The certificate is necessary after each use of sick leave days. If these days are used for care, a medical certificate from the national health service must be presented to the employer (private sector). This is the second fulfillment expected under civil disability leave: before taking time off, the worker presents the request with the doctor's consent from the National Health Service. The request should be submitted before the absence, accompanied by the doctor's agreement with the SSN or public healthcare facility where it can be proven that the need for care due to an incurable disability recognized according to Art. 7, point 2, of DLgs. 119/2011.

Article 6133 of the year 2025 has established that the certificate issued for completed treatments does not replace this request: In case decided, absence was considered unjustified and legitimate dismissal. After treatment, the worker is required to document in an appropriate manner the occurrence during treatment (art. 7, point 3, DLgs. 119/2011) with an attestation from the structure or professional who performed them, with dates without diagnosis. The document depends on the type of treatment: For his case, therefore, it should be delivered after each use of days, or once at the end of the cycle if the treatments are continuous. Days are remunerated according to sick leave but by employer's account, without INPS indemnity, and those paid in fractions count as one episode for purposes of calculation (Ministry of Labor decree No. 10/2013 dated March 8, 2013).

If treatments are life-saving therapies, the CCNL can exclude them from days of illness paid for up to 100%. Thirty days are excluded from this behavior, and absences due to illnesses related to disability are also not counted among other absences. For visits and examinations, those with a 74% disability can use even sick leave allowances introduced by Law 106/2025. If you fail to apply this obligation, the Cassation has established that the absence was deemed unjustified and legitimate termination. Therefore, it is important to maintain good records of all treatments performed to avoid potentially more complex issues. For further information on protected categories, sick leave, disabilities, illness, work-related permits, etc., we recommend signing up on our website or contacting us via email.

Confirm your subscription by clicking on the link received via email. If you want personalized information, please also fill out the optional fields below. With the minimum treatment review of INPS, income thresholds would increase even further: comparison 2026-2027, requirements for married couples, calculations. The Chamber approves the DDL: contribution up to €1,200 to .