Order of the Ministry of Health and Social Development of the Russian Federation

On approval of the Procedure for issuing certificates of incapacity for work

1. Approve the Procedure for issuing certificates of incapacity for work in accordance with the appendix.

2. Declare invalid:

Order of the Ministry of Health and Social Development of the Russian Federation of August 1, 2007 N 514 “On the procedure for issuing certificates of incapacity for work by medical organizations” (registered by the Ministry of Justice of the Russian Federation on November 13, 2007 N 10476);

order of the Ministry of Health and Social Development of the Russian Federation dated October 27, 2008 N 593n “On amendments to the Procedure for issuing certificates of incapacity for work by medical organizations, approved by order of the Ministry of Health and Social Development of the Russian Federation dated August 1, 2007 N 514” (registered by the Ministry of Justice of the Russian Federation 1 December 2008 N 12774);

Order of the Ministry of Health and Social Development of the Russian Federation dated December 18, 2008 N 737n “On amendments to the Procedure for issuing certificates of incapacity for work by medical organizations, approved by order of the Ministry of Health and Social Development of Russia dated August 1, 2007 N 514” (registered by the Ministry of Justice of the Russian Federation on January 28, 2009 N 13205).

Minister
T. Golikova

Application

The procedure for issuing certificates of incapacity for work

I. General provisions

1. A certificate of incapacity for work * (1) is issued to insured persons who are citizens of the Russian Federation, as well as foreign citizens and stateless persons permanently or temporarily residing in the territory of the Russian Federation (hereinafter referred to as citizens), specified in Article 2 of the Federal Law of December 29, 2006 No. 255-FZ “On compulsory social insurance in case of temporary disability and in connection with maternity” * (2) (hereinafter referred to as Federal Law of December 29, 2006 N 255-FZ):

persons working under employment contracts;

state civil servants, municipal employees;

persons holding government positions in the Russian Federation, government positions in a constituent entity of the Russian Federation, as well as municipal positions filled on a permanent basis;

members of a production cooperative who take personal labor participation in its activities;

clergy;

lawyers, individual entrepreneurs, members of peasant (farm) households, individuals not recognized as individual entrepreneurs (notaries engaged in private practice, other persons engaged in private practice in accordance with the legislation of the Russian Federation), members of family (tribal) communities of indigenous peoples of the North, who voluntarily entered into legal relations under compulsory social insurance in case of temporary disability and in connection with maternity and pay insurance contributions for themselves to the Social Insurance Fund of the Russian Federation in accordance with Article 4*(5) of the Federal Law of December 29, 2006 N 255-FZ;

other categories of persons who are subject to compulsory social insurance in case of temporary disability and in connection with maternity, compulsory social insurance against industrial accidents and occupational diseases in accordance with federal laws, subject to the payment by them or for them of insurance contributions to the Social Insurance Fund of the Russian Federation;

persons whose illness or injury occurred within 30 calendar days from the date of termination of work under an employment contract, performance of official or other activities, or during the period from the date of conclusion of the employment contract until the day of its cancellation *(3).

A certificate of incapacity for work is also issued:

women dismissed due to the liquidation of organizations, due to termination of activities as an individual entrepreneur, termination of powers by a notary engaged in private practice, termination of the status of a lawyer, for whom pregnancy occurred within 12 months before they were recognized as unemployed in the prescribed manner *(4) ;

citizens recognized as unemployed and registered with state employment services in the event of illness, injury, poisoning and other conditions associated with temporary disability, during prosthetics in a hospital, pregnancy and childbirth, when adopting a child *(5) ;

insured persons from among foreign citizens and stateless persons temporarily staying in the territory of the Russian Federation, who have lost their ability to work due to an industrial accident or occupational disease *(6).

2. The issuance of certificates of incapacity for work is carried out by persons who, in accordance with the legislation of the Russian Federation on licensing, have a license for medical activities, including work (services) for the examination of temporary disability * (7).

The certificate of incapacity for work is issued by medical workers of the specified persons, including:

attending physicians of medical organizations;

paramedics and dentists of medical organizations (hereinafter referred to as paramedics and dentists), other employees with secondary medical education in some cases - by decision of the executive authority of the constituent entities of the Russian Federation in the field of healthcare;

attending physicians of clinics of research institutions (institutes), including clinics of research institutions (institutes) of prosthetics or prosthetics - in agreement with the Ministry of Health and Social Development of the Russian Federation.

3. Medical workers do not issue certificates of incapacity for work:

emergency medical services organizations;
blood transfusion organizations;
reception departments of hospital institutions;
balneological hospitals and mud baths;
medical organizations of a special type (centers for medical prevention, disaster medicine, forensic medical examination bureaus);
healthcare institutions for supervision in the field of consumer rights protection and human well-being.

4. Certificates of incapacity for work are issued upon presentation of an identity document. If a citizen at the time of temporary disability or maternity leave is employed by several employers and in the two previous calendar years before the issuance of a certificate of incapacity for work was employed by the same employers, several certificates of incapacity for work are issued for each place of work *(8).

5. The issuance and extension of a certificate of incapacity for work is carried out by a medical worker after examining a citizen and recording data on his state of health in the medical record of an outpatient (inpatient) patient, justifying the need for temporary release from work.

Forms of certificates of incapacity for work are registered in the primary medical documentation indicating their number, dates of issue and extension, discharge of the citizen to work, information about the referral of the citizen to another medical organization.

6. A certificate of incapacity for work is issued and closed, as a rule, in one medical organization. When a citizen is sent for treatment to another medical organization, a new certificate of incapacity for work (continued) is issued by the medical organization to which the citizen was sent, with the exception of the cases mentioned in paragraphs 25, 31 - 33 of this Procedure.

7. Documents confirming the temporary disability of citizens during their stay abroad (after a legalized transfer), by decision of the medical commission of a medical organization (hereinafter referred to as the medical commission), can be replaced with certificates of incapacity for work of the standard standard in the Russian Federation.

8. Certificates of incapacity for work are issued in accordance with Chapter IX of this Procedure.

9. The procedure for providing certificates of incapacity for work, their recording and storage is carried out in accordance with the order of the Social Insurance Fund of the Russian Federation and the Ministry of Health of the Russian Federation dated January 29, 2004 N 18/29 “On approval of the Instructions on the procedure for providing certificates of incapacity for work, their registration and storage "(registered by the Ministry of Justice of Russia on February 19, 2004 N 5573) as amended by order of the Ministry of Health and Social Development of Russia and the Social Insurance Fund of the Russian Federation dated July 23, 2004 N 42/130 (registered by the Ministry of Justice of Russia on August 3, 2004 N 5956).

10. Control over compliance with the established procedure for issuing certificates of incapacity for work is carried out by the Federal Service for Supervision in the Sphere of Healthcare and Social Development together with the Social Insurance Fund of the Russian Federation * (9).

II. The procedure for issuing a certificate of incapacity for work in case of illnesses, occupational diseases, injuries, including those received as a result of an industrial accident, poisoning (some other consequences of external causes)

11. For outpatient treatment of diseases (injuries), poisoning and other conditions associated with temporary loss of working capacity by citizens, the medical worker alone issues a certificate of incapacity for work at a time for up to 10 calendar days (until the next examination of the citizen by a medical worker) and single-handedly extends it for a period of up to 30 calendar days. For periods of temporary incapacity for work exceeding 30 calendar days, a certificate of incapacity for work is issued by decision of the medical commission * (10).

12. The paramedic or dentist alone issues a certificate of incapacity for work at a time for up to 5 calendar days and extends it for up to 10 calendar days, and in exceptional cases, after consultation with the medical commission of the medical organization (according to subordination) - up to 30 calendar days (from mandatory recording of the consultation in the primary medical documentation).

13. If the period of temporary incapacity for work exceeds 30 calendar days, the decision on the issue of further treatment and issuance of a certificate of incapacity for work is carried out by a medical commission.

Doctors licensed for medical activities, including work (services) for the examination of temporary disability, if the period of temporary disability exceeds 30 calendar days, refer the citizen to a medical commission at the medical organization at the place of his attachment or registration at the place of residence (at the place of stay, temporary residence) to extend the certificate of incapacity for work.

By decision of the medical commission, with a favorable clinical and work prognosis, a certificate of incapacity for work can be issued in the prescribed manner until the day of restoration of working capacity, but for a period of no more than 10 months, and in some cases (injuries, conditions after reconstructive operations, tuberculosis) - for a period of no more 12 months, with renewal intervals by decision of the medical commission at least every 30 calendar days.

14. In case of illnesses, occupational diseases (injuries, including those received as a result of an industrial accident), when treatment is carried out in an outpatient setting, a certificate of incapacity for work is issued on the day of establishment of temporary incapacity for work for the entire period of temporary incapacity for work, including non-working holidays and weekends .

It is not allowed to issue a certificate of incapacity for work for the past days when the citizen was not examined by a medical professional. The issuance of a certificate of incapacity for work over the past period of time can be carried out in exceptional cases by decision of the medical commission when a citizen applies to a medical organization or is visited by a medical worker at home.

15. For citizens who seek medical help after the end of working hours (shift), at their request, the date of release from work on the certificate of incapacity for work may be indicated from the next calendar day.

16. A citizen sent to a medical organization from a health center and recognized as incapacitated for work is issued a certificate of incapacity for work from the moment of contacting the health center if there are medical documents confirming his incapacity for work.

17. Citizens who need treatment in a specialized medical organization are issued a certificate of incapacity for work directly from the specialized medical organization. In exceptional cases, a certificate of incapacity for work is issued by a medical worker when sending a citizen to a specialized medical organization of the appropriate profile to continue treatment.

18. A citizen who is temporarily disabled and sent for consultation (examination, treatment) to a medical organization located outside the administrative region, by decision of the medical commission that sent him, is issued a certificate of incapacity for work for the number of days required to travel to the location of the relevant medical organization .

19. When a citizen is discharged after inpatient treatment, a certificate of incapacity for work is issued for the entire period of inpatient treatment. If temporary incapacity for work continues, the certificate of incapacity for work can be extended up to 10 calendar days.

20. Citizens sent by court decision for a forensic medical or forensic psychiatric examination who are recognized as incapacitated for work are issued a certificate of incapacity for work from the day the citizen appears for the examination.

21. In some cases (complex urological, gynecological, proctological and other studies, manipulations, procedures) during outpatient treatment using the intermittent method, a certificate of incapacity for work may be issued by decision of the medical commission for the days of the relevant study (manipulations, procedures).

In these cases, the certificate of incapacity for work indicates the days of research (manipulations, procedures) and release from work is carried out on the days of research (manipulations, procedures).

22. If temporary disability occurs during the period of unpaid leave, maternity leave, parental leave until the child reaches the age of 3 years, a certificate of incapacity for work is issued from the date of end of these vacations in case of continuing temporary disability.

23. In case of temporary disability of persons on parental leave until the child reaches the age of 3 years, working part-time or at home, a certificate of incapacity for work is issued on a general basis.

24. In case of temporary disability due to illness (occupational disease, injury, including that received as a result of an industrial accident, poisoning) of a citizen occurring during the period of annual paid leave, a certificate of incapacity for work is issued in accordance with this Procedure, including during the period follow-up treatment in a sanatorium-resort institution.

25. Citizens sent by medical organizations and health authorities of the constituent entities of the Russian Federation for treatment at clinics of research institutions (institutes) of balneology, physiotherapy and rehabilitation, sanatorium and resort institutions, including specialized (anti-tuberculosis) sanatorium and resort institutions, are issued a certificate of incapacity for work. by a medical professional based on the decision of the medical commission for the duration of treatment and travel to and from the place of treatment.

If there are appropriate medical indications, the certificate of incapacity for work is extended by the attending physician of the specified clinics and sanatorium-resort institutions.

The certificate of incapacity for work is closed by the medical organization that referred the citizen for treatment.

26. A certificate of incapacity for work is not issued to citizens:

those who seek medical help from a medical organization if they do not show signs of temporary disability;
undergoing medical examination, medical examination or treatment at the direction of military commissariats;
in custody or administrative arrest;
undergoing periodic medical examinations (examinations), including in occupational pathology centers;
with chronic diseases without exacerbation (worsening), undergoing examination, undergoing various procedures and manipulations in an outpatient setting;
students of educational institutions of primary vocational, secondary vocational and higher vocational education and institutions of postgraduate vocational education * (11).

In these cases, at the request of the citizen, an extract from the medical record of the outpatient (inpatient) patient is issued.

In case of illness (injury, poisoning) of students of educational institutions of primary vocational, secondary vocational and higher vocational education and institutions of postgraduate vocational education during the period of paid work during industrial practice, as well as in the case of their performance of work under an employment contract, a certificate of incapacity for work is issued in accordance with with the present Order.

III. The procedure for issuing a certificate of incapacity for work when sending citizens for a medical and social examination

obvious unfavorable clinical and labor prognosis, regardless of the duration of temporary disability, but no later than 4 months from the date of its start;

favorable clinical and work prognosis with temporary disability lasting over 10 months (in some cases: conditions after injuries and reconstructive operations, in the treatment of tuberculosis - over 12 months);

the need to change the professional rehabilitation program for working disabled people in the event of a worsening clinical and work prognosis, regardless of the disability group and the duration of temporary disability.

28. If disability is established, the period of temporary disability ends on the date immediately preceding the day of registration of documents at the ITU institution.

29. Temporarily disabled persons who have not been diagnosed with a disability may be issued a certificate of incapacity for work by decision of the medical commission until their ability to work is restored, with the periodicity of extending the certificate of incapacity for work by decision of the medical commission at least after 30 days or until re-directed to medical examination.

