A certificate or certificate of incapacity for work is issued by a medical institution. It confirms the temporary or complete disability of an employee, student or preschooler. Now everything revolves around certificates, without them we cannot study, work or even go on vacation. So many have to stand in line at clinics in order to receive the coveted piece of paper. In order to be sure of the information received, you need to know the rules for filling them out, and sometimes you have to fill them in yourself.
Instructions
Step 1
Prepare an insurance policy, passport and additional documents that the hospital may need. Then call a doctor at home or go to a medical facility.
Step 2
Take the form 095 / y. Include the address and name of the health care facility on the sheet. This is necessary so that the inspection authorities can verify the authenticity of your certificate of incapacity for work. Fill in the box indicating "primary" or "secondary" incapacity for work, and also indicate the date of issue of the certificate. In this case, the day and year are indicated in numbers, and the month in words. Fill in the last name, first name, patronymic of the disabled person completely, without abbreviations. Indicate the patient's full age in numbers, without the date of birth. Indicate the place of work or study and the position held by the disabled person.
Step 3
Fill in the field about the patient's diagnosis. From this point on, the certificate must be completed by a doctor or under his supervision. In some cases, the patient's diagnosis may not be indicated due to the confidentiality of information. Indicate the reasons for temporary or complete disability. In case of inpatient treatment, note the date of hospitalization and discharge. If you were sent to MSEC, then indicate the date of sending and the conclusion delivered by MSEC.
Step 4
Determine the period of temporary disability and indicate the expected date of entry to work or study. If a doctor diagnoses a complete disability, then a corresponding seal is put. If the temporary disability is prolonged, then the doctor should note “continues to be ill”. The doctor indicates his position and surname and certifies the certificate with his signature.
Step 5
Confirm the received certificate of incapacity for work from the head physician. The certificate must have the round stamp of the medical institution. Register the issuance of the certificate in the register of control of the issuance of certificates of incapacity for work.
