The 48-hour deadline that can cost you money
When your doctor extends your sick leave, you must send sheets 1 and 2 to your CPAM and sheet 3 to your employer within 48 hours of the prescription. This deadline is strict. If you miss it without a valid reason, CPAM can reduce or suspend your daily allowances for the late period.
How much do you actually receive?
CPAM daily allowances are calculated at 50% of your average daily gross salary (calculated over the last 3 months), up to a ceiling. Payment starts from the 4th day of incapacity (3-day waiting period, unless your collective agreement provides better terms). Also check whether your employer maintains your salary — many collective agreements provide for full or partial salary maintenance during sick leave.
Medical checks: your rights and obligations
CPAM can send a medical officer to check on you at home. You must be present during the authorised hours shown on your sick note (usually 10am–12pm and 2pm–4pm, except when "free movement" is prescribed). If you're absent during a check, your allowances can be suspended. If you need to go out for medical or urgent reasons, notify CPAM in writing before your absence.
Challenging the medical officer's decision
If CPAM's medical officer decides your sick leave is no longer justified and stops your allowances while your GP maintains the sick note, you can request a medical review from CPAM. This review is carried out by an independent doctor.
Therapeutic part-time working: an often overlooked option
If your health is improving but doesn't yet allow you to return full-time, ask your doctor for a therapeutic part-time prescription. This gradual return allows you to work part-time while continuing to receive partial daily allowances. It must be approved by CPAM before starting — don't return without this approval or you risk losing your allowances.