30. If a citizen refuses to be referred to ITU or fails to appear on time for ITU for an unexcused reason, the certificate of incapacity for work is not extended from the date of refusal to be referred to ITU or registration of documents at the ITU institution; information about this is indicated in the certificate of incapacity for work and in the medical record of the outpatient (inpatient) patient.

IV. The procedure for issuing a certificate of incapacity for work for the period of sanatorium treatment

31. When sending patients for follow-up treatment to specialized sanatorium-resort institutions located on the territory of the Russian Federation, immediately after inpatient treatment, the certificate of incapacity for work is extended by a medical worker by decision of the medical commission of a specialized sanatorium-resort institution for the entire period of follow-up treatment, but not more than 24 calendar days days*(13).

The certificate of incapacity for work is closed by the organization that referred the citizen for further treatment to a specialized sanatorium-resort institution.

32. When sending persons injured in connection with a serious accident at work to sanatorium-resort treatment during a period of temporary incapacity for work (before referral to MSE), a certificate of incapacity for work is issued for the entire period of treatment and travel in accordance with this Procedure.

The closure of the certificate of incapacity for work is carried out by the organization that sent the citizen injured in connection with a serious accident at work to sanatorium-resort treatment.

33. When medical organizations send patients with tuberculosis on vouchers to specialized (anti-tuberculosis) sanatorium-resort institutions for treatment in the case where sanatorium-resort treatment replaces inpatient treatment, as well as for follow-up treatment after inpatient treatment, a certificate of incapacity for work is issued by decision of the medical commission of the anti-tuberculosis dispensary and extended by the medical commission of a specialized (anti-tuberculosis) sanatorium-resort institution for the entire period of treatment, follow-up treatment and travel in accordance with this Procedure.

The certificate of incapacity for work is closed by the organization that referred the citizen for treatment (follow-up treatment) in a specialized (anti-tuberculosis) sanatorium-resort institution.

V. The procedure for issuing a certificate of incapacity for caring for a sick family member

34. A certificate of incapacity for work for caring for a sick family member is issued by a medical worker to one of the family members (guardian, trustee, other relative) who is actually providing care.

35. A certificate of incapacity for work is issued to care for a sick family member *(14):

a child under the age of 7 years: during outpatient treatment or the joint stay of one of the family members (guardian, trustee, other relative) with the child in an inpatient treatment facility - for the entire period of an acute illness or exacerbation of a chronic disease;

a child aged 7 to 15 years: during outpatient treatment or the joint stay of one of the family members (guardian, trustee, other relative) with the child in a stationary medical institution - for a period of up to 15 days for each case of illness, if, according to the conclusion of the medical the commission does not require a longer period;

a disabled child under the age of 15 years: during outpatient treatment or the joint stay of one of the family members (guardian, trustee, other relative) with the child in a stationary medical institution - for the entire period of an acute illness or exacerbation of a chronic disease;

children under 15 years of age infected with the human immunodeficiency virus - for the entire period of joint stay with the child in a hospital treatment facility;

children under 15 years of age: in case of their illness associated with a post-vaccination complication, malignant neoplasms, including malignant neoplasms of lymphoid, hematopoietic and related tissues - for the entire period of outpatient treatment or joint stay of one of the family members (guardian, trustee, other relative) with a child in a hospital treatment facility;

children under the age of 15 years living in the resettlement zone and the zone of residence with the right to resettlement, evacuated and resettled from the zones of exclusion, resettlement, residence with the right to resettlement, including those who were in a state of fetal development on the day of evacuation, as well as children of the first and subsequent generations of citizens born after radiation exposure of one of the parents - for the entire duration of the illness * (15);

children under the age of 15 years suffering from diseases due to radiation exposure on their parents - for the entire duration of the illness * (16);

over 15 years of age: for outpatient treatment - for up to 3 days, by decision of the medical commission - up to 7 days for each case of illness.

36. If necessary, a certificate of incapacity for work to care for a sick child may be issued alternately to different family members within the time limits established by paragraphs 11, 12, 13 and 35 of this Procedure.

37. A certificate of incapacity for caring for a sick family member is issued in accordance with paragraphs 11, 12, 13 and 35 of this Procedure.

38. If two children become ill at the same time, one certificate of incapacity for work is issued to care for them. If more than two children become ill at the same time, a second certificate of incapacity for work is issued.

39. If the second (third) child falls ill during the illness of the first child, the certificate of incapacity for work issued to care for the first child is extended until all children recover, without counting the days that coincided with the days of release from work to care for the first child. At the same time, the certificate of incapacity for work indicates the dates of the onset and end of the disease, the names, and ages of all children.

40. A certificate of incapacity for work is not issued for care:

for a sick family member over 15 years of age during inpatient treatment;
for chronic patients during remission;
during the period of annual paid leave and unpaid leave;
during maternity leave;
during the period of parental leave until the child reaches the age of 3 years.

41. If a child falls ill during a period when the mother (another family member actually caring for the child) does not need to be released from work (annual paid leave, maternity leave, parental leave until the child reaches the age of 3 years, leave without pay), a certificate of incapacity for work to care for a child (in the case when he continues to need care) is issued from the day when the mother (another family member actually caring for the child) must start working.

VI. The procedure for issuing a certificate of incapacity for work during quarantine

42. In case of temporary suspension from work of citizens who have been in contact with infectious patients, or citizens identified as bacteria carriers, a certificate of incapacity for work is issued by an infectious disease specialist, and in his absence, by the attending physician. The duration of suspension from work in these cases is determined by the approved periods of isolation of persons who have had infectious diseases and have come into contact with them.

43. During quarantine, a certificate of incapacity for caring for a child under 7 years of age attending a preschool educational institution, or for a family member recognized as incompetent in the established manner, is issued by the attending physician who supervises the child (family member recognized as incompetent in the established manner) , one of the working family members (guardian) for the entire period of quarantine established on the basis of a decision of the Government of the Russian Federation or an executive body of a constituent entity of the Russian Federation, a local government body, as well as a decision of authorized officials, a federal executive body or its territorial bodies under whose jurisdiction there are defense and other special purpose objects adopted in accordance with Article 31 of the Federal Law of March 30, 1999 N 52-FZ “On the Sanitary and Epidemiological Welfare of the Population” * (17).

44. Citizens working in public catering, water supply, and child care institutions, if they have helminthiasis, are issued a certificate of incapacity for work for the entire period of deworming.

VII. The procedure for issuing a certificate of incapacity for prosthetics

45. Citizens sent by a medical organization for prosthetics to an inpatient specialized institution are issued a certificate of incapacity for work by this medical organization for the duration of travel to the place of prosthetics. The issued certificate of incapacity for work is extended by a medical worker of a stationary specialized institution for the entire period of prosthetics and the time of travel to the place of registration at the place of residence (at the place of stay, temporary residence).

VIII. Procedure for issuing certificates of incapacity for work during pregnancy and childbirth*(18)

46. A certificate of incapacity for work for pregnancy and childbirth is issued by an obstetrician-gynecologist, in his absence - by a general practitioner (family doctor), and in the absence of a doctor - by a paramedic. A certificate of incapacity for work for pregnancy and childbirth is issued at 30 weeks of pregnancy at a time for a duration of 140 calendar days (70 calendar days before childbirth and 70 calendar days after childbirth).

In case of multiple pregnancy, a certificate of incapacity for work for pregnancy and childbirth is issued at 28 weeks of pregnancy at a time for a duration of 194 calendar days (84 calendar days before childbirth and 110 calendar days after childbirth).

If a woman, when contacting a medical organization within the prescribed period, refuses to receive a certificate of incapacity for work during pregnancy and childbirth for the period of maternity leave, her refusal is recorded in the medical documentation. When a woman, before giving birth, repeatedly applies for a certificate of incapacity for work for maternity leave for maternity leave, the certificate of incapacity for work is issued for 140 calendar days (194 calendar days for multiple pregnancies) from the date of the initial application for the specified document, but not earlier than the date established by the first or second paragraphs of this paragraph.

47. In the case when the diagnosis of multiple pregnancy is established during childbirth, a certificate of incapacity for work for pregnancy and childbirth is issued for an additional 54 calendar days by the medical organization where the birth took place.

48. In case of complicated childbirth, a certificate of incapacity for work for pregnancy and childbirth is issued for an additional 16 calendar days by the medical organization where the birth took place.

49. For childbirth occurring between 28 and 30 weeks of pregnancy, a certificate of incapacity for work for pregnancy and childbirth is issued by the medical organization where the birth took place for a period of 156 calendar days.

50. In case of termination of pregnancy up to 27 full weeks of pregnancy, the birth of a stillborn fetus or a live fetus that did not survive the first 6 full days (168 hours), a certificate of incapacity for work is issued in accordance with Chapter II of this Procedure for the entire period of incapacity for work, but for a period not less than three days. If the newborn survives the first 6 full days (168 hours), a certificate of incapacity for work for pregnancy and childbirth is issued for a period of 156 calendar days.

51. Women living (working) in settlements exposed to radioactive contamination as a result of the accident at the Chernobyl nuclear power plant (in the residence zone with the right to resettle), as well as women living in settlements exposed to radiation contamination as a result of the accident at the Mayak production association and discharges of radioactive waste into the Techa River, a certificate of incapacity for work for pregnancy and childbirth for prenatal leave is issued for a duration of 90 calendar days * (19).

52. When maternity leave occurs while a woman is on annual basic or additional paid leave, or parental leave until she reaches the age of 3 years, a certificate of incapacity for work for pregnancy and childbirth is issued on a general basis.

53. A woman who has adopted a child under the age of 3 months is issued a certificate of incapacity for work from the date of adoption for a period of up to 70 calendar days (for the simultaneous adoption of two or more children - for 110 calendar days) from the date of birth of the child.

54. When carrying out an in vitro fertilization procedure, a certificate of incapacity for work is issued to a woman by a medical organization in accordance with a license for medical activities, including work (services) in obstetrics and gynecology and examination of temporary disability, for the entire period of treatment (stimulation of superovulation, ovarian puncture and embryo transfer) until determining the result of the procedure and travel to and from the medical organization.

In cases where the medical organization that carried out in vitro fertilization procedures does not have a license to perform work (services) for the examination of temporary disability, a certificate of incapacity for work is issued to the woman by the medical organization at her place of registration at the place of residence (at the place of stay, temporary residence) on the basis of an extract (certificates) from an outpatient card issued by a medical organization that performed in vitro fertilization procedures.

55. During an operation to terminate a pregnancy, a certificate of incapacity for work is issued in accordance with paragraph 11 of this Procedure for the entire period of incapacity for work, but for a period of at least 3 days, including in case of termination of a short-term pregnancy.

IX. Filling out a certificate of incapacity for work

56. Entries on the certificate of incapacity for work are made in Russian in printed capital letters in black ink or using printing devices. You can use a gel, capillary or fountain pen. The use of a ballpoint pen is not permitted. Entries on the certificate of incapacity for work should not go beyond the boundaries of the cells provided for making the corresponding entries, and also should not come into contact with the boundaries of the cells.

All entries in specially designated cells are entered starting from the first cell.

The seals of a medical organization or medical and social examination institution may protrude beyond the designated area, but should not fall into the cells of the information field of the certificate of incapacity form.

The seal of a medical organization must correspond to the name specified in the charter of the medical organization. When issuing certificates of incapacity for work in some medical organizations (psychiatric, drug treatment organizations, centers for the prevention and control of AIDS and infectious diseases, etc.), special seals or stamps may be used without indicating the organization’s profile.

If there are errors in filling out a certificate of incapacity for work, it is considered damaged and a new certificate of incapacity for work is issued in its place.

57. When filling out the spine of the form for a certificate of incapacity for work:

in the line “primary” a corresponding mark “V” is made if the certificate of incapacity for work is primary;

in the line “duplicate” a mark “V” is placed in the case when, due to the loss of a certificate of incapacity for work, a duplicate certificate of incapacity for work is issued to the insured person by the attending physician and the chairman of the medical commission;

in the line “continuation of sheet N” the number of the previous certificate of incapacity for work is indicated if the issued certificate of incapacity for work is a continuation of a previously issued certificate;

in the line “Date of issue --” the day, month, year of issue of the certificate of incapacity for work is indicated;

in the line “(surname, initials of the doctor)” the surname of the medical worker who issued the certificate of incapacity and his initials (with a space of one cell) is indicated;

in line “N of the medical history” the number of the medical record of the outpatient or inpatient patient is entered;

“in the line “place of work - name of organization” it is indicated
full or abbreviated name of the organization, or the surname and initials of the employer - an individual (with an interval of one cell);
in the field “recipient's receipt” the signature of the citizen who received the certificate of incapacity for work is placed.

