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Germany's Doctors' Association Proposes Sick Notes From Day Four or Five as Employers Object

The proposal targets fewer routine visits to save costs in a strained health system.

Overview

  • KBV chair Andreas Gassen urges making medical certificates obligatory only from the fourth or fifth day of illness.
  • He argues the change would eliminate many short attestations, saving about 1.4 million work hours or roughly €100 million.
  • Employer groups including Niedersachsenmetall and the BDA denounce the idea, warning of misuse and higher burdens on companies.
  • No rule has changed: a certificate is still due on the fourth day after more than three calendar days off, and employers may require it earlier.
  • Telephone and retroactive sick notes remain available under set limits, with phone AUs typically up to five days and retroactive certification up to three.