What is a certificate of temporary disability of a student. What is a student's certificate of temporary disability? Sample of filling 095 at


Honey help 095 / y

Medical certificate form 095 / y is a medical document that testifies to the bearer's temporary disability for medical reasons. Only pupils and students of higher and secondary educational institutions are allowed to issue and present such a medical certificate. A medical certificate of form 095 is issued by a general practitioner and exempts from attending classes for up to 10 calendar days (in some cases, medical certificate 095 can be extended up to 30 calendar days, only in this case it will also require medical certificate of form 027). Also, a medical certificate of this form can be an exemption from attending physical education and compulsory sports events for up to 1 month.
A very important criterion for the authenticity of a medical certificate is the correctness of its filling. Therefore, there are a number of mandatory points in filling it out, regulated by the Ministry of Health of the Russian Federation.
Any medical certificate (in this case, a medical certificate of form 095u) has its own serial number (three-digit number), the date of issue, the name of the educational institution (short), full surname, name and patronymic, date of birth of the patient (chil / month / year) must be present on the form ).
The conclusion about the diagnosis in the medical certificate 095y fits very briefly (ARVI, ARI) or an extract from the patient's outpatient card with the full diagnosis indicated in it is attached to the certificate.
The dates on the 095y medical certificate are of great importance. So the date of the first day of exemption from classes is the day when the patient consulted a doctor (this is not a holiday or day off). If the period of exemption from classes according to medical certificate 095 exceeds 10 calendar days, it must be divided into several equal time intervals (no more than 10 days each). Each such period is certified by a doctor's signature. At the bottom of the medical certificate of this form there is a record of the therapist about the date from which the patient should start studying.
The full term of release on a medical certificate form 095u should not contradict the terms of temporary incapacity for work, which are provided for by the Ministry of Health of the Russian Federation.
The honey certificate 095u is certified with three medical seals: a rectangular seal of a medical institution, a triangular seal for sick leaves and a round seal of the attending physician. The attending physician's signature on the 095y medical certificate is required.
It is very important that only dark, blue or black ink, letterhead, is used when filling out the certificate.
The form of a medical certificate form 095 / y must be of a printing house, correspond to medical forms of a certain sample of office work.

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Please note that the provided sample document is typical, it reflects the essential conditions, but does not take into account the specific situation. If you need an individual document for you, it is better to contact qualified specialists.

Documents that may also interest you:

Med-help 095 / yav-la-e-sya med-ching-do-ku-ment-tom, under-firm-waiting for a time-less-time-to-do the property of the person according to doctors for-for-ni-yam. In order for the dean's office not to consider the missed classes as truancy, in case of illness, the student must have a certificate of temporary disability of the student.

Uni-fi-tsi-ro-wan-naya form-ma 095 / u pre-im-imo-n-n-but pre-na-zn-che-na for the liberation of god-de-nia from in-se-shu- education of educational institutions and sports for sick schoolchildren, pre-schoolchildren, student - you, other students. Form 095 / y can also be used for working people as a certificate of temporary STI work-bot-no-ka, when not in-lo-ze-na for some reason, you-da-cha of sick-nich-n-sts.

Medical certificate 095 / y gives you the right to take part in the study sessions for up to 2 weeks.

Tre-bo-va-tion for the reference:

Help 095 / y, sample of a swarm ustan-nov-len fe-de-ral-ny norm-ma-tiv-mi ak-ta-mi, has a special -by-bo-va-nia to for-half-not-niyu. Appearance of an ophi-qi-al-noy medi-qing-do-ku-men-ta-qi-e, a certificate of a temporary netru-do-do-so-no- STI 095 / u , according to the tre-bo-va-ni-yam of the Ministry of Health of the Russian Federation, must be issued on the uni-fi-tsi-ro-van-nome.

Sign up

In do-ku-men-te, it is obligatory-for-t-but-should-be-indicated:

  • row-by-row number and da-that you-da-chi;
  • personal data of the student, his birth date;
  • to-name-no-va-tion of an educational or-ga-ni-zation or another institution, in which a certificate will be presented -Lena;
  • for-pi-san-ny in a short form di-a-gnosis of pre-appearance-te-la (if necessary, to form 095 / y pr-la-ha- there is a doctor-cheb-naya writing, made by a special-tsi-a-list from am-bu-la-tor-noy card-you pa-tsi-en-ta, with in fractional di-a-gno-zom).