58. When filling out the section “TO BE COMPLETED BY A DOCTOR OF THE MEDICAL ORGANIZATION” of the certificate of incapacity for work:

the lines “primary”, “duplicate”, “continuation of sheet No.” are filled out in accordance with paragraphs two - four of paragraph 57 of this Procedure;

in the line “(name of medical organization)” the full or abbreviated name of the person holding a license for medical activities, including work (services) for the examination of temporary disability, who was provided with medical care and issued a certificate of incapacity for work, is indicated;

in the line “(address of the medical organization)” the address for the provision of medical services by a person holding a license for medical activities, including work (services) for the examination of temporary disability (name of urban or rural settlement, street, house number, building, apartment (office), corresponding to the address of the actual issuance of certificates of incapacity for work and the implementation of medical activities in accordance with the license for medical activities. Entering the specified data is carried out at intervals of one cell, the building number is indicated through the sign “/” in the cell after the house number, the apartment (office) number is indicated through a space of one cell after the number of the house or building (for example, |Б|а|р|н|а|у|л||С|у|х|о|в|а||5|/|3||13|) «;

the line “Date of issue --” indicates the day, month and year of issue of the certificate of incapacity for work;

in the line “(OGRN)” the main state registration number of the person holding a license for medical activities, including work (services) for the examination of temporary disability, who issued the certificate of incapacity for work, is indicated;

in the line “Full name” in the appropriate cells the surname, first name and patronymic (patronymic is indicated if available) of the temporarily disabled citizen are indicated in accordance with the identity document;

in the line “Date of birth --” the date of birth of the disabled citizen is indicated;

in cells “m” “f” the corresponding mark “V” is placed;

in the line “Cause of disability”:

in the “code” cells the corresponding two-digit code is indicated:

01 - disease;
02 - injury;
03 - quarantine;
04 - industrial accident or its consequences;
05 - maternity leave;
06 — prosthetics in a hospital;
07 - occupational disease or its exacerbation;
08 - follow-up treatment in a sanatorium;
09 - caring for a sick family member;
10 — other condition (poisoning, manipulation, etc.);
11 - the disease specified in paragraph 1 of the List of socially significant diseases, approved by Decree of the Government of the Russian Federation of December 1, 2004 N 715 * (20);
12 - in case of illness of a child under 7 years of age included in the list of diseases determined by the Ministry of Health and Social Development of the Russian Federation in accordance with Part 5 of Article 6 of the Federal Law of December 29, 2006 N 255-FZ;
13 - disabled child;
14*(21) - in case of an illness associated with a post-vaccination complication, or in case of a malignant neoplasm in a child;
15*(21) - HIV-infected child;

in the “additional code” cells, an additional three-digit code is indicated:

017 - during treatment in a specialized sanatorium;
018 - for sanatorium-resort treatment in connection with an accident at work during a period of temporary incapacity for work (before referral to medical examination);
019 - during treatment in the clinic of a research institution (institute) of balneology, physiotherapy and rehabilitation;
020 - with additional maternity leave;
021 - in case of illness or injury resulting from alcohol, drug, toxic intoxication or actions related to such intoxication;

in the “change code” cells, the corresponding two-digit code (from those listed above) is indicated in the event of a change in the cause of temporary disability;

in the line “(place of work - name of organization)” the full or abbreviated name of the organization (separate division) is indicated; surname and initials of the policyholder - an individual (with an interval of one cell);

in the line “Basic” a mark “V” is made if the certificate of incapacity for work is issued for presentation at the main place of work;

in the line “Part-time work No.” a mark “V” is made if the certificate of incapacity for work was issued for presentation at the place of work for an external part-time job and the number of the certificate of incapacity for work issued for presentation at the main place of work is indicated;

in the line “Registered with state employment service institutions” a mark “V” is made if there is information that the citizen is recognized as unemployed in the prescribed manner; in case of putting this mark, the lines “(place of work - name of organization)”, “Main”, “Part-time No.” - are not filled in;

in the “date 1” line, the date of change in the cause of disability, the expected date of birth, the start date of the voucher are entered - when sending tuberculosis patients on vouchers to specialized (anti-tuberculosis) sanatorium-resort institutions for treatment in the case when sanatorium treatment replaces inpatient treatment, as well as after-care after inpatient treatment, when a citizen is referred by a medical organization for treatment to a clinic of a research institution (institute) of balneology, physiotherapy and rehabilitation; when referred for follow-up treatment to specialized sanatorium-resort organizations (departments) immediately after inpatient treatment; when sending persons injured in connection with a serious accident at work to sanatorium-resort treatment during a period of temporary incapacity for work (hereinafter referred to as a voucher for treatment (aftercare);

in the line “date 2” the end date of the voucher for treatment (follow-up treatment) is entered;

in the line “Voucher N” the number of the voucher for treatment (follow-up treatment) is indicated;

in the line “OGRN of a sanatorium or clinic of a research institute”, a sanatorium-resort institution, a clinic of a research institution (institute) of balneology, physiotherapy and rehabilitation indicates the main state registration number in accordance with the document confirming the state registration of the medical organization;

The “care” subsection is filled in in case of caring for a sick family member (including during the quarantine of a child):

in the line “age (years/month)” in the first two cells the number of full years of the sick family member being cared for is indicated, and in the case of caring for a sick child under the age of 1 year, the first two cells are not filled in, but the second two cells indicate the child’s age in months;

in the line “family relationship” the corresponding two-digit code is indicated:

38 - mother;
39 - father;
40 - guardian;
41 - trustee;
42 - another relative who is actually caring for a sick family member;

in the line “Name of the family member being cared for” the surname, first name, patronymic (patronymic is indicated if available) of the citizen being cared for (with spaces in one cell).

When caring for two children at the same time, in the first row of cells of the named line the age, relationship, surname, first name, patronymic of the first child being cared for is indicated, in the second row of cells of the said line the mentioned data for the second child being cared for is indicated. When caring for more than two children at the same time, when a second certificate of incapacity is issued, in the first and second row of cells of the named lines the age, relationship, surname, name, patronymic of other children being cared for are indicated, the remaining lines (columns) of the certificate of incapacity are drawn up identical to the lines (columns) of the first certificate of incapacity for work.

In the line “Registered in the early stages of pregnancy (up to 12 weeks)” in the “yes” “no” cells, a “V” is marked if the relevant information is available.

In the line “Notes on violation of the regime”, depending on the type of violation, the following two-digit code is indicated:

23 - failure to comply with the prescribed regimen, unauthorized leaving the hospital, traveling for treatment to another administrative region without the permission of the attending physician;
24 – late attendance at a doctor’s appointment;
25 - going to work without being discharged;
26 - refusal to refer to a medical and social examination institution;
27 - late appearance at the medical and social examination institution;
28 - other violations.

The date of the violation is indicated in the “Date --” line, and the signature of the attending physician is placed in the “Doctor’s signature” field.

If there were no violations of the regime, the specified lines are not filled in.

In the line “Stayed in hospital” in cells “From --” “to --” the start and end dates of the citizen’s inpatient treatment are entered accordingly, and in the table “Exemption from work” on the certificate of incapacity for work, a record is made of the duration of treatment.

In the case of long-term inpatient treatment and the need to submit a certificate of incapacity for payment, the corresponding terms of treatment are indicated in the table “Exemption from work” and the line “Stayed in hospital”; in the line “Other” the corresponding two-digit code is entered - “continues to be ill”.

When discharged from a hospital, a disabled citizen is issued a new certificate of incapacity for work, which is a continuation of the previously issued one, while in the line “Was in hospital” the total duration of treatment is indicated, and in the table “Exemption from work” the terms of treatment minus the days indicated in the previously issued certificate of incapacity for work .

The issuance of a certificate of incapacity for work during treatment in a “day hospital” is carried out according to the rules established for the issuance of certificates of incapacity for work during outpatient treatment.

59. When sent for a medical and social examination (MSE), the certificate of incapacity for work indicates the corresponding dates in the lines: “Date of referral to the ITU bureau: --”, “Date of registration of documents in the ITU bureau: --”, “Examined at the ITU bureau: -” --".

In the line “Disability group established/changed”, the disability group (1, 2, 3) is indicated in Arabic numerals if, as a result of examination at an ITU institution, the person’s disability group is established or changed.

In the field “Signature of the head of the ITU bureau” the signature of the head of the ITU bureau is placed.

60. In the table “Exemption from work”:

in the column “From what date” the date (day, month and year) from which the citizen is released from work is indicated;

in the column “By what date” the date (day, month and year) (inclusive) is indicated on which the citizen is released from work.

For outpatient treatment, the extension of the certificate of incapacity for work is carried out from the day following the day the citizen is examined by a doctor. Each extension of a certificate of incapacity for work is recorded in separate rows of the table column.

When issuing a duplicate certificate of incapacity for work, in the columns “From what date” and “To what date” of the “Exemption from work” table, the entire period of incapacity for work is indicated in one line.

When issuing a certificate of incapacity for work by decision of the medical commission, including for the past time, in the columns “Position of the doctor” and “Last name and initials of the doctor or identification number”, the surname, initials and position of the attending physician, the surname and initials of the chairman of the medical commission after each case are indicated , considered by the medical commission.

During treatment (follow-up treatment) in a specialized (anti-tuberculosis) sanatorium-resort institution, a certificate of incapacity for work is drawn up (opened) and signed by the attending physician of the medical organization and the chairman of the medical commission before the citizen’s departure for sanatorium treatment (follow-up treatment).

In the treatment of tuberculosis, when sanatorium-resort treatment replaces hospital treatment, in the columns “From what date” and “To what date” of the table “Exemption from work” the days of stay in the sanatorium-resort institution are indicated in one line, taking into account the days required to travel to place of treatment and back.

“On approval of the Procedure for issuing certificates of incapacity for work”

No. 255-FZ “On compulsory social insurance in case of temporary disability and in connection with maternity” (Collected Legislation of the Russian Federation, 2007, No. 1, Art. 18, 2009, No. 30, Art. 3739, 2010, No. 50, Art. 6601 ) and in order to streamline the issuance of documents certifying the temporary disability of citizens, I order:

2. Declare invalid:

Order of the Ministry of Health and Social Development of the Russian Federation dated October 27, 2008 No. 593n “On introducing

changes to the Procedure for issuing certificates of incapacity for work by medical organizations, approved by order of the Ministry of Health and Social Development of the Russian Federation dated August 1, 2007 No. 514" (registered by the Ministry of Justice of the Russian Federation on December 1, 2008 No. 12774);

Order of the Ministry of Health and Social Development of the Russian Federation dated December 18, 2008 No. 737n “On amendments to the Procedure for issuing certificates of incapacity for work by medical organizations, approved by order of the Ministry of Health and Social Development of Russia

dated August 1, 2007 No. 514" (registered by the Ministry of Justice of the Russian Federation on January 28, 2009 No. 13205).

Appendix to the order

Ministry of Health and Social Development of the Russian Federation

The procedure for issuing certificates of incapacity for work

I. General provisions

1. A document certifying temporary disability

citizens and confirming their temporary release from work is a certificate of incapacity for work *. issued for illnesses, occupational diseases, injuries, including those received as a result of industrial accidents, poisoning and other conditions associated with temporary loss of ability to work, for the period of follow-up treatment in sanatorium-resort institutions, if it is necessary to care for a sick family member, for the period of quarantine , for the duration of prosthetics in a hospital setting, for the period of maternity leave, when adopting a child.

A certificate of incapacity for work is issued to insured persons who are citizens of the Russian Federation, as well as foreign citizens and stateless persons permanently or temporarily residing in the territory of the Russian Federation (hereinafter referred to as citizens):

working under employment contracts; state civil servants, municipal employees;

persons holding government positions in the Russian Federation, government positions in a constituent entity of the Russian Federation, as well as municipal positions filled on a permanent basis;

members of a production cooperative who take personal labor participation in its activities;

clergy; lawyers, individual entrepreneurs, members of peasant

(farm) households, individuals not recognized as individual entrepreneurs (notaries engaged in private practice, other persons engaged in activities established by law

Russian Federation in private practice), family members

* The form of the certificate of incapacity for work was approved by order of the Ministry of Health and Social Development of the Russian Federation dated April 26, 2011 No. 347n (registered by the Ministry of Justice of Russia on June 10, 2011 No. 21026)

(tribal) communities of indigenous peoples of the North, who voluntarily entered into legal relations under compulsory social insurance in case of temporary disability and in connection with maternity and pay insurance contributions for themselves to the Social Insurance Fund of the Russian Federation in accordance with Article 4 5 of the Federal Law of December 29, 2006 No. 255-FZ “On compulsory social insurance in case of temporary disability and in connection with maternity” (Collected Legislation of the Russian Federation, 2007, No. 1, Art. 18; 2009, No. 30, Art. 3739);

other categories of persons who are subject to compulsory social insurance in case of temporary disability and in connection with maternity, compulsory social insurance against industrial accidents and occupational diseases in accordance with federal laws, subject to the payment by them or for them of insurance contributions to the Social Insurance Fund of the Russian Federation;

persons whose illness or injury occurred within 30 calendar days from the date of termination of work under an employment contract, performance of official or other activities, or during the period from the date of conclusion of the employment contract until the day of its cancellation.

A certificate of incapacity for work is also issued:

women dismissed in connection with the liquidation of organizations and in connection with the termination of activities as an individual entrepreneur, termination of powers by a notary engaged in private practice, termination of the status of a lawyer, for whom pregnancy occurred within 12 months before they were recognized as unemployed in the prescribed manner;

citizens recognized as unemployed and registered with state employment services in the event of illness, injury, poisoning and other conditions associated with temporary disability, during prosthetics in a hospital, pregnancy and childbirth, when adopting a child;

insured persons from among foreign citizens and stateless persons temporarily staying in the territory of the Russian Federation, who have lost their ability to work due to an industrial accident or occupational disease.

The certificate of incapacity for work is issued by medical workers of the specified persons, including:

attending physicians of medical organizations; paramedics and dentists of medical organizations, in some

cases - by decision of the healthcare management body of a constituent entity of the Russian Federation, agreed with the territorial body of the Fund

social insurance of the Russian Federation (hereinafter referred to as paramedics and dentists);

attending physicians of specialized (anti-tuberculosis) sanatoriums;

attending physicians of clinics of research institutions (institutes), including clinics of research institutions (institutes) of prosthetics or prosthetics - in agreement with the Ministry of Health and Social Development of the Russian Federation.

3. Medical workers do not issue certificates of incapacity for work: emergency medical care organizations; blood transfusion organizations; reception departments of hospital institutions;

balneological hospitals and mud baths; medical organizations of a special type (medical centers

prevention, disaster medicine, forensic bureau);

healthcare institutions for supervision in the field of consumer rights protection and human well-being.

