Form of certificate of temporary disability and control card. Form N 095/s-y

A certificate of temporary incapacity for work is a document indicating the inability of an employee (student) to perform a labor (educational) function. It represents a valid reason for absence from work or school. By presenting a certificate, you will be able to avoid disciplinary action, expulsion or dismissal.

If the reason for absence from work is recognized as valid (and this is precisely why the certificate is issued), the employee will receive all payments required by law to compensate for the period of forced disability.

At the same time, the certificate itself is not the basis for calculating payments, but it allows a person not to be present at the place of work for a period determined by the doctor in this document.

Cases in which a certificate of temporary disability of a child, student or employee is issued:

Illness of the person applying, exacerbation of a chronic disease;
An injury that interferes with work or study;
Caring for a child, relative or family member if necessary (in case of their illness);
The need for treatment, restoration of health in sanatorium (resort) conditions;
Installation of a prosthesis in a hospital;
Conducting a forensic medical examination (examination).

Certificates of temporary disability are issued by a therapist or pediatrician (for persons under 18 years of age) at the public or private medical institution where the treatment took place.

General information

A document - a form of certificate of temporary disability - is, at a minimum, an excuse to the management of a university, school or enterprise for a missed day. It is worth noting: if students are usually not expelled for one absence, then for employees of organizations, missing a day of work is a serious reason to say goodbye to their position, according to the law. In this case, the form - certificate of temporary disability 095/U is issued to schoolchildren and students of professional institutions, and form 095/S-U is used by students of higher institutions and those employed at the enterprise, as well as military personnel. The document is issued to the patient for a period of no more than 14 days. But, according to the doctor’s decision, its validity can be extended, then we will talk about another document - a medical extract. For students and schoolchildren, it provides an additional exemption from sports and vaccinations for 30 days according to the calendar.

Does the employer have the right not to hire him?

This is possible in the following cases:

personal information about the employee is entered incorrectly;
full name is not written;
errors when filling out your full name;
incorrect organization name;
Filling out the columns with a non-black gel pen, in capital letters.

In such a situation, the leaf is considered spoiled, and the honey. the institution that issued it must issue a duplicate. However, according to the law, technical errors are not grounds for refusal to pay compensation. There are cases of forgery of sick leave certificates.

TIP : To verify the authenticity of the certificate of incapacity for work, you need to make a written request to the territorial office of the FSS of Russia, attaching the original document to it.

If a forgery is discovered, material damages equal to the amount of temporary disability benefits paid can be recovered from an employee who was allegedly on sick leave.

If the employer refuses to accept or pay for sick leave, then in this case you need to find out the reason for the refusal and if it is legal, for example, there were errors in the form, contact the place of registration to issue a duplicate. If the employer’s actions are illegal, contact the Social Insurance Fund for clarification .

How to compose correctly

This document has a single unified form throughout the country. Therefore, the patient should not compile it independently. Moreover, forging a form is punishable by law. A certificate form is issued at medical institutions where the patient was treated, received follow-up treatment, or had a prosthesis installed.

It is important to note: organizations must have a special license. Institutions that issue certificate forms include city clinics, hospitals (including for military personnel), as well as sanatoriums and rehabilitation centers.

How to fill it out correctly

The certificate is filled out by the attending physician or employee of the medical organization to whom the patient applied. However, in order to verify its authenticity after receiving the document, it is important to know: the sample form for a temporary disability certificate must be filled out according to certain regulations:

The medical organization that provided the certificate is indicated at the top left. She must also put her own stamp.
At the top, in the right corner on the correct sample, there are special institution codes.
In the center, next to the printed name of the document, its registration number should be written. Important: employees are required to enter the certificate number in the account book - if necessary, the numbers are compared and the authenticity of the document is checked.
At the bottom, under the name, they usually indicate who the certificate is provided to - a student, a schoolchild, an employed person.
Below, in the center, is the date the document was issued.
Below it in the document are signed lines with the patient’s own data. These include: last name, first name, year of birth, where the document is submitted, diagnosis. And a recommendation on how long a student or schoolchild should interrupt classes, and whether there is a quarantine at the address.

The certificate must be sealed with the doctor’s signature and two seals: a triangular one, intended specifically for certificates, and a round one - the doctor’s personal seal with his signature and initials. A certificate filled out in accordance with all the rules will help justify missing a work or school day as a valid reason.

Departure procedure

A temporary break in the professional activity of a military person is a procedure consisting of several stages. These include:

contacting a special medical institution;
undergoing examination based on the issued referral;
expert opinion;
issuance of the relevant certificate;
submitting a report to the command;
issuance of an appropriate order.

Only after this the military man can temporarily interrupt his duties.

Where to contact which institution?

