Application for payment of sick leave: sample 2021


How to draw up for the policyholder

In most cases, the application is submitted to the accounting department or human resources department at the place of work. In particular, it applies there if the employee is temporarily absent from work due to illness or due to the illness of a child.

If a certificate of incapacity for work is taken both at the first visit to the doctor and after discharge, then the application is written only after discharge. This usually happens simultaneously with the transfer of sick leave to the employer. The patient has the right to bring the sheet within 6 months after its closure; an application is written within the same period. The employer is given only 10 days to calculate and transfer documents to the Fund (Part 1 of Article 15 255-FZ). If the sick leave is extended (a new sheet is issued), then the patient has the right to bring several sheets at once or hand them over as each one is closed.

Payments will be made after the insured person brings the document to work. The accountant fills out the form and submits it to the Social Insurance Fund. Here's how to write an application for paid sick leave from the next day you return to work:

  1. Obtain a sample application from an accountant and HR officer.
  2. Write a request for payment on company letterhead by hand or ask a specialist to complete the application in writing, print it out and sign it.
  3. Indicate the start and end date of the illness, the number of the disability form.

If an employee goes on maternity leave, she writes a request to the employer for leave and payment of funds for a certificate of incapacity for work. The request is made in free form; there is no standardized form.

This is what a free-form application for sick leave looks like in the accounting department for maternity leave:

General Director of Ppt.ru LLC

Petrov P.P.

from secretary Egorova E.E.

Statement

I ask you to provide me with maternity leave for 140 calendar days from October 12, 2021 to March 01, 2021 and pay benefits based on certificate of incapacity for work No. 023 145 256 872 dated 10/12/2020.

Attachment: certificate of incapacity for work dated 10/12/2020 No. 023 145 256 872.

12.10.2020

______________ /Egorova E.E./

Sample application for payment of sick leave

Submit documents in electronic or paper form. If the average headcount of your company is 26 or more people, use the electronic method. Submit documents in the form of an electronic register. If the average number of employees is less than 25 people, then you can use the paper method.

The application for sick leave will be considered by the Social Insurance Fund

If there was an accident at work or an employee received an occupational disease, documents for the Fund are drawn up and transferred in the same order. But in expanded quantities. You must also submit a report on an industrial accident or a report on an occupational disease with copies of the investigation materials.

If the employee was employed at another company for the previous two years, the sick leave certificate must be submitted there. If there are 2 or more such enterprises, then sick leave is submitted to one of them, whichever the employee prefers, since the benefit must be paid by one employer.

Who is entitled to receive benefits under the BiR?

Important! If the application is written incorrectly, the responsibility will fall on him. By 2021, there are plans to introduce automation of all processes for processing the sheet, and there will no longer be a need to draw up an application.

Expert opinion

Mikhailov Vyacheslav Georgievich

Legal consultant with 8 years of experience. Specialization: civil law. Member of the Bar Association.

The assignment of payment is allowed only if an employee of the enterprise can provide evidence of the citizen’s incapacity for work. This paper can be a certificate of incapacity for work or a sick leave certificate.

What to do if you get sick after dismissal

The insured person has the right to submit an application for paid sick leave even after dismissal. The former employer accepts the request within six months, provided that the person fell ill within a month after dismissal (Part 3 of Article 13 255-FZ). Other important terms:

  • the insured event concerns only the dismissed employee, and not his relatives;
  • at the time of his illness he was officially unemployed.

Here's how to get a certificate of incapacity for work and give it to your employer after dismissal:

  1. Be sure to consult a doctor.
  2. Apply for a form at a clinic or hospital. Please provide the correct name of your former employer.
  3. Submit the certificate of incapacity for work and a written request for payment to the former employer. Please indicate in the letter: I ask you to start paying for sick leave from the day of illness. Describe the situation and refer to norm 255-FZ.
  4. Attach all necessary documents.
  5. Wait for benefits. The employer will process the document within 10 days and transfer the money on the next payday at the institution.

IMPORTANT!

If you apply for transfer of insurance benefits after dismissal, provide your passport and work record book. The calculator will record the absence of a new place of work.

Reimbursement for sick leave in 2021, documents, procedure

The procedure for compensation for sick leave in 2021 will follow a new scheme. The structure of document submission has changed. We will tell you about all the innovations, and step by step we will analyze the mechanism for receiving compensation for sick leave.

Compensation for sick leave, what's new in 2021

Important! If your employee has taken a sick leave, then the first three days of his illness are paid from the organization’s funds. And only for the remaining days of incapacity is it possible to receive compensation from social insurance.

A sample application for payment of sick leave after dismissal contains all of the above requirements. His example can be used to write your statement when applying to an employer for payment.

The law states that if an employee falls ill after leaving work, temporary disability benefits must be paid, regardless of length of service, in the amount of 60% of average earnings. The accounting department of the former employer calculates this amount.

The employer pays for the first three days at his own expense, the subsequent days - at the expense of the Social Insurance Fund.

The benefit is paid by the company

  • the person must be insured by the Social Insurance Fund: all employees officially employed in organizations that pay taxes;
  • the former employee himself was ill and was not caring for relatives;
  • the illness must occur no later than 30 calendar days from the date of termination of work at this enterprise;
  • the former employee must contact the former employer no later than 6 months after the end date of the sick leave;
  • the person at the time of opening the temporary disability certificate was unemployed and was not employed until the time of applying for payment;
  • the former employee must provide the company from which he left with a package of documents.

In order to receive the insurance payment required by law, the employee must submit an application for payment of a temporary disability certificate. The content will depend on the reason for drawing up the sheet; the principle of drawing up the document is the same for all cases.

How to apply to the FSS

In exceptional cases, the application is submitted directly to the Social Insurance Fund: during the liquidation of the employer enterprise, when conducting business activities in the status of an individual entrepreneur and self-employed. Self-employed people apply only if they pay insurance premiums.

Here are instructions on how to write a statement that I will not bring sick leave to the Social Insurance Fund:

  1. Download the unified form by type of insured event from Appendix No. 1 of FSS Order No. 578 dated November 24, 2017.
  2. Fill in the required fields - information about the insured person, type of insured event, passport, SNILS, details for transferring funds.
  3. Collect a package of supporting documents (birth certificate, certificate of non-receipt of benefits, etc.) and submit to the territorial office of the Social Insurance Fund along with the application.

Application for Payment of Sick Leave From an Employee Sample 2021

If you want to find out how to solve your particular problem, use the online consultant form in the lower right corner of the site or call direct numbers: - Moscow - - St. Petersburg - - Other regions - It's fast and free! CONTENTS: If the employee receives it in the traditional way (at the place of work), then there is no need to write an application. The basis for accrual of sick leave, the amount of which will be reflected in a certain column of the pay sheet, is.

Application form for payment of benefits (vacation pay) and samples of filling out the application

Does it need to be accompanied by a statement, in what cases is such a document written by the employee? CONTENTS: Legislative acts at the federal level oblige workers to transfer certificates of temporary disability to the employer in order to pay for the days on which they were absent.

The provisions of the regulatory documents determine that changing the year is allowed only when maternity leave or child care falls within the billing period of two years. If such vacations affect all two previous years, then the employee has the right to replace the years for two years.

ATTENTION.

From December 29, 2017, the forms approved by order of the Federal Insurance Service of the Russian Federation dated November 24, 2017 No. 578 are in effect.

TO THE EMPLOYEE:

TO THE EMPLOYER:

Sample letter to the Social Insurance Fund from the policyholder with an incorrectly completed electronic register

Application form for reimbursement of expenses for payment of temporary disability benefits (Appendix No. 3 to Order of the Federal Social Insurance Fund of the Russian Federation dated November 24, 2017 No. 578)

Form of a certificate calculating the amount of vacation pay (in addition to annual paid leave) for the entire period of treatment and travel to the place of treatment and back (Appendix No. 10 to the Order of the Federal Social Insurance Fund of the Russian Federation dated November 24, 2017 No. 578)

DOCUMENTS RO FSS:

Form of notification of the submission of missing documents or information (Appendix No. 4 to the Order of the Federal Social Insurance Fund of the Russian Federation dated November 24, 2017 No. 578)

Form of decision on refusal to assign and pay benefits for temporary disability (Appendix No. 5 to Order of the Federal Social Insurance Fund of the Russian Federation dated November 24, 2017 No. 578)

Form of decision to refuse to consider documents (information) (Appendix No. 9 to Order of the Federal Social Insurance Fund of the Russian Federation dated November 24, 2017 No. 578)

LIST OF DOCUMENTS submitted to the territorial body of the FSS of the Russian Federation for the assignment of benefits on paper

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What years can be replaced

The provisions of the regulatory documents determine that changing the year is allowed only when maternity leave or child care falls within the billing period of two years. If such vacations affect all two previous years, then the employee has the right to replace the years for two years.

In this case, you can choose not any other years, but only those that precede the years of maternity leave. The law prohibits choosing years arbitrarily. If you do this, social insurance may refuse to reimburse you for benefits.

In addition, a replacement can be made in any year in which there is a vacation or maternity leave, even part-time, and not just full-time. It is impossible to refuse a replacement, no matter how many days a year the employee was on maternity leave or vacation - a whole year or just a couple of days.

For example, Ivanova P.D. was on maternity leave in 2015 and 2016, and in February 2021 she went on maternity leave. According to legislative acts, it has the right to replace 2015 and 2021 with the years preceding them.

Attention! However, if maternity leave or child care leave lasts only one year, then the employee has the right to replace it only for one period during which the leave fell.

For example, Ivanova P.D. I was on maternity and maternity leave in 2021, and in November 2021, I went on maternity leave again. The periods of 2015 and 2021 are taken for the calculation. She has the right to make a replacement only in 2021, in 2013 or 2014 at her choice.

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Application for maternity leave: how to write it correctly

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