Order No. 624 and other regulatory acts on sick leave

What documents regulate the issuance and payment of sick leave?

The state guarantees any sick person insured against temporary disability to retain their job and average earnings. The main document that confirms the length of time an employee is on sick leave and serves as the basis for calculating benefits is a certificate of incapacity for work. The legislation imposes quite strict requirements for the issuance and execution of a ballot. The main regulatory legal acts (LLA) regulating the issue of provision and payment for the ballot:

Labor Code.
Order of the Ministry of Health and Social Development “On approval of the procedure for issuing certificates of incapacity for work” dated June 29, 2011 No. 624n.
Law “On compulsory social insurance in case of temporary disability and in connection with maternity” dated December 29, 2006 No. 255-FZ.

Let us consider the provisions of the above-mentioned legal acts in more detail.

How the Labor Code regulates periods of incapacity (Articles 124, 183, 255, etc. of the Labor Code of the Russian Federation)

Labor legislation regulates the procedure for organizing working time and rest for personnel. Labor Code of the Russian Federation sick leave and the process of its issuance or registration does not regulate, but determines the periods of incapacity for work of the employee and the procedure for their payment. Let's look at exactly what guarantees are provided by this regulatory legal act:

Art. 81 protects an employee from dismissal during illness at the initiative of the employer.
Art. 124 provides for the extension or transfer of the main vacation to another period if the employee falls ill while on vacation.
According to Art. 183 Labor Code of the Russian Federation in 2016 sick leave The employee is paid by the employer according to the average earnings for the entire period of incapacity.
If an employee receives an injury (mutilation) during work, then according to Art. 184 Labor Code in 2016 sick leave. as well as all costs associated with treatment are paid by the employer in full.
Art. 255-256 require the employer to allow a pregnant woman to go on maternity leave (B&R) upon providing the latter with a certificate of incapacity for work, and subsequently, at the request of the employee, to provide her with maternity leave.

The procedure for payment and calculation of benefits is regulated by Law on sick leave. Let's consider its provisions in more detail.

Regulations on calculating benefits in accordance with Law 255-FZ

Law 255-‑FZ regulates the conditions, amounts and algorithm for providing sick persons with benefits. Chapter 1 describes the general provisions of this law, and also defines the order of relations in the circle “employee - employer - Social Insurance Fund”. According to Art. 2 of this legal act, benefits can only be received by those persons for whom insurance contributions to the Social Insurance Fund are paid.

All conditions for providing benefits, as well as its amount, are determined by Chapter 2 of the law. According to this section, benefits are paid when:

loss of ability to work by an employee due to injury or illness, including within a month after dismissal;
caring for a sick child or other relative;
wearing prosthetics or being in quarantine.

The amount of the benefit is determined based on the employee’s length of service (SS):

for SS up to 6 months, the benefit amount is calculated according to the minimum wage;
for SS from 6 months to 5 years - 60% of earnings;
from 5 to 8 years - 80% of earnings;
over 8 years - 100% earnings.

The benefit is calculated according to the formula:

P = D / Kd × %O, where

D - income for 2 years preceding the day of the insured event;

Kd - the conditional number of calendar days for the previous 2 years taken into account, Kd = 730;

%O - percentage of payment determined according to the employee’s SS.

Chapter 3 of this law defines the algorithm for calculating and paying benefits for the BiR and for child care up to 1.5 years. According to this section, the B&R benefit is paid at 100%, regardless of length of service.

Chapter 4 describes the procedure for determining the SS, and also establishes the deadlines for paying benefits and the algorithm for their assignment and calculation.

As noted above, the employer pays benefits only on the basis of the certificate of incapacity for work provided by the employee. The bulletin must be issued in accordance with the rules provided for by Order of the Ministry of Health and Social Development dated June 29, 2011 No. 624n. Let's consider the basic norms of this legal act.

Rules for filling out sick leave in accordance with the norms of Order No. 624n

Order on sick leave determines the procedure for issuing certificates of incapacity for work in each specific case, and also describes the algorithm for filling out the form and the sanctions that follow as a result of violating the procedure for issuing sick leave.

The form is issued only by medical workers licensed to carry out medical activities: doctors or paramedics of medical organizations. A ballot issued by personnel of ambulances, mud baths, emergency departments, blood transfusion facilities, etc. is considered invalid.

A certificate of incapacity for work is issued for 15 calendar days. If the patient has not yet recovered after this period, the sick leave can be extended for another 15 days by decision of the medical commission. Certificates of incapacity for work are issued every 15 days by decision of the commission until the patient has fully recovered, but not more than 10 months. In case of operations, tuberculosis or injury, the period is extended to 12 months.

The sick leave form was approved by order of the Ministry of Health and Social Development dated April 26, 2011 No. 347n and has fields to be filled out by the doctor and the employer. Filling out is possible in 2 ways: machine (using printing devices) or by hand. In case of manual filling, only a gel or fountain pen with black ink is allowed. The use of a ballpoint pen is not permitted. All entries are made in Russian in printed capital letters. However, they should not go beyond the cell. All entries start from the 1st cell. If a health worker makes a mistake, the form is considered invalid and another one is issued in its place.

Order 624n on sick leave establishes the algorithm for filling out the ballot by the employer.

New law on sick leave in Russia in 2016-2017

In December 2016, the State Duma adopted the bill on electronic sick leave in the 1st reading, and on March 10, 2017, the draft was approved in the 2nd reading. It is planned that the electronic sick leave will completely replace the paper counterpart and will be used throughout the Russian Federation. As part of the “Electronic Sick Leave” pilot project, the following regions were the first to try this innovation: Belgorod region. Moscow, Crimea and Astrakhan region. The essence of the transition to electronic document management is that the attending physician will enter all the information and draw up a certificate of incapacity for work in a special program to which the territorial office of the Social Insurance Fund and the employer are connected. Immediately after the doctor signs the sick leave with his electronic signature, the file will be sent to the FSS department. The employer, having connected to the program, will be able to print the form and fill it out in the usual way. This innovation will eliminate the possibility of employees providing fake sick leave.

Until the law is adopted, the ballot will be issued on paper. The form has several degrees of protection.

Read also: Employment contract with a vehicle mechanic

The procedure for issuing and issuing a certificate of incapacity for work, as well as payment of benefits, is strictly regulated by the legislator. There are a number of regulations, each of which sets strict conditions for both the employer and medical institutions. The main legal acts and their provisions governing the issue and payment of sick leave are discussed in the material.

What does Order No. 624n say “On approval of the procedure for issuing certificates of incapacity for work”

Not only HR officers and accountants, but also all employees of organizations should know the procedure for issuing sick leave - after all, sooner or later, every person is faced with the need to go on sick leave. A certificate of incapacity for work not only allows you to temporarily not go to work, but also to receive monetary compensation for periods of forced incapacity for work.

Issues related to the issuance of sick leave certificates are enshrined in a number of legislative and regulatory acts, which include the Tax and Labor Codes of the Russian Federation; Law No. 323 “On the fundamentals of protecting the health of citizens in the Russian Federation” and Order of the Ministry of Health of the Russian Federation No. 624n “On approval of the procedure for issuing certificates of incapacity for work.” The latest document (as amended in recent years) has approved a new procedure for issuing sick leave certificates - we will consider it in this article.

According to Order No. 624n, certificates of incapacity for work are issued to insured citizens of the Russian Federation, foreigners and stateless persons working under employment contracts, engaged in private practice, state and municipal employees, clergy and other categories of workers.

In what cases are sick leave certificates issued?

Each sick employee or injured employee must go to a medical institution, where he is issued a sick leave certificate on a standard form (to eliminate the possibility of forgery, the form contains a unique number, barcode and watermarks).

Except in cases of illness or injury, obtaining a certificate of incapacity for work is provided in the case of dental prosthetics or undergoing examinations. Sick leave certificates are issued during quarantine, pregnant women, persons caring for a sick child or relative, as well as persons undergoing sanatorium treatment after restoration of health in inpatient departments of hospitals.

Where can I get a certificate of incapacity for work?

In accordance with Order No. 624n, a certificate of incapacity for work can be obtained from medical institutions that have a license to conduct medical activities, including work to establish temporary incapacity for work.

Please note that employees of emergency medical services, blood transfusion stations, balneological and mud baths, special types of organizations (forensic medical examination bureaus, medical prevention centers, disaster medicine), as well as healthcare institutions for supervision in the field of consumer rights protection, are not entitled to issue sick leave certificates. hospital reception departments.

A certificate of incapacity for work is issued and closed in the same medical organization. If a citizen is sent for treatment to another medical institution, a new certificate is usually issued there.

The procedure for obtaining sick leave

A certificate of incapacity for work is issued upon presentation of a civil passport or other identification document.

The issuance of a sick leave certificate is preceded by a medical examination of the patient and the entry of data on his state of health into the medical record.

Sick leave certificates received by employees while abroad can, by decision of the medical commission, be replaced with state-issued sick leave certificates. Not only heads of organizations, but also heads of departments in which employees work can sign sick leaves.

Order of the Ministry of Health of the Russian Federation No. 624n describes in detail the procedure for processing and issuing certificates of incapacity for work to persons combining several types of work. So, if an employee worked in several organizations at the time of illness, he is issued several sick leaves, provided that he worked in these organizations for the previous two years. If during the previous two years he worked in only one of them, one sick leave certificate is issued, to be submitted to one organization of the patient’s choice.

Deadline for receiving a certificate of incapacity for work

According to the changes made to the Order of the Ministry of Health of the Russian Federation No. 624n, the deadlines for issuing certificates of incapacity for work have been approved.

The deadlines are as follows:

in the case of an employee being treated in a clinic, the doctor may issue a certificate on the day the illness began or on the day the employee was discharged (at his choice);
in case of treatment of an employee in a hospital after his visit to the clinic, the certificate of incapacity for work is opened by a clinic employee on the day of treatment or on the day of sending to the hospital, and is closed by a hospital employee on the day of discharge;
If the employee immediately undergoes treatment in a hospital, sick leave is issued exclusively on the day of discharge.

Order of the Ministry of Health and Social Development of Russia No. 624n dated June 29, 2011

In accordance with Article 13 of the Federal Law of December 29, 2006 No. 255-FZ “On compulsory social insurance in case of temporary disability and in connection with maternity” (Collected Legislation of the Russian Federation, 2007, No. 1, Art. 18; 2009, No. 30, Art. 3739; 2010, No. 40, Art. 4969, No. 50, Art. 660; 2011, No. 9, Art. 1208) and in order to streamline the issuance of documents certifying temporary disability of citizens, orders in a yu:

Approve the Procedure for issuing certificates of incapacity for work in accordance with the appendix.
Declare invalid:

Order of the Ministry of Health and Social Development of the Russian Federation dated August 1, 2007 No. 514 “On the procedure for issuing certificates of incapacity for work by medical organizations” (registered by the Ministry of Justice of the Russian Federation on November 13, 2007 No. 10476);
order of the Ministry of Health and Social Development of the Russian Federation dated October 27, 2008 No. 593n “On amendments to the Procedure for issuing certificates of incapacity for work by medical organizations, approved by order of the Ministry of Health and Social Development of the Russian Federation dated August 1, 2007 No. 514” (registered by the Ministry of Justice Russian Federation December 1, 2008 No. 12774);
order of the Ministry of Health and Social Development of the Russian Federation dated December 18, 2008 No. 737n “On amendments to the Procedure for issuing certificates of incapacity for work by medical organizations, approved by order of the Ministry of Health and Social Development of Russia dated August 1, 2007 No. 514” (registered by the Ministry of Justice of the Russian Federation on January 28, 2009 No. 13205).

Minister
T.A. Golikova

MINISTRY OF HEALTH AND SOCIAL DEVELOPMENT OF THE RUSSIAN FEDERATION

ORDER
dated June 29, 2011 N 624n

ON APPROVAL OF THE PROCEDURE FOR ISSUING CERTIFICATES OF DISABILITY FOR WORK

In accordance with Article 13 of the Federal Law of December 29, 2006 N 255-FZ “On compulsory social insurance in case of temporary disability and in connection with maternity” (Collected Legislation of the Russian Federation, 2007, N 1, Art. 18; 2009, N 30, Art. 3739; 2010, N 40, Art. 4969, N 50, Art. 660; 2011, N 9, Art. 1208) and in order to streamline the issuance of documents certifying the temporary disability of citizens, I order:
1. Approve the Procedure for issuing certificates of incapacity for work in accordance with the appendix.
2. Declare invalid:
Order of the Ministry of Health and Social Development of the Russian Federation dated August 1, 2007 N 514 “On the procedure for issuing certificates of incapacity for work by medical organizations” (registered by the Ministry of Justice of the Russian Federation on November 13, 2007 N 10476);
Order of the Ministry of Health and Social Development of the Russian Federation dated October 27, 2008 N 593n "On amendments to the Procedure for issuing certificates of incapacity for work by medical organizations, approved by Order of the Ministry of Health and Social Development of the Russian Federation dated August 1, 2007 N 514" (registered by the Ministry of Justice Russian Federation December 1, 2008 N 12774);
Order of the Ministry of Health and Social Development of the Russian Federation dated December 18, 2008 N 737n "On amendments to the Procedure for issuing certificates of incapacity for work by medical organizations, approved by Order of the Ministry of Health and Social Development of Russia dated August 1, 2007 N 514" (registered by the Ministry of Justice of the Russian Federation on January 28, 2009 city N 13205).