You must contact a military medical institution, which will refer the sick person for examination. This could be a sanitary unit or a medical center. After completing all the procedures, a conclusion is made, the doctor decides to issue the applicant with the appropriate certificate.

Obtaining a certificate of incapacity for work

A document that confirms the impossibility of a military member performing his duties in the army is a certificate or sick leave issued by a military physician. It is drawn up in writing, on a standard form established by Order of the Minister of Defense of the Russian Federation of October 20, 2014 N 765.

The certificate must contain:

Name of the institution that issued the document.
Date and registration number of the certificate.
Last name, first name, patronymic of the serviceman.
Date of application.
Diagnosis made.
The time period for which a person must be released from military service.
Doctor's signature and stamp.

The certificate is issued to the patient. It is a strictly reporting document and is executed on a numbered form.
Report
After receiving the certificate, the serviceman does not have the right to immediately interrupt the performance of duties in his position. He must write a reasoned report. Such a document is drawn up in writing.
It contains:
1. Information about the unit in which the soldier is serving, as well as information about the commander.
The period for which it is necessary to be released from duties.
The date of the report and the signature of the initiator.
A medical certificate is attached to the document. The report is sent to the unit commander.
Video about what a report is and how to draw it up correctly:
From what point can you not go to work?
After submitting the report, the commander studies it and makes a decision. It is expressed in the imposition of a resolution on a document. Based on this, an order is issued to grant leave to a military man.
This order specifies the start date of the break. It is from this date that the military has the right not to go to service. He will have to begin his duties at the end of his vacation or officially extend his sick leave if his condition has not improved.

Sample certificate of temporary disability

Often (this is especially typical among young people) there is a well-thought-out scheme - the temporary disability certificate form is falsified in order to avoid problems with study or work. To prevent the presence of non-original certificates, it is a good idea for the employer to see an example - the temporary disability certificate form filled out by the doctor must correspond to it.

What to pay attention to

It is worth noting that a document such as a certificate of temporary incapacity for work is most relevant specifically for students, because at work this form cannot serve as a reason for paying for absenteeism - sick leave is usually used for these purposes. But, as a supporting document, the certificate form can still be used by an employee of an enterprise or organization.

This scheme works in the case when an employee consulted a doctor in another city - during a business trip or personal trip. However, upon returning home, you still need to open a sick leave certificate. In addition, a certificate can replace a sick leave if the clinic is reorganized and other document forms are simply not available.

The certificate form is used when the doctor’s visit was a one-time visit and the injury was minor, as well as when calling an ambulance. Her specialists do not issue sick leave, but they can issue a certificate. Young mothers also receive a certificate if their child is sick, and pregnant women with a one-time illness. A certificate can also be issued during a forensic medical examination.

So, a temporary certificate of incapacity for work will help justify your absence from study or work, but at the same time does not serve as a basis for recalculating wages. It is important for patients to know that falsifying a certificate is punishable; only the attending physician can fill out and sign the document. In this case, certificates of temporary incapacity for work are allowed in advance

Sick Leave For Military Personnel From City Hospital Sample

In order to obtain such a certificate, the employee must undergo a special medical examination in a medical institution. The certificate of incapacity for work contains the seal and signature of the doctor who issued it. It always records the exact dates of the onset and end of the disease.

The document is drawn up in accordance with the rules set forth in the norms of the Orders of the Ministry of Health and Social Development. In a situation where the sick leave contains errors or does not have the necessary signatures and seals, it will not be accepted for payment.

With more than 8 years of experience, the amount of compensation payments will be calculated based on 100% of the employee’s average salary.

for military personnel in military positions (positions), the performance of military service duties in which is associated with an increased danger to life and health - for 15 days. The lists of these military positions are determined by the head of the federal executive body that provides for military service.

Certificates of incapacity for work

Article 358 of the Charter says that a sick soldier can be placed for inpatient treatment in the nearest infirmary only after an examination and the appropriate conclusion of a paramedic or doctor serving in the same regiment.

Also, depending on the type and characteristics of the disease, the doctor may refer the serviceman to a city or other hospital or clinic for outpatient or inpatient treatment.

During treatment, contract servicemen, if they have an appropriate doctor’s report, have the right to remain at home during the treatment.

If the second child falls ill after the certificate for the first child has been received, the previously issued document is simply extended for the period of his illness, which does not take into account the days on which only the first child is sick. The sheet itself must indicate the dates of illness and recovery of both children, as well as their names and ages.

Filling out a sick leave form

The column is filled in only when canceling a contract with an employee. Management has the right to cancel an employment contract if the employee does not show up for work on time. He is entitled to sickness benefits. Enter the start date of work under the employment contract in the field.

