Extending Sick Leave

If your health condition continues after your first sick leave period ends, your doctor must issue an extension that must be sent to CPAM within 48 hours. An explanatory letter may be useful in certain cases to ensure continuity of your benefits.

This page explains cases requiring additional clarification, what information to provide, and offers a ready-to-use letter template, plus a tool to automatically generate your personalized letter.

When should you write this letter?

• You received an extension from your doctor and noticed a delay in processing;
• You had difficulty sending the extension on time;
• You want to clarify special circumstances related to your condition;
• You noticed an interruption in your daily benefits.

In all these cases, a written letter remains a reliable way to resolve your situation.

Required information to include

• Your first and last name and social security number;
• The start and end dates of the extension;
• The name of the doctor issuing the extension;
• A copy of the medical extension.

The faster you send the documents, your benefits continue without interruption.

Official letter template

Important note: the letter sent to CPAM must be written in French, as it is a French administration. Below is a template you can use as a basis.

[First name LAST NAME]
[Full address]
[Social security number]

CPAM of [Department]
[CPAM address]

Written in [City], on [Date]

Subject: Sick leave extension

Dear Sir/Madam,

I am sending you the extension of my sick leave from [date] to [date], issued by Dr. [name].

[...]

→ The complete letter, tailored precisely to your situation and ready to send, is generated automatically in 3 minutes using the tool above.

Frequently Asked Questions

What's the deadline to send the extension?

48 hours from the date it's issued by the doctor.

What happens if I'm late sending it?

You may face a reduction in your daily benefits unless the delay is justified.

Does the extension need to come from the same doctor?

Not mandatory, but continuity with the same treating doctor is preferable.

Do my benefits continue automatically after the extension?

Yes, as long as the extension was sent on time.

When must I undergo a medical examination by CPAM?

CPAM may request a medical examination in cases of extended leave to verify the condition continues.