Added to the site:

Approval date:

MINISTRY OF HEALTH AND SOCIAL DEVELOPMENT

RUSSIAN FEDERATION

ORDER

ON APPROVAL OF THE PROCEDURE FOR ISSUING CERTIFICATES OF DISABILITY FOR WORK

List of changing documents

(as amended by the Order of the Ministry of Health and Social Development of Russia

dated January 24, 2012 N 31n,

Orders of the Ministry of Health of Russia dated July 2, 2014 N 348n,

dated 07/02/2014 N 349n,

as amended by decisions of the Supreme Court of the Russian Federation

dated 04/17/2013 N AKPI13-178, dated 04/25/2014 N AKPI14-105)

1. Approve the Procedure for issuing certificates of incapacity for work in accordance with the appendix.

2. Declare invalid:

Order of the Ministry of Health and Social Development of the Russian Federation dated August 1, 2007 N 514 “On the procedure for issuing certificates of incapacity for work by medical organizations” (registered by the Ministry of Justice of the Russian Federation on November 13, 2007 N 10476);

Order of the Ministry of Health and Social Development of the Russian Federation dated October 27, 2008 N 593n "On amendments to the Procedure for issuing certificates of incapacity for work by medical organizations, approved by Order of the Ministry of Health and Social Development of the Russian Federation dated August 1, 2007 N 514" (registered by the Ministry of Justice Russian Federation December 1, 2008 N 12774);

Order of the Ministry of Health and Social Development of the Russian Federation dated December 18, 2008 N 737n "On amendments to the Procedure for issuing certificates of incapacity for work by medical organizations, approved by Order of the Ministry of Health and Social Development of Russia dated August 1, 2007 N 514" (registered by the Ministry of Justice of the Russian Federation on January 28, 2009 city N 13205).

T.GOLIKOVA

Application

The procedure for issuing certificates of incapacity for work

I. General provisions

1. A certificate of incapacity for work is issued to insured persons who are citizens of the Russian Federation, as well as foreign citizens and stateless persons permanently or temporarily residing on the territory of the Russian Federation (hereinafter referred to as citizens), specified in Article 2 of the Federal Law of December 29, 2006 N 255- Federal Law "On compulsory social insurance in case of temporary disability and in connection with maternity" (hereinafter - Federal Law of December 29, 2006 N 255-FZ):

persons working under employment contracts;

state civil servants, municipal employees;

persons holding government positions in the Russian Federation, government positions in a constituent entity of the Russian Federation, as well as municipal positions filled on a permanent basis;

members of a production cooperative who take personal labor participation in its activities;

clergy;

lawyers, individual entrepreneurs, members of peasant (farm) households, individuals not recognized as individual entrepreneurs (notaries engaged in private practice, other persons engaged in private practice in accordance with the procedure established by the legislation of the Russian Federation), members of family (tribal) communities of indigenous peoples of the North who voluntarily entered into legal relations under compulsory social insurance in case of temporary disability and in connection with maternity and pay insurance contributions for themselves to the Social Insurance Fund of the Russian Federation in accordance with Article 4.5 of the Federal Law of December 29, 2006 N 255-FZ;

A certificate of incapacity for work is also issued:

women dismissed due to the liquidation of organizations, due to termination of activities as an individual entrepreneur, termination of powers by a notary engaged in private practice, termination of the status of a lawyer, for whom pregnancy occurred within 12 months before they were recognized as unemployed in the prescribed manner;

The certificate of incapacity for work is issued by medical workers of the specified persons, including:

attending physicians of medical organizations;

paramedics and dentists of medical organizations (hereinafter referred to as paramedics and dentists) - in cases established by the authorized federal executive body;

attending physicians of clinics of research institutions (institutes), including clinics of research institutions (institutes) of prosthetics or prosthetics.

3. Medical workers do not issue certificates of incapacity for work:

emergency medical services organizations;

blood transfusion organizations;

reception departments of hospital institutions;

balneological hospitals and mud baths;

medical organizations of a special type (centers for medical prevention, disaster medicine, forensic medical examination bureaus);

healthcare institutions for supervision in the field of consumer rights protection and human well-being.

4.1. If a citizen at the time of temporary disability or maternity leave is employed by several employers, and in the two previous calendar years was employed by other employers (another employer), one certificate of incapacity for work is issued for presentation at one of the last places of work. citizen's choice.

4.2. If a citizen at the time of temporary disability, maternity leave is employed by several employers, and in the two previous calendar years was employed by both these and other employers (another employer), either several certificates of incapacity for work are issued for submission for each place of work in accordance with paragraph 4 of this Procedure, or one certificate of incapacity for work to present it at one of the last places of work of the citizen’s choice in accordance with paragraph 4.1 of this Procedure.

4.3. If maternity leave occurred before December 31, 2012 (inclusive), the woman is issued several certificates of incapacity for work to submit for each place of work, if she has chosen the procedure for assigning, calculating and paying maternity benefits that was in effect until January 1, 2011.

6. A certificate of incapacity for work is issued to a citizen by a medical organization at his request on the day of application or on the day the certificate of incapacity for work is closed.

A certificate of incapacity for work, issued by a medical organization for the appointment and payment of benefits for temporary disability, pregnancy and childbirth, is issued, as a rule, to a citizen by a medical organization on the day of its closure.

A certificate of incapacity for work is issued by a medical organization on the day of application if the citizen is sent (applies) for treatment to another medical organization. The extension and (or) closure of the certificate of incapacity for work is carried out by the medical organization to which the citizen was referred (applied) for treatment.

In case of long-term treatment, the medical organization issues a new certificate of incapacity for work (continued) and at the same time draws up the previous certificate of incapacity for work to assign and pay benefits for temporary disability, pregnancy and childbirth.

In the case when a citizen who is incapacitated for work on the day of discharge from the hospital is able to work in the medical organization to which he was sent to continue treatment, the medical organization fills out the line “Get to work” on the certificate of incapacity and closes it.

8. Certificates of incapacity for work are issued in accordance with Chapter IX of this Procedure.

9. The procedure for providing certificates of incapacity for work, their recording and storage is carried out in accordance with the Order of the Social Insurance Fund of the Russian Federation and the Ministry of Health of the Russian Federation dated January 29, 2004 N 18/29 “On approval of the Instructions on the procedure for providing certificates of incapacity for work, their registration and storage" (registered by the Ministry of Justice of Russia on February 19, 2004 N 5573) as amended by Order of the Ministry of Health and Social Development of Russia and the Social Insurance Fund of the Russian Federation dated July 23, 2004 N 42/130 (registered by the Ministry of Justice of Russia on August 3, 2004 N 5956) .

10. Verification of compliance with the established procedure for issuing, extending and issuing certificates of incapacity for work is carried out by the Social Insurance Fund of the Russian Federation in the manner established by the authorized federal executive body.

II. The procedure for issuing a certificate of incapacity for work in case of illnesses, occupational diseases, injuries, including those received as a result of an industrial accident, poisoning (some other consequences of external causes)

11. For outpatient treatment of diseases (injuries), poisonings and other conditions associated with temporary loss of citizens’ ability to work, the attending physician alone issues certificates of incapacity to citizens for a period of up to 15 calendar days inclusive. For periods of temporary incapacity for work exceeding 15 calendar days, a certificate of incapacity for work is issued and extended by decision of the medical commission appointed by the head of the medical organization.

12. A paramedic or dentist issues and extends a certificate of incapacity for work for a period of up to 10 calendar days inclusive.

13. If the period of temporary incapacity for work exceeds 15 calendar days, the decision on further treatment and issuance of a certificate of incapacity for work is carried out by a medical commission.

Doctors licensed for medical activities, including work (services) for the examination of temporary disability, if the period of temporary disability exceeds 15 calendar days, refer the citizen to a medical commission at the medical organization at the place of his attachment or registration at the place of residence (at the place of stay, temporary residence) to extend the certificate of incapacity for work.

By decision of the medical commission, with a favorable clinical and work prognosis, a certificate of incapacity for work can be issued in the prescribed manner before the day of restoration of working capacity, but for a period of no more than 10 months, and in some cases (injuries, conditions after reconstructive operations, tuberculosis) - for a period of no more 12 months, with renewal intervals by decision of the medical commission at least every 15 calendar days.

It is not allowed to issue or extend a certificate of incapacity for work for the past days when the citizen was not examined by a medical professional. The issuance and extension of a certificate of incapacity for work over the past period of time can be carried out in exceptional cases by decision of the medical commission when a citizen applies to a medical organization or is visited by a medical worker at home.

19. When a citizen is discharged after inpatient treatment, a certificate of incapacity for work is issued on the day of discharge from the hospital for the entire period of inpatient treatment. If temporary incapacity for work continues, the certificate of incapacity for work can be extended up to 10 calendar days.

In these cases, the certificate of incapacity for work indicates the calendar days of research (manipulations, procedures) and release from work is carried out on the days of research (manipulations, procedures).

25. Citizens sent by medical organizations and health authorities of the constituent entities of the Russian Federation for treatment in clinics of research institutions (institutes) of balneology, physiotherapy and rehabilitation, sanatorium and resort institutions, including specialized (anti-tuberculosis) sanatorium and resort institutions, a certificate of incapacity for work issued by a medical professional based on the decision of the medical commission for the duration of treatment and travel to and from the place of treatment.

If there are appropriate medical indications, the certificate of incapacity for work is extended by the attending physician of the specified clinics and sanatorium-resort institutions.

The paragraph has been deleted.

26. A certificate of incapacity for work is not issued to citizens:

those who seek medical help from a medical organization if they do not show signs of temporary disability;

undergoing medical examination, medical examination or treatment at the direction of military commissariats;

in custody or administrative arrest;

undergoing periodic medical examinations (examinations), including in occupational pathology centers;

with chronic diseases without exacerbation (worsening), undergoing examination, undergoing various procedures and manipulations in an outpatient setting;

students of educational institutions of primary vocational, secondary vocational and higher vocational education and institutions of postgraduate vocational education.

In these cases, at the request of the citizen, an extract from the medical record of the outpatient (inpatient) patient is issued.

III. The procedure for issuing a certificate of incapacity for work when sending citizens for a medical and social examination

obvious unfavorable clinical and labor prognosis, regardless of the duration of temporary disability, but no later than 4 months from the date of its start;

a favorable clinical and work prognosis no later than 10 months from the date of the onset of temporary disability in conditions after injuries and reconstructive operations and no later than 12 months in the treatment of tuberculosis, or the citizen is discharged to work;

the need to change the professional rehabilitation program for working disabled people in the event of a worsening clinical and work prognosis, regardless of the disability group and the duration of temporary disability.

28. If disability is established, the period of temporary disability ends on the date immediately preceding the day of registration of documents at the ITU institution.

29. For temporarily disabled persons for whom disability has not been established, the certificate of incapacity for work can be extended by decision of the medical commission until the restoration of working capacity with the frequency of extending the certificate of incapacity for work by decision of the medical commission at least after 15 days or until re-referral to medical examination.

IV. The procedure for issuing a certificate of incapacity for work for the period of sanatorium treatment

The paragraph has been deleted.

32. When sending persons injured in connection with a serious accident at work to sanatorium-resort treatment during a period of temporary incapacity for work (before referral to MSA), a certificate of incapacity for work is issued for the entire period of treatment and travel by decision of the medical commission in accordance with this Procedure.

The paragraph has been deleted.

V. The procedure for issuing a certificate of incapacity for caring for a sick family member

35. A certificate of incapacity for work is issued to care for a sick family member:

in the case of caring for a sick child under 7 years of age - for the entire period of treatment of the child on an outpatient basis or a joint stay with the child in a medical organization when providing medical care to him in an inpatient setting, but for no more than 60 calendar days in a calendar year for all cases of caring for this child, and in the event of a child’s illness included in the list of diseases approved by order of the Ministry of Health and Social Development of the Russian Federation dated February 20, 2008 N 84n “On approval of the list of diseases of a child under 7 years of age, in the event of which payment Temporary disability benefits for the period of caring for a child are provided for no more than 90 calendar days a year for all cases of caring for this child in connection with the specified diseases" (registered by the Ministry of Justice of the Russian Federation on March 5, 2008, registration No. 11287), not more than 90 calendar days in a calendar year for all cases of care for this child in connection with the specified disease;

a child aged 7 to 15 years: during outpatient treatment or joint stay of one of the family members (guardian, trustee, other relative) with the child in an inpatient medical institution - for a period of up to 15 days for each case of illness, if, according to the conclusion of the medical the commission does not require a longer period;

in the case of caring for a sick disabled child under the age of 15 years - for the entire period of treatment of the child on an outpatient basis or a joint stay with the child in a medical organization when providing medical care to him in an inpatient setting, but not more than 120 calendar days in a calendar year for all cases of caring for this child;

children under 15 years of age infected with the human immunodeficiency virus - for the entire period of joint stay with the child in a hospital treatment facility;

children under 15 years of age suffering from diseases due to radiation exposure on their parents - for the entire duration of the illness;

over 15 years of age: for outpatient treatment - for up to 3 days, by decision of the medical commission - up to 7 days for each case of illness.

37. A certificate of incapacity for caring for a sick family member is issued in accordance with paragraphs 11, 12, 13 and 35 of this Procedure.

40. A certificate of incapacity for work is not issued for care:

for a sick family member over 15 years of age during inpatient treatment;

for chronic patients during remission;

during the period of annual paid leave and unpaid leave;

during maternity leave;

during the period of parental leave until the child reaches the age of 3 years, with the exception of cases of work performed during the specified period on a part-time basis or at home.

VI. The procedure for issuing a certificate of incapacity for work during quarantine

42. In case of temporary suspension from work of citizens who have been in contact with infectious patients, or citizens identified as bacteria carriers, a certificate of incapacity for work is issued by an infectious disease specialist, and in his absence - by the attending physician. The duration of suspension from work in these cases is determined by the approved periods of isolation of persons who have had infectious diseases and have come into contact with them.

