Contact – Sickness or maternity

I will use this form only if my claim relates to sickness or maternity (sick pay, sick leave, maternity leave, etc.). To submit my certificate of incapacity for work (sickness/accident), I will use this form (click here).

Fields marked with an asterisk (*) are mandatory.

Name*

Firstname*

13-digit identification number*

Day of birth *

Address (number and street)*

Postcode*

Town*

Country *

Email address*

Subject of the request *

Telephone

Message*

Attachment (PDF, max. 5 MB)

No file chosen

To submit my application to the CNS, I fill in the fields on this page and then click on PREVIEW. Next, on the summary page, I check the information provided and confirm by clicking on SEND.

Important
If I upload a file via the form on this page, the file must be clearly legible and properly cropped, be no larger than 5 MB, and be in PDF format.

Please note! By completing this procedure, I consent to my personal data being processed in connection with my application. Click here for further information on the CNS’s data privacy policy.

Last update 14.07.2026