In the certificate, there is a statement to the special-ti-a-li-stu and da-ta, with a swarm of presenter blan-ka mo- he starts-to-drink to study (for-nya-ti-yam physical-culture-tu-swarm, ra-bo-those). When the period of liberation of God from study (work) is more than 10 days, the doctor bi-va-et period of time-no-tru-up-to-spo-sti-pa-tsi-en-ta on equal terms in time-no-inter-creep and for-ve -paying every one such time-period-period-o-d-her under-pi-sue.

Form-ma 095 / y, according to the norm-ma-tiv-ny tre-bo-va-ni-yam, always should-for-believe-Xia 3 pe-cha-cha-mi :

  1. straight-coal from the medical center or other institution, where pro-pi-sa-but full in-name -via-nie co-ot-vet-stu-yu-shche-th-d-establishment;
  2. pe-cha-tyu (round-loy) spe-ci-a-li-sta, you-give-she-go and under-pi-sav-she-go help;
  3. Round of tis com Udo-hundred-ve-pn-th-conductive Help and pain-nich-nye Do-sty.

Sign up

Where can I get medical help 095 / y?

Inquiries, confirming the temporary lack of accessibility of citizens, are issued by a doctor-te-ra-singer. One-on-the-lu-ch-me-di-tsin-sko-go-ku-men-that can take up to-hundred-exactly-but a lot of -for big-ey-re-dey in the field-li-kli-ni-kah of St.Peter-bur-ha, that's why it's easier and faster to go for form 095 / y in commercial medical centers.

The many-profiled medical center "Sve-to-for" gives out medical certificates 095 / y, in full with-vet-otstvu- yu-shih norm-ma-tiv-nym tre-bo-va-ni-yam. Our information about the time-of-day not-to-the-ability-ability is suitable for the provision of-le-tion in any way-zo-va-tel- nye or-ga-ni-zations, institutions and for presentation at the place of work.

You will not come to stand in a queue in a field-li-kli-ne-ke to get a certificate 095 / y. Our experienced specialists will provide the necessary inspection and quickly you will get a medical help, having everything tre-bu-e-rec-vi-zi-you and pe-cha-ti.

Form-ma 095 / u you-yes-em-Xia when referring to the doctor - special-tsi-a-li-stu.
One hundred-and-most of the first pri-e-ma vra-cha - special-ts-a-li-one hundred 1200 rubles.
Form 095 / y does not require ofi-tsi-al-no-go blank and you-yes-it is for a period of not more than 14 days.

25.08.2019

A medical certificate in the form 095 / y is issued to schoolchildren, university students, students of technical schools, children attending preschool institutions (kindergartens) to confirm their absence due to illness due to temporary disability.

In the article, you can also download a sample of filling out this document.

What is it for?

In the event of a disease, the presence of which prevents all students of various levels of education from attending an educational institution, pupils of preschool institutions draw up a certificate for its subsequent presentation to the administration of the educational institution.

A certificate in form 095 / y is issued by a therapist or pediatrician (depending on the patient's age) for a period of exemption from attending classes up to 14 days.

In some cases, the certificate can be extended up to 30 days. This form also allows the student not to attend physical education classes (for 1 month).

Students who systematically miss classes and do not confirm their absence from classes may be reprimanded. The presence of repeated reprimands in writing entails the expulsion of the student from the university, technical school or other educational institution. A student can be expelled when he turns 15.

A certificate of temporary incapacity for work can also be issued to an employee for presentation to work, in this case it is drawn up by. This document is not subject to payment, but the absence of an employee at work will justify for the authorities.

Where can you get it?

A certificate of temporary disability is drawn up at the place where the patient turns for help, where he receives various types of medical services. Students can apply for it in a city, rural clinic (at the place of registration) in the event of a disease that does not require hospitalization.

Form 095 / y can only be issued by doctors working in a medical institution licensed to carry out medical activities.

The license must necessarily prescribe the right of a healthcare institution to issue certificates of temporary disability.

These legal entities include:

  • polyclinic;
  • inpatient hospital;
  • sanatorium;
  • rehabilitation center.

A certificate of temporary disability of a student in the form 095 / y is filled out by a doctor of a medical institution.

The issuance procedure for a student of a technical school, university

Sample filling out a form for a university student -.