43. During quarantine, a certificate of incapacity for caring for a child under 7 years of age attending a preschool educational institution, or for a family member recognized as incompetent in the established manner, is issued by the attending physician who supervises the child (family member recognized as incompetent in the established manner) , one of the working family members (guardian) for the entire quarantine period established on the basis of a decision of the Government of the Russian Federation or an executive body of a constituent entity of the Russian Federation, a local government body, as well as a decision of authorized officials, a federal executive body or its territorial bodies, in which are in charge of defense and other special purpose facilities, adopted in accordance with Article 31 of the Federal Law of March 30, 1999 N 52-FZ “On the sanitary and epidemiological welfare of the population.”

44. Citizens working in public catering, water supply, and child care institutions, if they have helminthiasis, are issued a certificate of incapacity for work for the entire period of deworming.

VII. The procedure for issuing a certificate of incapacity for prosthetics

VIII. The procedure for issuing a certificate of incapacity for work during pregnancy and childbirth

If a woman, when contacting a medical organization within the prescribed period, refuses to receive a certificate of incapacity for work during pregnancy and childbirth for the period of maternity leave, her refusal is recorded in the medical documentation. When a woman applies again before giving birth for a certificate of incapacity for work during pregnancy and childbirth to apply for maternity leave, the certificate of incapacity for work is issued for 140 calendar days (194 calendar days for multiple pregnancies) from the period established by the first or second paragraphs of this paragraph.

49. For childbirth occurring between 22 and 30 weeks of pregnancy, a certificate of incapacity for work for pregnancy and childbirth is issued by the medical organization where the birth took place for a period of 156 calendar days.

50. In case of termination of pregnancy up to 21 full weeks of pregnancy, a certificate of incapacity for work is issued in accordance with Chapter II of this Procedure for the entire period of incapacity for work, but for a period of at least three days.

51. Women living (working) in settlements exposed to radioactive contamination as a result of the accident at the Chernobyl nuclear power plant (in the zone of residence with the right to resettle), as well as women living in settlements exposed to radiation contamination as a result of the accident at the Mayak production association and discharges of radioactive waste into the Techa River, a certificate of incapacity for pregnancy and childbirth for prenatal leave is issued for 90 calendar days.

IX. Filling out a certificate of incapacity for work

If there are errors in filling out the certificate of incapacity for work, it is considered damaged and a duplicate certificate of incapacity for work is issued in its place.

57. When filling out the spine of the form for a certificate of incapacity for work:

in the line “primary” a corresponding mark “V” is made if the certificate of incapacity for work is primary;

in the line “duplicate” a mark “V” is placed in the case when, due to damage or loss of a certificate of incapacity for work, a duplicate certificate of incapacity for work is issued to the insured person by the attending physician and the chairman of the medical commission;

in the line “continuation of sheet N” the number of the previous certificate of incapacity for work is indicated if the issued certificate of incapacity for work is a continuation of a previously issued certificate;

in the line “Date of issue --” the day, month, year of issue of the certificate of incapacity for work is indicated;

in the line “(surname, initials of the doctor)” the surname of the medical worker who issued the certificate of incapacity and his initials are indicated (with a space of one cell between the surname and initials of the doctor);

in the line “N of the medical history” the number of the outpatient or inpatient medical record is entered;

in the line “place of work - name of organization” the full or abbreviated name of the organization, or the surname and initials of the employer - an individual (with an interval of one cell between the surname and initials of the employer) are indicated. This information is indicated according to the citizen;

In the field “recipient's receipt” the signature of the citizen who received the certificate of incapacity for work is placed.

58. When filling out the section “TO BE COMPLETED BY A DOCTOR OF THE MEDICAL ORGANIZATION” of the certificate of incapacity for work:

the lines “primary”, “duplicate”, “continuation of sheet N” are filled in in accordance with paragraphs two - four of paragraph 57 of this Procedure;

in the line “(address of the medical organization)” the address for the provision of medical services by a person holding a license for medical activities, including work (services) for the examination of temporary disability (name of urban or rural settlement, street, house number, building, apartment (office), corresponding to the address of the actual issuance of certificates of incapacity for work and the implementation of medical activities in accordance with the license for medical activities. Entering the specified data is carried out at intervals of one cell, the building number is indicated through the sign "/" in the cell after the house number, the apartment (office) number is indicated through a space in one cell after the house or building number (for example, |Б|а|р|н|а|у|л||С|у|х|о|в|а|||5|/|3||13|)" ;

in the line "Date of issue --" the day, month and year of issue of the certificate of incapacity for work is indicated;

in the line “Date of birth --” the date of birth of the disabled citizen is indicated;

in cells "m" "f" the corresponding mark "V" is placed;

in the line "Cause of disability":

in the "code" cells the corresponding two-digit code is indicated:

01 - disease;

02 - injury;

03 - quarantine;

04 - industrial accident or its consequences;

05 - maternity leave;

06 - prosthetics in a hospital;

07 - occupational disease or its exacerbation;

08 - after-care in a sanatorium;

09 - caring for a sick family member;

10 - other condition (poisoning, manipulation, etc.);

11 - the disease specified in paragraph 1 of the List of Socially Significant Diseases, approved by Decree of the Government of the Russian Federation of December 1, 2004 N 715;

12 - in case of illness of a child under 7 years of age included in the list of diseases determined by the Ministry of Health and Social Development of the Russian Federation in accordance with Part 5 of Article 6 of the Federal Law of December 29, 2006 N 255-FZ;

13 - disabled child;

14 - in case of an illness associated with a post-vaccination complication, or in case of a malignant neoplasm in a child;

15 - HIV-infected child;

In the “additional code” cells, an additional three-digit code is indicated:

017 - during treatment in a specialized sanatorium;

018 - for sanatorium-resort treatment in connection with an accident at work during a period of temporary incapacity for work (before referral to medical examination);

019 - during treatment in a clinic of a research institution (institute) of balneology, physiotherapy and rehabilitation;

020 - with additional maternity leave;

021 - in case of illness or injury resulting from alcohol, drug, toxic intoxication or actions related to such intoxication;

in the “change code” cells, the corresponding two-digit code (from those listed above) is indicated in the event of a change in the cause of temporary disability;

in the line “(place of work - name of the organization)” the full or abbreviated name of the organization (separate division) is indicated; surname and initials of the policyholder - an individual (with an interval of one cell);

in the line “Basic” a mark “V” is made if the certificate of incapacity for work is issued for presentation at the main place of work;

in the line “Part-time job N”, a mark “V” is made if the certificate of incapacity for work was issued for presentation at the place of work for an external part-time job and the number of the certificate of incapacity for work issued for presentation at the main place of work is indicated;

in the line “date 1” the date of change in the cause of incapacity, the expected date of birth, the start date of the voucher are entered - when sending tuberculosis patients on vouchers to specialized (anti-tuberculosis) sanatorium-resort institutions for treatment in the case when sanatorium treatment replaces inpatient treatment, as well as after-care after inpatient treatment, when a citizen is referred by a medical organization for treatment to a clinic of a research institution (institute) of balneology, physiotherapy and rehabilitation; when referred for follow-up treatment to specialized sanatorium-resort organizations (departments) immediately after inpatient treatment; when sending persons injured in connection with a serious accident at work to sanatorium-resort treatment during a period of temporary incapacity for work (hereinafter referred to as a voucher for treatment (aftercare);

in the line “date 2” the end date of the voucher for treatment (follow-up treatment) is entered;

in the line “Voucher N” the number of the voucher for treatment (follow-up treatment) is indicated;

The “care” subsection is filled in in the case of caring for a sick family member (including during the quarantine of a child):

in the line “family relationship” the corresponding two-digit code is indicated:

40 - guardian;

41 - trustee;

42 - another relative who is actually caring for a sick family member.

in the line “Name of the family member being cared for” the surname, first name, patronymic (patronymic is indicated if available) of the citizen being cared for (with spaces in one cell).

In the line “Registered in the early stages of pregnancy (up to 12 weeks)” in the cells “yes” “no” a “V” is marked if the relevant information is available.

In the line “Notes on violation of the regime”, depending on the type of violation, the following two-digit code is indicated:

23 - failure to comply with the prescribed regimen, unauthorized leaving the hospital, traveling for treatment to another administrative region without the permission of the attending physician;

24 - late attendance at a doctor’s appointment;

25 - going to work without being discharged;

26 - refusal to refer to a medical and social examination institution;

27 - late appearance at the medical and social examination institution;

28 - other violations.

The date of the violation is indicated in the “Date --” line, and the signature of the attending physician is placed in the “Doctor’s signature” field.

If there were no violations of the regime, the specified lines are not filled in.

In the line “Stayed in hospital” in cells “From --” “to --” the start and end dates of the citizen’s inpatient treatment are entered accordingly, and in the table “Exemption from work” of the certificate of incapacity for work a record is made of the duration of treatment.

In the field “Signature of the head of the ITU bureau” the signature of the head of the ITU bureau is placed.

60. In the table "Exemption from work":

in the column “From what date” the date (day, month and year) from which the citizen is released from work is indicated;

in the column “By what date” the date (day, month and year) (inclusive) is indicated on which the citizen is released from work.

When issuing a certificate of incapacity for work by decision of the medical commission, including for the past time, in the columns “Position of the doctor” and “Last name and initials of the doctor or identification number,” the surname, initials and position of the attending physician, the surname and initials of the chairman of the medical commission after each case are indicated , considered by the medical commission.

When a medical organization sends a citizen for treatment to the clinic of a research institution (institute) of balneology, physiotherapy and rehabilitation, a certificate of incapacity for work is drawn up (opened) and signed by the attending physician of the medical organization and the chairman of the medical commission before the citizen leaves for treatment at the clinic of the research institution (institute) ) balneology, physiotherapy and rehabilitation. In the columns “From what date” and “To what date” of the “Exemption from work” table, one line indicates the days of stay in the clinic of the research institution (institute) of balneology, physiotherapy and rehabilitation, taking into account the days required to travel to the place of treatment and back .

When referred for follow-up treatment immediately after inpatient treatment, a code is entered on the certificate of incapacity in the “Other” line - “in case of referral for follow-up treatment immediately after inpatient treatment.” The continuation of the certificate of incapacity for work is issued by the medical organization that refers the citizen for further treatment. In the table "Exemption from work" in the column "From what date" the date of start of treatment is indicated. Further registration of the certificate of incapacity for work is carried out by the attending physician of the sanatorium-resort institution (department): in the line “Was in hospital” the length of stay in the sanatorium is indicated, in the columns “From what date” and “To what date” of the table “Exemption from work” is indicated in one line length of stay in a sanatorium-resort institution (department).

When sending persons injured in connection with a serious accident at work to sanatorium-resort treatment during a period of temporary incapacity for work, in the columns “From what date” and “To what date” of the table “Exemption from work” of the certificate of incapacity for work, the date of the start of sanatorium treatment is indicated in one line -resort treatment according to the direction of the medical commission; in the line “Stayed in a hospital” the length of stay in a sanatorium-resort institution is indicated.

The paragraph has been deleted.

In the column “Position of a doctor” of the table “Exemption from work” the position of the doctor is indicated, and in cases considered by the medical commission, the chairman of the medical commission (for example, |p|r|e|d||V|K|).

When issuing certificates of incapacity for work in some medical organizations (psychiatric, drug treatment organizations, centers for the prevention and control of AIDS and infectious diseases, etc.), in agreement with the disabled citizen or his legal representative, the positions of general practitioners or “dentist” may be indicated. , "paramedic";

in the columns “Last name and initials of the doctor or identification number” and “Signature of the doctor” of the table “Exemption from work” - the surname and initials of the doctor are indicated respectively (with a space of one cell between the surname and initials of the doctor), and in cases considered by the medical commission, the chairman of the medical commission or his (their) identification number (identification numbers) and signature (signatures) are affixed.

61. In the line “Start work” in cells “from --” the date of restoration of working capacity is indicated the next day after the citizen is examined and recognized as able to work.

In the line "Other:" the following two-digit code is indicated:

31 - if the citizen continues to be ill and is issued a new certificate of incapacity for work (continued);

32 - when disability is established;

33 - when the disability group changes;

34 - in case of death;

35 - in case of refusal to conduct a medical and social examination;

36 - in the case when a citizen, after issuing or extending a certificate of incapacity for work, did not show up for an appointment, but at the next visit was recognized as able to work;

37 - in case of referral for follow-up treatment immediately after inpatient treatment.

Following the two-digit code entered in the line “Other:”, in cells “--” for codes 32, 33, 34 and 36, the date of establishment, change of disability group, date of death of the citizen, date of appearance as able-bodied is also entered. When closing the certificate of incapacity, the person who issued the certificate of incapacity for work carefully crosses out the empty lines of the table “Exemption from work” with one horizontal line.

62. In the line “Slip issued (continuation) N” the number of continuation of the certificate of incapacity for work is indicated.

63. In the field “Doctor’s signature” the signature of the attending physician is placed.

64. The section “TO BE COMPLETED BY THE EMPLOYER” of the certificate of incapacity for work is drawn up by the employer of the insured person.

65. Entries on the certificate of incapacity for work are made in Russian in printed capital letters in black ink or using printing devices. You can use a gel, capillary or fountain pen. The use of a ballpoint pen is not permitted. Entries on the certificate of incapacity for work should not go beyond the boundaries of the cells provided for making the corresponding entries.

All entries in specially designated cells are entered starting from the first cell.

The employer's seal may extend beyond the specially designated space, but should not fall into the cells of the information field of the certificate of incapacity form.

