Sick pay application

As your employer during assignments, we are responsible for sick days 2 to 14 of your sick pay provided the conditions below are met and the documents are correctly and fully completed. After that, Försäkringskassan handles your case. WorkNode applies one waiting day.

If you fall ill, report sick leave the same day to your client and via the Sick leave and return-to-work form. When you return to work, report this via the same form.

Your information

Name *Personal identity number *Email *Phone number *

Information about your client

Company *Organisation number *Contact person at the company *TitleEmail *Phone number *

Illness and sick period

Illness *

Date of first sick day *Date of return to work

Attach medical certificateThe medical certificate must be from day 8 of the sick period. PDF, image, Word or email file (.eml / .msg).Choose a file or drop it here

I have submitted pre-registration for the periodDate of pre-registrationI have reported sick leaveDate of sick leave report

Qualification period

Must be verifiable on request.

I have worked continuously for 14 days before the illness. For employments shorter than one month, these are combined provided the gap between two work dates is not greater than 14 days.

Sick pay application covers

Day 1Day 2Day 3Day 4Day 5Day 6Day 7Day 8Day 9Day 10Day 11Day 12Day 13Day 14