(a) Forms required for claiming benefits. To claim sickness benefits for a period of inability to work due to an illness or injury, or in the case of a female employee, pregnancy, miscarriage, or childbirth, an employee must file the following forms:

Need help with an employment contract?
Have it reviewed by a lawyer, get answers to your questions and move forward with confidence.
Connect with a lawyer now

Terms Used In 20 CFR 335.2

  • period of continuing sickness: as used in this part , are defined in sections 1(k) and 2(a) of the Act, respectively, and paragraphs (b) and (c) of this section. See 20 CFR 335.1
  • registration period: means , with respect to any employee, the period which begins with the first day with respect to which a statement of sickness for a period of continuing sickness is filed in his or her behalf in accordance with this part, or the first such day after the end of a registration period which will have begun with a day with respect to which a statement of sickness for a period of continuing sickness was filed in his or her behalf, and ends with whichever is the earlier of:

    (1) The thirteenth day thereafter; or

    (2) The day immediately preceding the day with respect to which a statement of sickness for a new period of continuing sickness is filed in his or her behalf. See 20 CFR 335.1

(1) An application for sickness benefits at the beginning of each period of continuing sickness;

(2) A statement of sickness to accompany the employee’s application;

(3) A claim for sickness benefits for each 14-day registration period during the employee’s period of continuing sickness; and

(4) A supplemental doctor’s statement, if the adjudicating office requests additional proof of the employee’s inability to work.

(b) Mailing or delivering the forms. The forms required by paragraph (a) of this section may be mailed or delivered to any Board office. If the Board is satisfied that the employee is too sick or injured to execute the required forms, the Board may accept forms executed by someone in the employee’s behalf. Instructions for completing and filing the forms are printed on the forms themselves.

(Approved by the Office of Management and Budget under control numbers 3220-0034, 3220-0039 and 3220-0045)