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Employee Medical Certificate For Sick Leave Template for Germany

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Key Requirements PROMPT example:

Employee Medical Certificate For Sick Leave

"I need a standard Employee Medical Certificate For Sick Leave template that complies with German regulations for our tech company's Berlin office, with additional fields for remote work capability assessment and expected return-to-work date."

Document background
The Employee Medical Certificate For Sick Leave is a crucial document in the German employment landscape, required whenever an employee is unable to work due to illness or injury. Under German law, specifically the Continuation of Remuneration Act (Entgeltfortzahlungsgesetz), employees must submit this certificate by the third day of illness at the latest, though employers may request it earlier. The certificate is issued in three copies: one for the employer (without diagnosis details), one for the health insurance provider (with full medical information), and one for the employee's records. This standardized document ensures proper documentation for continued salary payment during illness (up to six weeks) and subsequent health insurance benefits, while maintaining medical privacy in accordance with German data protection regulations. The certificate has recently transitioned to a digital format in many cases, though paper versions remain valid.
Suggested Sections

1. Patient Information: Employee's full name, date of birth, and address

2. Diagnosis Period: Start date of inability to work and expected duration

3. Type of Incapacity: Whether it's initial illness or continued illness (Erst- oder Folgebescheinigung)

4. Diagnosis Code: ICD-10 code for the condition (only on copy for health insurance, not for employer)

5. Medical Professional Details: Name, address, and contact information of the examining physician/practice

Optional Sections

1. Hospital Referral: Required only if patient is referred to hospital care

2. Prior Illness Reference: Include when the current inability to work is related to a previous condition

3. Work Accident Information: Required if the inability to work is due to a workplace accident

4. Partial Work Capability: Include when employee can work partial hours or perform modified duties

Suggested Schedules

1. Copy for Employer: Version without diagnosis details - shows only incapacity period and confirmation

2. Copy for Health Insurance: Complete version including diagnosis code and full medical details

3. Copy for Patient: Patient's personal copy of the certificate

Authors

Alex Denne

Head of Growth (Open Source Law) @ ¶¶Òõ¶ÌÊÓÆµ | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Relevant legal definitions

















Clauses













Relevant Industries

Healthcare

Manufacturing

Technology

Financial Services

Retail

Education

Public Sector

Construction

Transportation

Hospitality

Professional Services

Energy

Agriculture

Media and Entertainment

Telecommunications

Relevant Teams

Human Resources

Payroll

Operations

Administration

Personnel Management

Occupational Health

Compliance

Employee Relations

Benefits Administration

Relevant Roles

Human Resources Manager

HR Administrator

Payroll Specialist

Benefits Coordinator

Personnel Officer

HR Director

Office Manager

Department Manager

Line Supervisor

Operations Manager

Compliance Officer

Employee Relations Manager

HR Business Partner

Occupational Health Manager

Administrative Assistant

Industries






Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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