The final line contains the surname, initials and signature of the chief accountant. If the company does not have the position of chief accountant and his duties are performed by a manager, then the name and signature of the manager are duplicated.

Features of obtaining sick leave

They complain about high blood pressure, and when the doctor measures it, they forcefully press their feet into the floor. In this case, the pressure can really jump.
They eat a food to which they have an allergic reaction. In this case, a rash, runny nose, and suffocation appear. But try to be careful, otherwise you might actually end up in a hospital bed.
You can get the treasured document from a neurologist, complaining of severe back pain. At the appointment, they complain about their illness, which happened yesterday, describing a fever and a migraine.
Since in the acute stage of gastritis the doctor is obliged to issue a sheet, some malingerers do not eat for 24 hours, and then complain to the doctor about abdominal pain.

A certificate of temporary disability is issued by a doctor who has a special license.

It includes examination and diagnosis of a person’s disability due to illness. Sick leave can be obtained from the following institutions:

Sick leave report

Military personnel, due to their profession, risk their physical and psychological health, therefore the state guarantees them the right to be released from duty due to illness. The registration procedure takes place through military hospitals and the leadership of the unit. Some types of leave are available only to women who serve in the Armed Forces of the Russian Federation.

Full name and rank of commander;
Personal data of the serviceman who prepares the report;
Grounds for granting leave. This could be due to poor health or the presence of a serious illness.
Start and end dates of release from official duties.
List of attached documents that confirm the existence of a reason for leave.

Sick leave for a contract soldier

Above is a detailed list of situations in which military personnel will have the right to receive exemption from military service due to temporary disability for one reason or another. Knowing this information, you will be able to legally and reasonably defend your rights in this matter in any situation.

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Order on sick leave for military personnel

Overtime, additional payments ——— Legal support for military personnel In accordance with Part 2 of Art.

2 of the Federal Law of November 7, 2011 No. 306-FZ “On the monetary allowance of military personnel and the provision of individual payments to them”, the monetary allowance of a military serviceman performing military service under a contract consists of 1) a monthly salary in accordance with the assigned military rank and 2) a monthly salary in accordance with the military position held, which constitute the monthly salary of a serviceman, and 3) from monthly and other additional payments.—— 1) The amount of monthly salaries in accordance with the assigned military ranks of military personnel serving under a contract https://sc .mil.ru/social/money/soldiers_pay/pay_for_rank.htm 2) MONTHLY SALARY SIZES IN ACCORDANCE WITH MILITARY POSITIONS OF MILITARY SERVANTS PASSING MILITARY SERVICE UNDER CONTRACT Names of military positions Established from July 1, 2002 d. Tariff grades for regular military positions Salaries by military positions (in rubles) Military positions to be filled by soldiers, sailors, sergeants, petty officers, warrant officers and midshipmen performing military service under a contract Primary military positions of soldiers and sailors: gunner, motorcyclist, assistant grenade launcher 1 1000 Sniper, air gunner, grenade launcher 2 1100 Deputy commander of a combat vehicle, gunner-operator, senior grenade launcher 3 1150 Commander of a combat vehicle, commander of a grenade launcher, head of a tankodrome 4 1200 Deputy platoon commander, commander of a self-propelled artillery unit (heavy and medium) 5 1250 Chief of guard, chief of a simulator 6 1300 Tank commander ( with missile and gun weapons), head of a warehouse (weapons, missiles and ammunition: a separate company, battalion, division, regiment) 7 1350 Assistant commander of a landing boat, on-board test mechanic on supersonic jet aircraft 8 1400 Foreman (battalion, division, company, batteries), commander of a landing boat 9 1450 Military positions to be filled by officers Commander of a motorized rifle (tank) platoon 10 1600 Head of a squad in a company 11 1650 Deputy commander of a motorized rifle (tank) company 12 1700 Head of the R-135 radio station 13 1750 Commander of a motorized rifle ( tank) company , anti-aircraft missile battery 14 1800 Senior assistant to the chief of staff of a motorized rifle (tank) regiment 15 1850 Deputy commander of a motorized rifle (tank) battalion 16 1900 Deputy chief of staff of a motorized rifle (tank) regiment 17 1950—3)ORDER of the Minister of Defense of the Russian Federation dated 06/28/2002 245 ON MONETARY SATISFACTION OF MILITARY SERVANTS (2019) Relevant in 2020—https://docs.cntd.ru/document/902310088 A draft federal The law “On Amendments to the Federal Law “On Veterans”, the adoption of which will make it possible to grant the status of combat veterans to military personnel performing (performing) combat missions in Syria. Addition text: Combat veterans include: .

Source: https://yur-grupp.ru/materinskij-kapital/bolnichnyj-list-dlya-voennosluzhashhih-iz-gorodskoj-bolnitsy-obrazets