To correct errors made when filling out this section, the erroneous entry is carefully crossed out, the correct entry in place of the erroneous one is entered on the back of the certificate of incapacity for work, confirmed by the entry “corrected believe”, the signature and seal of the employer (for an employer - an individual, a seal is affixed if available) . Errors may not be corrected by correction or other similar means.

66. When filling out the section “TO BE COMPLETED BY THE EMPLOYER”:

in the line “(place of work - name of the organization)” the full or abbreviated name of the organization (separate division) is indicated; surname, name, patronymic (patronymic is indicated if available) of the insured - an individual (with spaces in one cell);

in the line “Basic” a mark “V” is made if the certificate of incapacity for work is presented at the main place of work;

in the line “Part-time” a mark “V” is made if the certificate of incapacity for work is presented at the place of work for an external part-time job;

in the line “Registration N” the registration number specified in the notice (notification) of the policyholder (hereinafter referred to as the Notice), which is issued upon registration with the territorial body of the Social Insurance Fund of the Russian Federation (hereinafter referred to as the territorial body of the Fund);

in the line “subordination code” a code is entered in accordance with the Notice, consisting of five digits, indicating the territorial body of the Fund in which the policyholder is currently registered;

the line “TIN of the disabled person (if any)” may indicate the identification number of the taxpayer - a citizen entitled to receive benefits for temporary disability (hereinafter referred to as the recipient of the benefit), which is affixed from a document confirming the tax registration of this individual with the tax authority. If the recipient of the benefit does not have an individual tax number, as well as for recipients of maternity benefits and one-time benefits when registering with medical organizations in the early stages of pregnancy, this line is not filled in;

in the line “SNILS” the insurance number of the individual personal account in the compulsory pension insurance system of the recipient of the corresponding type of benefit is indicated in accordance with the insurance certificate of state pension insurance.

In the line "Calculation conditions" the corresponding two-digit code is indicated (if necessary, several codes):

43 - if the insured person belongs to the category of persons exposed to radiation who, in accordance with the legislation of the Russian Federation, have the right to benefits when assigning and calculating benefits for temporary disability, pregnancy and childbirth;

44 - if the insured person started working in the Far North and equivalent areas before 2007 and continues to work in these areas;

45 - if the insured person has a disability;

46 - if an employment contract (service contract) is concluded with the insured person for a period of less than 6 months. This code is not entered if code “11” is indicated in the line “Cause of disability”;

47 - if the illness (injury) occurred within 30 calendar days from the date of termination of work under an employment contract, performance of official or other activities, during which the person is subject to compulsory social insurance in case of temporary disability and in connection with maternity;

48 - for a valid reason for violating the regime (if the corresponding code is entered in the line “Notes about violation of the regime”);

49 - if the duration of the illness exceeds 4 months in a row - for insured persons who were disabled on the day of the insured event. This code is not entered if code “11” is indicated in the line “Cause of disability”;

50 - if the duration of the disease exceeds 5 months in a calendar year - for insured persons who were disabled on the day of the insured event. This code is not entered if code “11” is indicated in the line “Cause of disability”;

51 - in the case specified in part 1.1 of Article 14 of the Federal Law of December 29, 2006 N 255-FZ, when the insured person at the time of the occurrence of the insured event works on a part-time basis (part-time, part-time);

in the line “Act of form N-1 from --” the day, month and year of drawing up the act are indicated in the case where the employee’s temporary disability occurred as a result of an industrial accident;

in the line “Start date of work --” the date, month and year from which the employee was supposed to start work in the event of cancellation of the employment contract (if the illness or injury occurred during the period from the date of conclusion of the employment contract to the day of its cancellation) is indicated;

in the line “Insurance period” in the cells “years”, “months”, the number of full years and months of the employee’s activity, taken into account in the insurance period in accordance with the legislation of the Russian Federation, is indicated;

in the line "including non-insurance periods" in the cells "years", "months." indicates the number of full years and months of military service, as well as other service provided by the Law of the Russian Federation of February 12, 1993 N 4468-1 “On pension provision for persons who served in military service, service in internal affairs bodies, the State Fire Service, authorities for control over the circulation of narcotic drugs and psychotropic substances, institutions and bodies of the penal system, and their families" from January 1, 2007;

in the line “Benefit due for the period” in cells “from --” “to --” the period for which the employee should be assigned and paid temporary disability benefits, maternity benefits;

in the line “Average earnings for calculating benefits RK” indicates the amount of average earnings from which benefits for temporary disability, pregnancy and childbirth should be calculated, determined in accordance with Federal Law of December 29, 2006 N 255-FZ and Article 2 Federal Law of December 8, 2010 N 343-FZ “On Amendments to the Federal Law “On Compulsory Social Insurance in Case of Temporary Disability and in Connection with Maternity”;

in the line "average daily earnings per day" the average daily earnings are indicated, calculated in accordance with Federal Law of December 29, 2006 N 255-FZ;

in the line "Amount of benefit: at the expense of the Social Insurance Fund of the Russian Federation r.k. at the expense of the employer r.k." the amount of benefits to be paid from the budget of the Social Insurance Fund of the Russian Federation and from the employer’s funds is indicated accordingly, in accordance with the legislation of the Russian Federation;

in the line "TOTAL accrued r.k." the total amount of accrued benefits to the insured person is indicated";

in the line "Last name and initials of the manager" the surname and initials of the head of the organization's division or the head of the organization are indicated - if the organization does not have divisions, or the surname and initials of the insured - an individual, his signature is affixed in the "Signature" field;

in the line “Last name and initials of the chief accountant” the surname and initials of the chief accountant (head of the accounting service) of the organization (division of the organization) are indicated, and his signature is affixed in the “Signature” field. In the case where the policyholder is an individual, in the line “Last name and initials of the chief accountant” the surname and initials of the chief accountant of the policyholder - an individual are indicated, and his signature is put in the “Signature” field. If the policyholder - an individual does not have the position of chief accountant, the surname and initials of the policyholder himself are indicated in the line "Last name and initials of the chief accountant", and his signature is affixed in the "Signature" field.

67. Calculation of benefits for temporary disability, pregnancy and childbirth is made by the policyholder on a separate sheet and attached to the certificate of incapacity for work.

X. Responsibility for violation of the procedure for issuing certificates of incapacity for work

68. For violation of the established procedure for issuing certificates of incapacity by medical organizations, medical organizations, as well as medical workers, are liable in accordance with the legislation of the Russian Federation.

Valid Editorial from 01.01.1970

Name of document	ORDER of the Ministry of Health and Social Development of the Russian Federation dated June 29, 2011 N 624n (as amended on January 24, 2012 with amendments that entered into force on April 22, 2012) “ON APPROVAL OF THE PROCEDURE FOR ISSUING CLEARERS OF DISABILITY FOR WORK”
Document type	order, order
Receiving authority	Ministry of Health and Social Development of the Russian Federation
Document Number	624N
Acceptance date	22.07.2011
Revision date	01.01.1970
Registration number in the Ministry of Justice	21286
Date of registration with the Ministry of Justice	07.07.2011
Status	valid
Publication	The document was not published in this form (as amended on January 24, 2012 - "Rossiyskaya Gazeta", N 148, 07/11/2011)
Navigator	Notes

ORDER of the Ministry of Health and Social Development of the Russian Federation dated June 29, 2011 N 624n (as amended on January 24, 2012 with amendments that entered into force on April 22, 2012) “ON APPROVAL OF THE PROCEDURE FOR ISSUING CLEARERS OF DISABILITY FOR WORK”

I. General provisions

1. Certificate of incapacity for work<*>issued to insured persons who are citizens of the Russian Federation, as well as foreign citizens and stateless persons permanently or temporarily residing on the territory of the Russian Federation (hereinafter referred to as citizens), specified in Article 2 of the Federal Law of December 29, 2006 N 255-FZ "On Mandatory social insurance in case of temporary disability and in connection with maternity"<**>(hereinafter referred to as Federal Law of December 29, 2006 N 255-FZ):

A certificate of incapacity for work is also issued:

The certificate of incapacity for work is issued by medical workers of the specified persons, including:

attending physicians of medical organizations;

paramedics and dentists of medical organizations (hereinafter referred to as paramedics and dentists) - in cases established by the authorized federal executive body<7а>;

dated January 24, 2012 N 31n)

attending physicians of clinics of research institutions (institutes), including clinics of research institutions (institutes) of prosthetics or prosthetics.

(as amended by Order of the Ministry of Health and Social Development of the Russian Federation dated January 24, 2012 N 31n)

3. Medical workers do not issue certificates of incapacity for work:

emergency medical services organizations;

blood transfusion organizations;

reception departments of hospital institutions;

balneological hospitals and mud baths;

medical organizations of a special type (centers for medical prevention, disaster medicine, forensic medical examination bureaus);

healthcare institutions for supervision in the field of consumer rights protection and human well-being.

4. Certificates of incapacity for work are issued upon presentation of an identity document. If a citizen at the time of temporary disability or maternity leave is employed by several employers and was employed by the same employers in the two previous calendar years before the certificate of incapacity is issued, several certificates of incapacity for work are issued for each place of work.<*>.

(as amended by Order of the Ministry of Health and Social Development of the Russian Federation dated January 24, 2012 N 31n)

6. A certificate of incapacity for work is issued to a citizen by a medical organization at his request on the day of application or on the day the certificate of incapacity for work is closed.

(as amended by Order of the Ministry of Health and Social Development of the Russian Federation dated January 24, 2012 N 31n)

8. Certificates of incapacity for work are issued in accordance with Chapter IX of this Procedure.

(as amended by Order of the Ministry of Health and Social Development of the Russian Federation dated January 24, 2012 N 31n)

<10>The terms for extending the certificate of incapacity for work are determined by Part 3 of Article 59 of the Federal Law of November 21, 2011 N 323-FZ “On the fundamentals of protecting the health of citizens in the Russian Federation” (Collected Legislation of the Russian Federation, 2011, N 48, Art. 6724).

(as amended by Order of the Ministry of Health and Social Development of the Russian Federation dated January 24, 2012 N 31n)

12. A paramedic or dentist issues and extends a certificate of incapacity for work for a period of up to 10 calendar days inclusive.

(as amended by Order of the Ministry of Health and Social Development of the Russian Federation dated January 24, 2012 N 31n)

It is not allowed to issue a certificate of incapacity for work for the past days when the citizen was not examined by a medical professional. The issuance and extension of a certificate of incapacity for work over the past period of time can be carried out in exceptional cases by decision of the medical commission when a citizen applies to a medical organization or is visited by a medical worker at home.

(as amended by Order of the Ministry of Health and Social Development of the Russian Federation dated January 24, 2012 N 31n)

If there are appropriate medical indications, the certificate of incapacity for work is extended by the attending physician of the specified clinics and sanatorium-resort institutions.

Paragraph 3 - Deleted.

(as amended by Order of the Ministry of Health and Social Development of the Russian Federation dated January 24, 2012 N 31n)

26. A certificate of incapacity for work is not issued to citizens:

those who seek medical help from a medical organization if they do not show signs of temporary disability;

undergoing medical examination, medical examination or treatment at the direction of military commissariats;

in custody or administrative arrest;

undergoing periodic medical examinations (examinations), including in occupational pathology centers;

with chronic diseases without exacerbation (worsening), undergoing examination, undergoing various procedures and manipulations in an outpatient setting;

students of educational institutions of primary vocational, secondary vocational and higher vocational education and institutions of postgraduate vocational education<*>.

<*>In case of illness (injury, poisoning) of students of educational institutions of primary vocational, secondary vocational and higher vocational education and institutions of postgraduate vocational education, a certificate is issued for exemption from studies.

In these cases, at the request of the citizen, an extract from the medical record of the outpatient (inpatient) patient is issued.

III. The procedure for issuing a certificate of incapacity for work when sending citizens for a medical and social examination

<*>A referral to MSA is issued in accordance with form N 088/u-06 “Referral for medical and social examination by an organization providing medical and preventive care”, approved by Order of the Ministry of Health and Social Development of the Russian Federation dated January 31, 2007 N 77 “On approval forms of referral for medical and social examination by an organization providing medical and preventive care" (registered by the Ministry of Justice of Russia on March 12, 2007 N 9089) as amended by Order of the Ministry of Health and Social Development of Russia dated October 28, 2009 N 853n (registered by the Ministry of Justice of Russia on November 26, 2009 . N 15324).

obvious unfavorable clinical and labor prognosis, regardless of the duration of temporary disability, but no later than 4 months from the date of its start;

Favorable clinical and work prognosis no later than 10 months from the date of the onset of temporary disability in conditions after injuries and reconstructive operations and no later than 12 months in the case of treatment of tuberculosis, or the citizen is discharged to work

(as amended by Order of the Ministry of Health and Social Development of the Russian Federation dated January 24, 2012 N 31n)

28. If disability is established, the period of temporary disability ends on the date immediately preceding the day of registration of documents at the ITU institution.

(as amended by Order of the Ministry of Health and Social Development of the Russian Federation dated January 24, 2012 N 31n)

IV. The procedure for issuing a certificate of incapacity for work for the period of sanatorium treatment

32. When sending persons injured in connection with a serious accident at work to sanatorium-resort treatment during a period of temporary incapacity for work (before referral to MSA), a certificate of incapacity for work is issued for the entire period of treatment and travel by decision of the medical commission in accordance with this Procedure.

(as amended by Order of the Ministry of Health and Social Development of the Russian Federation dated January 24, 2012 N 31n)

Abs 2 - Excluded.

(as amended by Order of the Ministry of Health and Social Development of the Russian Federation dated January 24, 2012 N 31n)

Abs 2 -Excluded.