This is how a completed form 095 / y certificate looks like:


A certificate of temporary disability is needed when an employee, for some reason, could not take a sick leave. Students use the same certificate to justify their absence from class. There are certain nuances in working with her. Read the article, download sample documents

In this article, you will learn:

In what cases do you need a certificate of temporary disability

It usually confirms that the employee was really sick - a sick leave issued by a medical institution, and payments are also made on it. However, a certificate of temporary disability is sometimes presented as a supporting document.

This document indicates that the employee did not skip the working day, but visited the doctor. Usually, a certificate is issued if:

  • there was an appeal to a doctor in another city, for example, during a business trip. A full-fledged hospital person will open when he returns home, but for now he will be able to prove good reasons for absence from work with the help of a certificate;
  • the medical institution does not have ballots (for example, it is in the process of reorganization);
  • an insignificant injury was received, in connection with which a sick leave, most likely, will not be needed, but a doctor's consultation was necessary;
  • there was an appeal to the doctor through an ambulance, which does not issue ballots, but through a certificate can confirm that the person was unwell;
  • the person visited the hospital once, for example, for a medical procedure or treatment with a dentist;
  • there was a need to care for a seriously ill relative or child;
  • quarantine was declared;
  • the pregnant woman felt unwell and consulted a doctor; forensic medical examination was carried out;
  • the person needed prosthetics in stationary conditions.

A certificate of temporary disability serves only as proof that the employee did not skip work. It cannot serve as a basis for paying for the time of illness - for this it is necessary to issue a sick leave. Some employees take it to the personnel department for six months, but you cannot properly draw up documents and calculate benefits. What to do, the experts of the "Handbook of a personnel officer" magazine told

Where to get help on the 095 / y form

It should be noted that for military personnel and employees of the Ministry of Internal Affairs in these circumstances, the doctor writes out a slightly different document - a sheet of exemption from service duties due to illness or prosthetics.

How to fill

First of all, the 095 form is intended for students and preschoolers and is used for employed citizens only in exceptional cases.

To confirm the disability of the worker, form 095 / y is used, which, in addition to the main document, also contains a control coupon.

The help has an approved form that is intuitive to fill out. If difficulties arise, you can adhere to a certain algorithm:

  1. The stamp of the medical organization is put in the upper left corner.
  2. In the upper right corner, the codes are fixed - OKPO, OKUD.
  3. In a special place, the reference number is recorded - its main requisite.
  4. Select from the list and highlight the patient's status (in the case of an employee, do not highlight anything).
  5. Date of issue.
  6. Next, the patient's information is sequentially filled in - place of work, full name, date of birth.
  7. Diagnosis in the form of a code or indication of other reasons for absence (for example, caring for a relative).
  8. The fact of contact with infectious patients, if any.
  9. Period of incapacity for work.
  10. Doctor's signature.
  11. Certification with seals: doctor - next to his autograph, triangular - "for information" (bottom right).

The control card is filled out in parallel with the certificate. After its separation, it is stored in a medical facility, since it refers to primary medical documentation. It is used for statistics and, if necessary, to confirm the issuance of a basic certificate.

Certificate of temporary disability of a student

Students of universities, colleges and other educational institutions also need to somehow justify their absence from class during school hours. If the reason was a health condition, this is confirmed by a certificate of temporary disability in the form of 095 / y.

If a student repeatedly missed classes, citing illness, however, did not provide any evidence of this, then, after preventive measures determined by law, he may be expelled as violating the charter.


In addition to the exculpatory function, a certificate of temporary disability of a student in 2018 also has an accounting function. On the basis of the issued certificates, the dynamics of morbidity risks among other students is monitored. The form is filled out in the same way as a certificate for a worker, if necessary, an extract from the medical record in the form 027 / y is attached to it.

Issuance procedure for a student

The Ministry of Health, by letter No. 14-1 / 10 / 2-1396 dated April 15, 15, explains the procedure for issuing certificates of disability to students. The main provisions are as follows:

  • issued only upon personal contact with a medical organization;
  • the patient is obliged to present an identity card to the doctor;
  • the doctor who was directly involved in the treatment writes out a certificate (a paramedic with the appropriate authority can also issue a certificate);
  • seals and stamps should be clear (in order to avoid falsification of documents, which have become more frequent recently);
  • to verify the authenticity of the discharge in the hospital, its spine remains;
  • the presence of a reliable certificate can serve as a basis for postponing state exams, so that the student can make up for the program missed due to illness.

Article 70, clause 7 of the Federal Law No. 323 of 11/21/2011 allows the issuance of certificates for students in any form by the ambulance staff in some exceptional cases.

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