Electronic certificate of incapacity for work in Germany

On 1 October 2021, the electronic certificate of incapacity for work (eAU) was introduced in Germany. This means that German doctors will no longer provide their patients with a printout of the certificate of incapacity for work. Sickness certificates will now be transmitted digitally by doctors' practices directly to the German health insurance funds. This system does not currently exist in Luxembourg. However, until 1 July 2022, the transitional solution provides that doctors must print hard copies of certificates from their practice software for patients who request them. However, the doctor will no longer print 3 documents, but only 2 documents: one for the employer (without diagnosis) and one for the patient (with diagnosis). The latter must also be used to declare the incapacity for work to the CNS.

What do I have to do as a Luxembourg insured person if I am declared ill by a doctor in Germany?

In order to be able to report the incapacity for work to the CNS, you must ask the doctor in Germany to provide you with a printout of the electronic certificate of incapacity for work (printout from the doctor's office software) in duplicate: a copy for the employer and a copy for the patient. The printed copy for the patients has to be sent to the CNS, either by post and the patient can make a copy beforehand, or by email as a scanned document, the patient has to keep the document. This is a transitional solution valid until 1 July 2022.

At the latest on the 3rd day of incapacity for work, the certificate of incapacity for work (copy for the patient) must be sent to the CNS:

  • either by email to cit.cns@secu.lu.
  • or by post to CNS - Incapacity for work - L-2980 Luxembourg.

The CNS is working closely with the German authorities to implement a final and efficient solution by 1 July 2022.

Here is an example of these two documents: Document for the employer and document for the patient

Certificate of incapacity for work for the employer

Certificate of incapacity for patients and the CNS

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