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Sick leave notice and daily allowance request

When an employee stops work because of illness: to tell CNSS and ask for daily allowances that replace part of the salary.

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Issued by: National Social Security Fund (CNSS)

Reference312-1-16

Open the forms page on the CNSS site, look for reference 312-1-16 in the list (it has several pages), then download and print the form.

Open the official site(cnss.ma)(opens in a new tab)

How to use it

  1. Ask the doctor to fill in the medical part, or attach the sick note as the form asks.
  2. The employer fills in, signs and stamps the part about the time off and the wages.
  3. Hand the file in at a CNSS agency quickly, within the time limit written on the form.

This form belongs to the administration named above. We do not copy or host it: always download it from its official site to get the latest version. These steps are a simple guide; the instructions written on the form come first.