to any clinic with an open sick leave and demand closure. To do this, there must be a referral from the treating doctor.

If you don't have an appointment with a doctor

It is not necessary that the doctor who opened it should close the sick leave. It is possible to extend treatment even with another doctor.

Therefore, another specialist can also close the document. For this purpose, you must contact the clinic’s reception desk. The medical staff will refer you to the doctor who is conducting the appointment.

You need to take with you an open certificate of incapacity for work, a passport, SNILS, insurance policy and a medical card issued by the clinic’s registry.

How to get sick leave at a location other than your place of registration

Current labor legislation guarantees citizens not only the right to work, but also the opportunity to receive days of rest during vacation, as well as in connection with illness on the basis of a certificate of incapacity for work. In the article we will look at how to obtain a sick leave certificate not at the place of registration, how to issue a certificate of incapacity for work at the place of actual residence. A sick leave certificate, or a certificate of temporary incapacity for work, is a document that is issued to an employee upon contacting a medical institution and is the basis for receiving days of rest in connection with the disease.

Also, on the basis of the sick leave submitted by the employee at the place of duty, the employer accrues appropriate payments for the period of working capacity. The sick leave is issued on a standard form approved by order of the Ministry of Health and Social Development No. 347n dated April 26, 2011.

The form for a certificate of incapacity for work can be downloaded here⇒ .B

conclusions

A number of main conclusions can be drawn on the topic:

• The law does not oblige you to close your sick leave in the very institution that opened it. The document is closed by the organization to which the sick person was sent for treatment. It is possible to close a certificate of incapacity for work in another city if a doctor gives a referral.
• It is allowed to close the sickest patient ahead of time at his own request.
• The closed form contains the date when to start work, the doctor’s signature and three seals. An incorrectly completed document will not be subject to payment.
• To close the certificate of incapacity for work, you need to take with you: sick leave (if it was issued upon opening), passport, SNILS and insurance policy.

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As you know, many people try to “open” a certificate of incapacity for work in order to relax, gain strength, spend time with family, or for a more valid reason, for example, someone’s illness or death.

You see, people have such a “bad habit” - getting sick, taking medications uncontrollably, getting tested, undergoing examinations at the clinic, and then rushing to draw up a document about their temporary disability. But history is silent about someone rushing to close it ahead of schedule, and even at their own request (although most prefer to “push” until the maximum period of sick leave)…

For those who were wondering whether it is possible to close a sick leave at a clinic ahead of schedule, the answer is natural. If you have already recovered, the doctor has no right to keep you in the hospital forcibly.

But still, after an illness, it would be better to rest at home for a couple more days: to step away and gain strength. In the end, the disease may return and you will infect all your colleagues.

How to unlink from a clinic and join another in 2021

The provision of medical care in Russian state clinics is carried out upon registration.

The health worker makes some entries based on the data provided by the sick employee.

In this case, it is not the registration that matters, but the availability of medical insurance.

How to join a clinic in 2021? To make an appointment with a doctor at a public clinic, you must be affiliated with the appropriate medical institution. To attach, you do not need to be registered at the address of the clinic. You can choose the institution that is more convenient to contact.

How to detach from a clinic in 2021 and attach to another?

Medical assistance to Russian citizens can be provided on an emergency or planned basis. According to urgent indications, medical services are provided in case of serious conditions that are life-threatening.

In this case, you can contact any public clinic or medical institution.

In this case, Russian citizenship is not necessary.

How to close a sick leave - instructions

As the law says, you can even retroactively stop the worksheet at your own request, but only if you are pregnant, have children under seven years of age, or have disabled children.

The closing process itself can only be performed by the person who, in fact, opened it. Only if you started treatment in one clinic, and then, for some reason, transferred to another, is it allowed to “cover” it in the clinic where you recovered. Just remember to indicate in the document that you will continue treatment elsewhere.

The document about the end of the “rest” at one’s own request is practically no different from the document about the opening. Only if you decide to return to work earlier, you need to cross out the box on the form about the need to extend the period and write the date of leaving it.

Who can cover sick leave

The most common question in this case is whether the doctor can stop the action of the leaf ahead of schedule if the patient has not yet recovered?

You know, doctors, of course, are good people and are obliged to do everything to take good care of the health of everyone who comes to them, but they may not care at all whether you have recovered or not. If a person is inclined to want to work, as they say, of his own free will, who will stop him. Moreover, there are very few such cases.

As mentioned above, it is possible to end temporary disability. But whether this can be done ahead of schedule, if the date is already set, is a moot point.

Some health workers argue that it is possible, but sick leave will still be paid until the date indicated on the sheet, since the attending physician is unlikely to want to “edit” it.

Is it possible to close sick leave ahead of schedule?

You see, the cases are the same (you want to leave temporary disability at your own request), but the result is always unpredictable and different (refusal, misunderstanding, physical impossibility to close).

So if you want to quickly “end this” of your own free will, go to your usual clinics and familiar medical workers, or try to somehow solve this problem financially. And it is even more recommended that you do not want to go to work early. Save money and nerves. To prevent anything like this from happening at all, either with the opening or closing of something like this, please take care of yourself!

Is it possible to close a sick leave certificate at will?

If you are absolutely sure of your readiness to return to work, the attending physician has no right to refuse you and the form will be closed on the day of your request.

Many people do not go to work solely because they doubt whether the doctor can call off sick leave if the patient has not recovered. Here, an important role is played by who exactly is treating you: there are those who understand, and there are also those who do not want to enter into the situation and categorically refuse to help and suggest.

According to the law, health care workers who refuse to help you can face criminal charges.

Is it possible to close a sick leave in another clinic?

There are cases, of course, when they try to close the sheet at their own request in another clinic. According to the law, you have the right to be “issued” with a closed sick leave certificate, provided that you have completed your treatment there.

Is it possible to open a sick leave in one city and close it in another?

What also happens most often is that the patient began his treatment in one clinic, and then circumstances developed that he was forced to move to another city. It is this case that is a good reason to “fold” the document ahead of schedule.

Since many people tend to think that you are “too many” hospitals, all their doubts can be easily dispelled. For example, in the institution where you tried to improve your health and, accordingly, asked to open a sick leave there, the staff did not provide you with adequate assistance, or there was no necessary equipment there. Then you will simply be forced to “move” to another. That is, all of the above happened through no fault of yours. It is advisable to have written confirmation of this.

Deadline for submitting the closed sheet

Current legislation clearly defines the period during which sick leave must be closed. In paragraph 1 of Article 12 of Federal Law No. 255 of December 29, 2006

it says:

“Temporary disability benefits are assigned if the application for it follows no later than six months from the date of restoration of working capacity (establishment of disability), as well as the end of the period of release from work in cases of caring for a sick family member, quarantine, prosthetics and after-care.”

This means that a citizen is obliged to apply for benefits within six months from the moment of recovery. If the deadline established by law is met, the employer cannot refuse to accept the document and provide funds

. They also do not have the right to fire a citizen for absenteeism or apply penalties against him.

Having received closed sick leave, the employer is obliged to make payment. The timing of its implementation is fixed in Article 15 of Federal Law No. 255 of December 29, 2006

. The legal act states:

“The policyholder assigns benefits for temporary disability, maternity benefits, and monthly child care benefits within 10 calendar days from the date the insured person applies for it with the necessary documents. Payment of benefits is carried out by the policyholder on the day closest to the date of payment of wages after the appointment of benefits.”

According to Article 7 of Federal Law No. 255 of December 29, 2006

, the amount of payment depends on:

• insurance experience of the recipient of the payment;
• duration of temporary disability;
• the employee's salary.

If benefits were assigned but not received, the employee has the right to apply for funds within 3 years. This rule is enshrined in Article 15 of Federal Law No. 255 of December 29, 2006

. If the delay in providing the payment was due to the fault of the employer, the time limit is removed altogether.

A citizen is not obliged to notify the employer about resuming work after illness. There is no provision in Russian legislation obliging the action to be carried out. However, experts advise reporting the expected release date if the sick person’s responsibilities were assigned to another specialist.

General concepts

Before you find out how the sick leave is closed, you need to understand what kind of document it is from a regulatory point of view. Going on vacation due to temporary disability is one of the processes described in the Labor Code of the Russian Federation. Detailed information is contained in Article 183 of the regulatory document.

In accordance with it, sick leave is a forced leave associated with a temporary decrease in activity due to illness. A certificate of incapacity for work is a document that confirms the presence of an illness and represents the actual basis for granting release from work. In this case, the employee must receive a benefit, the amount of which is determined taking into account his average salary.

Conditions for granting sick leave:

• Statement of illness by a doctor;
• Treatment in a hospital setting (including during planned and emergency operations);
• The need to care for a close relative with an illness;
• Pregnancy, childbirth;
• Quarantine days.

Persons who have suffered fractures or other injuries can also count on leave, especially if this happened directly at work. In this case, compensation for damage caused to the employee is mandatory.

To obtain a certificate of incapacity for work, you must consult a doctor. After diagnostic procedures and confirmation of the presence of the disease, the patient is given a corresponding form. It indicates the citizen’s passport details, the name of the medical institution where it was issued, and the dates of release from labor obligations.

Attention! If necessary, you can close the sick leave at your own request. However, such a procedure must also be carried out taking into account the norms of the Labor Code of the Russian Federation. You should first find out in what cases this can be done without violations.