(as amended by Order of the Ministry of Health and Social Development of the Russian Federation dated January 24, 2012 N 31n)

V. The procedure for issuing a certificate of incapacity for caring for a sick family member

35. A certificate of incapacity for work is issued to care for a sick family member<*>:

<*>The specifics of paying temporary disability benefits when it is necessary to care for a sick family member are established by Part 5 of Article 6 of Federal Law No. 255-FZ of December 29, 2006.

children under 15 years of age infected with the human immunodeficiency virus - for the entire period of joint stay with the child in a hospital treatment facility;

VI. The procedure for issuing a certificate of incapacity for work during quarantine

42. In case of temporary suspension from work of citizens who have been in contact with infectious patients, or citizens identified as bacteria carriers, a certificate of incapacity for work is issued by an infectious disease specialist, and in his absence - by the attending physician. The duration of suspension from work in these cases is determined by the approved periods of isolation of persons who have had infectious diseases and have come into contact with them.

43. During quarantine, a certificate of incapacity for caring for a child under 7 years of age attending a preschool educational institution, or for a family member recognized as incompetent in the established manner, is issued by the attending physician who supervises the child (family member recognized as incompetent in the established manner) , one of the working family members (guardian) for the entire quarantine period established on the basis of a decision of the Government of the Russian Federation or an executive body of a constituent entity of the Russian Federation, a local government body, as well as a decision of authorized officials, a federal executive body or its territorial bodies, in which are in charge of defense and other special purpose facilities, adopted in accordance with Article 31 of the Federal Law of March 30, 1999 N 52-FZ "On the sanitary and epidemiological welfare of the population"<*>.

<*>Collection of Legislation of the Russian Federation, 1999, No. 14, Art. 1650; 2002, N 1, art. 2; 2003, N 2, art. 167, N 27, art. 2700; 2004, N 35, art. 3607; 2005, N 19, art. 1752; 2006, N 1, art. 10, N 52, art. 5498; 2007, N 1, art. 21, N 1, art. 29, N 27, art. 3213, N 46, art. 5554, N 49, art. 6070; 2008, N 24, art. 2801, N 29, art. 3418, N 30, art. 3616, N 44, art. 4984, N 52, art. 6223; 2009, N 1, art. 17; 2010, N 40, art. 4969; 2011, N 1, art. 6.

44. Citizens working in public catering, water supply, and child care institutions, if they have helminthiasis, are issued a certificate of incapacity for work for the entire period of deworming.

VII. The procedure for issuing a certificate of incapacity for prosthetics

VIII. The procedure for issuing a certificate of incapacity for work during pregnancy and childbirth<*>

<*>The specifics of payment of maternity benefits and the duration of maternity leave are established by Article 10 of Federal Law No. 255-FZ of December 24, 2006.

If a woman, when contacting a medical organization within the prescribed period, refuses to receive a certificate of incapacity for work during pregnancy and childbirth for the period of maternity leave, her refusal is recorded in the medical documentation. When a woman applies again before giving birth for a certificate of incapacity for work during pregnancy and childbirth to apply for maternity leave, the certificate of incapacity for work is issued for 140 calendar days (194 calendar days for multiple pregnancies) from the period established by the first or second paragraphs of this paragraph.

(as amended by Order of the Ministry of Health and Social Development of the Russian Federation dated January 24, 2012 N 31n)

51. Women living (working) in settlements exposed to radioactive contamination as a result of the accident at the Chernobyl nuclear power plant (in the zone of residence with the right to resettle), as well as women living in settlements exposed to radiation contamination as a result of the accident at the Mayak production association and discharges of radioactive waste into the Techa River, a certificate of incapacity for work for pregnancy and childbirth for prenatal leave is issued for a duration of 90 calendar days<*>.

<*>The duration of maternity leave for these persons is determined in accordance with Article 18 of the Law of the Russian Federation of May 15, 1991 N 1244-1 “On the social protection of citizens exposed to radiation as a result of the disaster at the Chernobyl nuclear power plant” and Article 1 of the Federal Law of November 26. 1998 N 175-FZ “On the social protection of citizens of the Russian Federation exposed to radiation as a result of the accident in 1957 at the Mayak production association and the discharge of radioactive waste into the Techa River” (Collected Legislation of the Russian Federation, 1998, N 48, Art. 5850; 2000, No. 33, Article 3348; 2004, No. 35, Article 3607; 2008, No. 30 (Part II), Article 3616; 2011, No. 1, Article 26).

IX. Filling out a certificate of incapacity for work

(as amended by Order of the Ministry of Health and Social Development of the Russian Federation dated January 24, 2012 N 31n)

If there are errors in filling out the certificate of incapacity for work, it is considered damaged and a duplicate certificate of incapacity for work is issued in its place.

(as amended by Order of the Ministry of Health and Social Development of the Russian Federation dated January 24, 2012 N 31n)

57. When filling out the spine of the form for a certificate of incapacity for work:

in the line “primary [_]” the corresponding mark “V” is made if the certificate of incapacity for work is primary;

in the line “duplicate [_]” a mark “V” is placed in the case when, due to damage or loss of a certificate of incapacity for work, a duplicate certificate of incapacity for work is issued to the insured person by the attending physician and the chairman of the medical commission;

(as amended by Order of the Ministry of Health and Social Development of the Russian Federation dated January 24, 2012 N 31n)

in the line “continuation of sheet N [_][_][_][_][_][_][_][_][_][_][_][_]” the number of the previous certificate of incapacity for work is indicated in the case if the issued certificate of incapacity for work is a continuation of a previously issued certificate;

in the line “Date of issue [_][_]-[_][_]-[_][_][_][_]” the day, month, year of issue of the certificate of incapacity for work is indicated;

(as amended by Order of the Ministry of Health and Social Development of the Russian Federation dated January 24, 2012 N 31n)

in the line “N of the medical history [_][_][_][_][_][_][_][_][_]” the number of the outpatient or inpatient medical record is entered;

“in the line “place of work - name of the organization” the full or abbreviated name of the organization, or the surname and initials of the employer - an individual (with an interval of one cell between the surname and initials of the employer) is indicated. This information is indicated according to the citizen.;

(as amended by Order of the Ministry of Health and Social Development of the Russian Federation dated January 24, 2012 N 31n)

In the field “recipient's receipt” the signature of the citizen who received the certificate of incapacity for work is placed.

58. When filling out the section “TO BE COMPLETED BY A DOCTOR OF THE MEDICAL ORGANIZATION” of the certificate of incapacity for work:

lines "primary [_]", "duplicate [_]", "continuation of sheet N

" are filled out in accordance with paragraphs two - four of paragraph 57 of this Procedure;

in the line “(address of the medical organization)” the address for the provision of medical services by a person holding a license for medical activities, including work (services) for the examination of temporary disability (name of urban or rural settlement, street, house number, building, apartment (office), corresponding to the address of the actual issuance of certificates of incapacity for work and the implementation of medical activities in accordance with the license for medical activities. Entering the specified data is carried out at intervals of one cell, the building number is indicated through the sign "/" in the cell after the house number, the apartment (office) number is indicated through a space in one cell after the house or building number (for example, |Б|а|р|н|а|у|л|[_]|С|у|х|о|в|а||[_]|5|/|3 |[_]|13|)";

in the line “Date of issue [_][_]-[_][_]-[_][_][_][_]” the day, month and year of issue of the certificate of incapacity for work is indicated;

in the line “Date of birth [_][_]-[_][_]-[_][_][_][_]” the date of birth of the disabled citizen is indicated;

in the cells “m [_]” “f [_]” the corresponding mark “V” is placed;

in the line "Cause of disability":

in the cells "code [_][_]" the corresponding two-digit code is indicated:

01 - disease;

02 - injury;

03 - quarantine;

04 - industrial accident or its consequences;

05 - maternity leave;

06 - prosthetics in a hospital;

07 - occupational disease or its exacerbation;

08 - after-care in a sanatorium;

09 - caring for a sick family member;

10 - other condition (poisoning, manipulation, etc.);

11 - the disease specified in paragraph 1 of the List of socially significant diseases, approved by Decree of the Government of the Russian Federation of December 1, 2004 N 715<*>;

<*>Collection of legislation of the Russian Federation, 2004, N 49, art. 4916.

13 - disabled child;

14 <*>- in case of an illness associated with a post-vaccination complication, or in case of a malignant neoplasm in a child;

<*>

15 <*>- HIV-infected child;

<*>It is affixed only with the consent of the insured person.

in the cells “additional code [_][_][_]” an additional three-digit code is indicated:

017 - during treatment in a specialized sanatorium;

018 - for sanatorium-resort treatment in connection with an accident at work during a period of temporary incapacity for work (before referral to medical examination);

019 - during treatment in a clinic of a research institution (institute) of balneology, physiotherapy and rehabilitation;

020 - with additional maternity leave;

021 - in case of illness or injury resulting from alcohol, drug, toxic intoxication or actions related to such intoxication;

in the cells “change code [_][_]” the corresponding two-digit code (from the above) is indicated in the event of a change in the cause of temporary disability;

in the line “Basic [_]” a mark “V” is made if the certificate of incapacity for work was issued for presentation at the main place of work;

in the line “Part-time [_] N [_][_][_][_][_][_][_][_][_][_][_][_]” the mark “V " in the event that a certificate of incapacity for work is issued for presentation at the place of work on an external part-time basis and the number of the certificate of incapacity for work issued for presentation at the main place of work is indicated;

in the line “Registered with state employment service institutions [_]” a mark “V” is made if there is information that the citizen is recognized as unemployed in the prescribed manner; in case of putting this mark in the line “(place of work - name of organization)”, “Primary [_]”, “Part-time N [_][_][_][_][_][_][_][_ ][_][_][_][_]" - not filled in;

in the line “date 2” the end date of the voucher for treatment (follow-up treatment) is entered;

in the line “Voucher N” the number of the voucher for treatment (follow-up treatment) is indicated;

The “care” subsection is filled in in the case of caring for a sick family member (including during the quarantine of a child):

in the line “family relationship” the corresponding two-digit code is indicated:

40 - guardian;

41 - trustee;

42 - another relative who is actually caring for a sick family member.

in the line “Name of the family member being cared for” the surname, first name, patronymic (patronymic is indicated if available) of the citizen being cared for (with spaces in one cell).

In the line “Registered in the early stages of pregnancy (up to 12 weeks)” in the cells “yes [_]” “no [_]” a mark “V” is made if the relevant information is available.

In the line “Notes on violation of the regime”, depending on the type of violation, the following two-digit code is indicated:

23 - failure to comply with the prescribed regimen, unauthorized leaving the hospital, traveling for treatment to another administrative region without the permission of the attending physician;

24 - late attendance at a doctor’s appointment;

25 - going to work without being discharged;

26 - refusal to refer to a medical and social examination institution;

27 - late appearance at the medical and social examination institution;

28 - other violations.

In the line “Date [_][_]-[_][_]-[_][_][_][_]” the date of the violation is indicated, in the field “Doctor’s signature” the signature of the attending physician is placed.

If there were no violations of the regime, the specified lines are not filled in.

In the line "Was in hospital" in cells "From [_][_]-[_][_]-[_][_][_][_]" "to [_][_]-[_] [_]-[_][_][_][_]" the start and end dates of the citizen's inpatient treatment are entered accordingly, and in the table "Exemption from work" of the certificate of incapacity for work, a record is made of the duration of treatment.

59. When sent for a medical and social examination (MSE), the certificate of incapacity for work indicates the corresponding dates in the lines: “Date of referral to the MSE bureau: [_][_]-[_][_]-[_][_][_ ][_]", "Date of registration of documents in the ITU bureau: [_][_]-[_][_]-[_][_][_][_]", "Certified in the ITU bureau: [_ ][_]-[_][_]-[_][_][_][_]".

In the line “Disability group established/changed [_]”, the disability group (1, 2, 3) is indicated in Arabic numerals if, as a result of examination at an ITU institution, the person’s disability group is established or changed.

In the field “Signature of the head of the ITU bureau” the signature of the head of the ITU bureau is placed.

60. In the table "Exemption from work":

in the column “From what date” the date (day, month and year) from which the citizen is released from work is indicated;

in the column “By what date” the date (day, month and year) (inclusive) is indicated on which the citizen is released from work.

When issuing a certificate of incapacity for work by decision of the medical commission, including for the past time, in the columns “Position of the doctor” and “Last name and initials of the doctor or identification number,” the surname, initials and position of the attending physician, the surname and initials of the chairman of the medical commission after each case are indicated , considered by the medical commission.

Paragraph 12 - Deleted.

(as amended by Order of the Ministry of Health and Social Development of the Russian Federation dated January 24, 2012 N 31n)

61. In the line “Get to work” in cells “from [_][_]-[_][_]-[_][_][_][_]” the date of restoration of working capacity is indicated the next day after examination and recognition able-bodied citizen.

In the line “Other: [_][_]” the following two-digit code is indicated:

31 - if the citizen continues to be ill and is issued a new certificate of incapacity for work (continued);

32 - when disability is established;

33 - when the disability group changes;

34 - in case of death;

35 - in case of refusal to conduct a medical and social examination;

36 - in the case when a citizen, after issuing or extending a certificate of incapacity for work, did not show up for an appointment, but at the next visit was recognized as able to work;

37 - in case of referral for follow-up treatment immediately after inpatient treatment.

Following the two-digit code entered in the line “Other:

", in cells "[_][_]-[_][_]-[_][_][_][_]" for codes 32, 33, 34 and 36 the date of establishment, change of disability group is also entered, date of death of the citizen, date of appearance as able-bodied. When closing the certificate of incapacity for work, the person who issued the certificate of incapacity for work carefully crosses out the empty lines of the table “Exemption from work” with one horizontal line.