Beware of phishing. CM never sends you e-mails with requests to alter your personal details. How can you spot a fake e-mail?

  • Home
  • Declaration of incapacity for work

Online disability declaration form

Use this form to send us your disability declaration digitally.

You can complete your disability declaration online using the form below.

Complete the form and attach your certificate of disability. You must first have this certificate completed by your doctor (as an employee or as a self-employed person ). Then you scan it or take a photo of it. Finally, you add the declaration as an attachment to this form.

Submit the declaration within 7 calendar days after the start of your disability, or before the end of your period of guaranteed wages . This way you avoid a reduction in your benefit or a sanction.

You do not have to provide us with the certificate intended for your employer.

Important: here you can only submit your disability declaration, not the benefits information sheet. You can complete the information sheet here .

Hier dien je enkel de eerste pagina van je getuigschrift in, niet het inlichtingenblad uitkeringen. Dat vul je hier in.
One file only. 10 MB limit. