Temporary disability certificate (sample form)


Application for forms of certificates of incapacity for work

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How to fill out a sick leave certificate: step-by-step instructions for an employer

Note that the use of a simple ballpoint pen when drawing up a sample of a completed sick leave certificate in 2020 was recognized by the Supreme Court as a technical error. Therefore, they cannot refuse to pay benefits in favor of the patient in case of such a violation. The main thing is that all data is entered legibly and without errors.

However, it is acceptable to delegate authority to subordinates. For example, a simple accountant or personnel officer. It is important to consider that a representative of the personnel service can easily indicate the name of the enterprise, information about the insurance period, full name. manuals. But it is better to entrust the calculations to an accountant. Our instructions on how to properly issue sick leave in 2020, a sample for an accountant, will help you figure out the problem.

Who fills out the sick leave, an accountant or a personnel officer?

The chief accountant and director of the company are responsible for filling out sick leave. With their signatures, they confirm that the entered data has been checked and approved. As a rule, it is the accountant who does the filling. However, an employee of the personnel department may be required to enter certain information into the document, for example, length of service, company name, etc. Moreover, these powers must necessarily be provided for in the job description of the personnel officer.

As for the employee himself, who was on sick leave, he does not bear any responsibility for the correct filling out of the sick leave. Essentially, the employee does not fill out the document, so he will receive the payment in any case.

Recently, it is increasingly possible to encounter a situation where an employee brings to an organization a sick leave certificate that displays inaccurate information. The ballot may also be counterfeit. Often, checking it falls on the shoulders of an accountant. That is why, if there are any doubts about the correctness of filling out, it is necessary to conduct a thorough check. For example, to do this, you can contact the medical institution that issued the sick leave certificate to obtain a duplicate of it.

On the official website of the FSS, everyone can find information on how to recognize a fake temporary disability certificate. It differs from the original in color, texture, and watermark. If an accountant suspects an employee, he can always contact the regional office of the Social Insurance Fund. It is worth mentioning that if an employee of an organization receives benefits by presenting a fake document, he faces not only dismissal, but also criminal liability.

Temporary disability certificate (sample form)

  • in the case where the organization carrying out medical activities did not detect signs indicating temporary disability of the employee. The decision can be challenged by convening a committee of doctors;
  • when medical treatment was carried out or an examination was carried out during a medical examination at the direction of military commissariats;
  • persons who have an administrative arrest or are in custody will be denied a certificate of incapacity for work;
  • persons undergoing medical examinations periodically, for example, in an occupational pathology center;
  • in the case of a chronic disease without exacerbation conditions, taking into account various procedures and manipulations in a clinic;
  • Persons studying in educational institutions that provide training in secondary, professional and higher professional activities or in institutions of a postgraduate nature will not be able to receive a sheet.

If possible, you can fill out the sheet using a computer or other suitable device. After this, you just need to print the form on a printer. When filling out a document manually, you should use only capital letters. It is also recommended to use a black ballpoint pen for this.

How to draw up a document

Despite the presence of a standard unified form, the design of form 182n is left to the compiler. Information can be entered into it by hand (with a ballpoint pen of any dark color, but not in pencil) or filled out on a computer, on letterhead (conveniently, the document contains all the necessary details of the employing company) or on an ordinary A4 piece of paper.

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It is not necessary to stamp the certificate using a seal, since since 2020, legal entities, as previously and individual entrepreneurs, are exempt from the requirement of the law to certify their documentation using stamps (unless this norm is specified in the internal local acts of the company).

The only condition that must be strictly observed: the presence of “live” autographs of the head of the enterprise (or a person authorized to act on his behalf), as well as the chief accountant (the use of facsimile signatures, i.e. printed in any way, is excluded).

The certificate is usually made in one copy , but if necessary, the employer can issue certified copies of it in the required quantity.

Sick leave register

  • Company name;
  • journal opening date and end date (entered, of course, after the document is closed);
  • person responsible for maintaining the journal;
  • if the organization has adopted a nomenclature of cases, then you need to provide a link to the journal index in accordance with this accounting document.

Based on the slip, the employee is subsequently paid a disability benefit and at the same time the same document serves as the basis for reimbursement to the employer of part of the paid benefit from the Social Insurance Fund (the organization pays the employee only for three days - everything else comes from the state extra-budgetary fund).

Sick leave form 2020 download excel

The amount of payments accepted for calculating benefits is subject to maximum and minimum limits. Cannot exceed: for a year - thousand. If payments for the year were less than the minimum wage established at the beginning of the calculated year, then to calculate the benefit, the minimum wage approved on the day the insured event began is taken. Next, the average daily earnings are calculated: the total amount of payments is divided by the number - the accepted number of days for 2 years. This number is constant and does not depend on the actual number of days in the year.

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What accounting data is recommended to be included in the certificate for this purpose can be read below. How to correctly fill out an application form for sick leave: calculating benefits Step-by-step filling out a certificate How to fill out a certificate-calculation if there is a continuation of sick leave Results How to correctly fill out an application form for sick leave: calculating benefits After receiving sick leave from an employee, the accountant must calculate the disability benefit, in order to pay money to the employee on the basis of correctly drawn up documents and receive compensation from the Social Insurance Fund.

Results

To be confident in the calculations of sick leave benefits, it is recommended that the calculation certificate indicate all the necessary accounting data and their sources. A correctly completed application to the sick leave will allow you to pay benefits in full and avoid troubles with inspection authorities.

To calculate sick leave, you should know the following values:

  • insurance period - what it is and how it is calculated, read;
  • salary for the last 2 calendar years;
  • the number of calendar days worked in this period;
  • number of sick days to be paid.

Calculate the amount of sick leave benefits using the online calculator -.

Sick leave form 2020 download excel

All sickness benefits are financed by the social insurance fund - either in full, or, as in the case of an employee’s incapacity for work, from the fourth day of illness. Most employees get sick at least once a year, and parents also register for their children. As a result, a significant amount accrues towards compensation from the Social Insurance Fund.

If the certificate of incapacity for work was issued due to the fact that the employee was injured at work, then it is necessary to fill out a special field on the form. This is the date from which the act of form N-1 was issued. If the employee’s illness is not related to injuries at work (sample of sick leave by the employer for 2019), this field is not filled out.

How to fill out a sick leave certificate for an employer in 2020: procedure and sample of completion

The procedure for filling out a sick leave certificate by a medical institution is regulated by the affixing of a disability code by the attending physician without a detailed prescription of the diagnosis. The specified code gives the organization’s accountant the opportunity to determine the size

assigned monetary benefit.

Citizen in whose name the sheet is issued

disability, does not enter any information into the form.
His task is to promptly receive a correctly completed form from the medical institution and transfer it to his employer. The general algorithm for paying
cash benefits is as follows:

Instructions for filling out sick leave for a doctor

The first section of the document is filled out by the attending physician. Before issuing a sick leave certificate to a recovered patient, he must enter the following information here:

  • a note indicating that this is a primary form or a duplicate;
  • indicate the name of the medical institution, its exact address and registration number;
  • fill in the date of issue of the document;
  • information about the patient, his date of birth and full name;
  • the name of the company for which the sick leave is taken. As a rule, the doctor cannot know this, so he writes it down from the patient’s words;
  • the place of work for which the document is issued is indicated. Perhaps this is a part-time job;
  • if the sick leave was taken in order to care for a relative, you need to indicate the degree of relationship and his passport details;
  • the relevant sections are filled out if the cause of the disease is disability or pregnancy;
  • the doctor indicates his position and the period for which the patient was released from work;
  • the date from which the employee must begin his work duties is indicated;
  • the doctor’s signature, his initials, the hospital’s seal.

Having received the sick leave certificate in hand, the patient is obliged to hand it over to the employer for further completion. He must complete the bottom section of the document.

Help calculation for sick leave 2020

But keep in mind: real payments are taken into account and are not indexed in any way. No. 212-FZ “On insurance contributions to the Pension Fund of the Russian Federation, the Social Insurance Fund of the Russian Federation, the Federal Compulsory Medical Insurance Fund and territorial compulsory medical insurance funds”).

If you were on maternity leave or maternity leave (at least one day) in the calculation years (year), then, if desired, in the maternity leave calculator, you can replace the year (one year) with the previous year (year) (see Replace years for other reasons (for example, if you didn’t work) it’s impossible. Before that, she was on maternity leave for 3 years 2015-2018. If a woman was on maternity leave for the whole year, then you can safely take this year, i.e. j. The exact date of maternity leave is determined exclusively by the doctor on the sick leave. And if, for example, a woman worked for only a year out of two calculation years (a month, a year and a half - it doesn’t matter), and the rest of the time was simply unemployed, then they are still divided by 730. If the employee was on maternity or child leave during the two years included in the calculation, one or both years of the calculation period can be replaced with the previous ones (255-FZ Article 14).To do this, she must write a special application.

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Why do you need to attach a certificate to your sick leave?

Let's explain with an example. When calculating benefits, the following restrictions are taken into account:

  • the maximum amount of an employee’s average earnings cannot exceed the sum of the limits for calculating insurance contributions to the Social Insurance Fund for the billing period (Part 1, 3.2 of Article 14 of the Law of December 29, 2006 N 255-FZ). When calculating benefits in 2020, it is 1,473,000 rubles. (RUB 718,000 + RUB 755,000) (clause 3 of Article 421 of the Tax Code of the Russian Federation, Government Resolution No. 1265 dated November 26, 2015, No. 1255 dated November 29, 2016);
  • Average daily earnings, on the basis of which temporary disability benefits are calculated in 2020, cannot exceed RUB 2,017.81. (RUB 1,473,000 / 730 days) (Part 3 of Article 14 of the Law of December 29, 2006 N 255-FZ, clause 15(1) of the Regulations, approved by Government Decree of June 15, 2007 N 375).

Let's assume that the employee's actual earnings for 2016-2017. is equal to 1,918,000 rubles, and the average daily earnings is 2,627.40 rubles. Then on the sick leave you will need to indicate in the column (clause 66 of the Procedure, approved by Order of the Ministry of Health and Social Development of June 29, 2011 N 624n):

  • “Average earnings for calculating benefits” in the amount of 1,473,000 rubles,
  • “Average daily earnings” amounted to 2,017.81 rubles.

From a sick leave filled out in this way, FSS employees will certainly be able to understand that the employee’s actual average earnings exceed the sum of the maximum bases for the billing period. But they will not be able to verify the correctness of the benefit calculation.

And if the employer used information from the dismissal certificate to calculate sick leave issued by the previous employer, then without an attachment to the certificate of incapacity for work, little will be clear at all.

The old sick leave form must be filled out in a new way

Note : In certificates of incapacity for work issued for caring for a child under 3 years of age (a disabled child under 18 years of age) in the event of illness of the mother (the person actually caring for this child), the line “Last name, first name, patronymic of the disabled person” is filled in according to the child's mother.

Note. This type of disability is indicated in the case of issuing certificates of incapacity for work to care for a sick child under the age of 14, a sick disabled child under the age of 18, as well as a sick family member who has reached the age of 14. In this case, the name, date of birth of the child or the surname, initials, date of birth of the person who has reached the age of 14, who are being cared for, are indicated in the line of the certificate of incapacity “Special notes”;

Calculation form for temporary disability benefits in 2019 download

“On approval of the forms of documents used for the payment of insurance coverage and other payments in 2012-2019 in the constituent entities of the Russian Federation participating in the implementation of a pilot project providing for the appointment and payment of insurance coverage to insured persons for compulsory social insurance in case of temporary disability and in connection with maternity and compulsory social insurance against accidents at work and occupational diseases, other payments and expenses by territorial bodies of the Social Insurance Fund of the Russian Federation"

Therefore, a certificate for calculating sick leave is often called simply a calculation. Of course, the question may arise: why fill out such a certificate at all if all the main indicators for calculating benefits are indicated on the sick leave itself - in the part that is filled out by the employer? But still not everything. Let's explain with an example.

How to reimburse expenses for payment of benefits from the Social Insurance Fund starting in 2020: what has changed

From 2020, pension, medical and insurance contributions for temporary disability and maternity will be administered by the tax authorities. The Federal Tax Service will need to submit reports on these types of insurance premiums as part of a single calculation approved by Order of the Federal Tax Service of Russia dated October 10, 2019 No. ММВ-7-11/551.

Policyholders (organizations or individual entrepreneurs) will reduce insurance premiums for the benefits specified in this application. The total amounts of insurance premiums for temporary disability and maternity will need to be shown in section 1 of the single calculation form for insurance premiums, approved by Order of the Federal Tax Service of Russia dated October 10, 2019 No. ММВ-7-11/551.

Sample sick leave for 2020

Payment for BL is made in the same manner as in previous periods, with some exceptions. Firstly, the base for accrual is taken for the years 2020 and 2020, and secondly, the minimum and maximum for accrual are set taking into account new data:

  • patient injury or illness;
  • caring for a family member who is ill;
  • quarantine of the employee himself or his child under 7 years of age, as well as an incapacitated relative;
  • follow-up treatment in a sanatorium, after hospitalization;
  • prosthetics, if medically indicated.

Sick leave in 2020

Earning limit:

  • 2016 – 718,000 rubles;
  • 2017 – 755,000 rubles.

The average daily earnings for calculating sick leave in 2020 will now be 2020.81 rubles, that is, the maximum values ​​(755 thousand + 718 thousand), divided by 730 days.

Sick leave is paid both from the Social Insurance Fund and from the employer. In this case, the first three days of incapacity are paid by the employer, and the rest by the Social Insurance Fund.

Some types of sick leave are paid in full by the Social Insurance Fund. Such sick leaves include certificates issued when caring for sick family members, or during the quarantine of a child or the employee himself, as well as during follow-up treatment in a sanatorium and some other cases.

The legislative framework

Legislative acts and instructions governing settlements with accountable persons (in particular, employees of the enterprise) are constantly changing. An accountant has to keep his finger on the pulse all the time. We will try to make the hard work of accounting a little easier: we will provide instructions for finding the average daily earnings for calculating sick leave in Excel, as well as the basic rules for calculating temporary disability benefits.

Help calculation for sick leave 2020

Calculation years Take the two years preceding the year of maternity leave (in 2020, this is from January 1, 2020 to December 31, 2017). In the case described just above, one year is actually taken, because And if, for example, a woman worked for only a year out of two calculation years (a month, a year and a half - it doesn’t matter), and the rest of the time was simply unemployed, then they are still divided by 730. Maternity leave is issued by the Social Insurance Fund on sick leave for a period of 140 to 194 days .

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If only the calculation of minimum maternity payments changes. It is found in some areas of Siberia, Karelia and the Far East. You can only take a full year from January 1 to December 31. Minimum (according to the minimum wage) - 51,918.9 (from January 1, 2020), 51,380.38 (from the year); Maximum - 301095.20 (in 2020), 282493.40 (in 2020).

Calculation of average earnings for sick leave

You can calculate directly in the payroll sheet or keep separate records of sick leave payments.

Many accountants keep payroll records in Excel. For example, in February 2020, 2 people were on sick leave. Bobrovsky - from 8 to 12.02. Pronkin - from 15 to 17.02. In the column “Number of sick days” we put the number of days of temporary disability. For Bobrovsky – 5. For Pronkin – 3.

The billing period for each is 2014-2015. Since the accountant has saved all the statements with accruals in Excel, when finding the total amount, you can make references to the corresponding cells. Accruals are taken without taking into account deductions and maintenance. In our example, the column “Total accrued” (column O).

Average earnings taking into account insurance experience – SUM(Jan2014:Dec2015!O13)/730*VIEW(C13;{0;5;8};{0.6;0.8;1}).

Let us multiply the value obtained as a result of the second formula by the number of days of temporary working capacity. The final formula for calculating accruals for sick leave:

For separate accounting and calculation of sick leave payments, you can use the following form:

Accruals in the billing period are entered manually. The total amount is calculated automatically.

Formula for calculating average daily earnings: =B28/730.

Taking into account the length of service: =E7*VIEW($C$1;{0;5;8};{0.6;0.8;1}).

Calculation of temporary disability benefits: =E8*E9.

Disability certificate form download excel

After receiving the listed documents, the hiring company has five days to submit them to the territorial office of the Social Insurance Fund. You must first check whether they comply with all the rules of the Fund, otherwise the latter will refuse to refund the funds.

A sick leave calculation certificate is a document that contains the calculation of temporary disability benefits or maternity benefits. Such a certificate is attached to the sick leave certificate. In this article we will analyze in detail why a sick leave calculation certificate is filled out, and we will also provide a sample of such a certificate for 2020.

Where can I get the form?

Any organization that has a valid license for medical activities, which also includes services for the examination of temporary disability, can issue a certificate.

A citizen can count on receiving a document from:

  • attending physician;
  • paramedic and dentist, as well as other medical workers with secondary education, in accordance with the decision of the executive authorities of the constituent entities of the Russian Federation in the field of healthcare;
  • attending physicians of clinics and research institutes of prosthetics and prosthetics.

A person working in an ambulance, blood transfusion, hospital emergency department, mud bath, or special medical organizations cannot issue and approve a certificate of incapacity for work. These include preventive medical centers and forensic bureaus.

A citizen can receive a document on the day of applying to the institution or at the time the sick leave closes. But, if the slip was issued to receive benefits in connection with pregnancy and childbirth, then it will be issued on the closing day.

If the patient is sent to another clinic, then the sheet is issued on the day of treatment, and he can extend or close it already in the institution where he was sent.

If treatment has been carried out for a long time, the medical organization issues a new certificate of incapacity for work, and the previous one is issued for payment of benefits.

Disability certificate form download excel

A special department of the FSS monthly updates the list of invalid numbers and posts it on the website (stolen and lost forms are included in this section). In the search bar in the document, you must enter the sheet number - if it is not found, then the document is invalid.

Let us remind you that it is possible to exclude some days from the calculation period only when calculating maternity benefits, but not sickness benefits (clause 3.1 of Article 14 of the Federal Law of December 29, 2006 No. 255-FZ). In addition, the document must contain the calculation of the benefit itself and indicate which part of it is to be paid at the expense of the organization’s funds, and which part at the expense of the Federal Social Insurance Fund of the Russian Federation.

Rules for calculating sick leave

1.

Temporary disability benefits due to illness or injury are paid:

  • for the first three days - at the expense of the policyholder;
  • for the remaining period starting from the 4th day of temporary disability - at the expense of the budget of the Social Insurance Fund of the Russian Federation.

In other cases of temporary disability (caring for a sick family member, quarantine, prosthetics, after-care in a sanatorium), the benefit is paid from the budget of the Social Insurance Fund of the Russian Federation from the first day of disability.

2.

Temporary disability benefits are paid for calendar days, i.e. for the entire period for which the certificate of incapacity for work was issued.

There are exceptions to this rule, for example, temporary disability benefits are not awarded for the period of suspension from work in accordance with the legislation of the Russian Federation, if wages are not accrued for this period (the full list of exceptions is listed in paragraph 1 of Article 9 of the Federal Law of December 29. 2006 No. 255-FZ).

3.

Temporary disability benefits are paid depending on the employee’s length of insurance coverage.

Please note that in 2020, the insurance period has not changed and is still determined according to the rules of Part 1 of Art. 7 of Law No. 255-FZ and amounts to:

The length of service is calculated according to the work record book. If an employee has lost this document, then the length of service can be calculated using employment contracts and certificates from previous places of work (clause 8 of the Rules approved by order of the Ministry of Health and Social Development of Russia dated February 6, 2007 No. 91). If the employee does not have a work record book, a contract, or certificates, then you can request salary information from the Pension Fund of Russia branch.

4.

To calculate the average earnings of an employee, you need to take all payments for which insurance premiums were calculated in the two previous calendar years.

5.

The benefit is calculated based on the average earnings of the insured person, calculated for 2 calendar years preceding the year of temporary disability, including during work (service, other activities) with another policyholder (other policyholders).

6.

The average daily earnings for calculating temporary disability benefits are determined by dividing the amount of accrued earnings in the billing period by 730.

Conclusion:

When calculating temporary disability benefits, there should always be two starting points:

    The billing period will always be 2 full calendar years.

    Earnings in the billing period will always be divided by 730.

sick leave calculation 2020 new form download

At the end of 2020, only changes from 2020 are taken into account and no new ones have appeared yet. First, it’s worth saying that there are a large number of forms that differ depending on the type of car and its owner - LLC or individual entrepreneur. For example, for a bus there is form No. 6, and for trucks cars - No. 4-P.

Therefore, there are requirements for organizing the operation of the vehicle. To do this, you specifically need to issue waybills, when filling out which it will be useful to know the appropriate form and mandatory details of the 2020 waybill. Where to get such a document and how to work with it correctly will be discussed in this article.

Sick leave sheet excel

We recommend recording the number of pages on which the report was published after completing the report. Below, only the left part is filled in - information about the payer of insurance premiums. Date and signature are added. The insurance premium payer or his representative must put the date and signature not only on the title page, but also on several others where space is provided for this. For our LLC, we include the following pages in the report: Section 1.

The document should not contain corrections, blots, or inaccurate information. All information must be entered in the designated fields. The characters must be strictly within the cells; they are prohibited from going beyond the edge.

13 Jan 2020 lawurist7 140

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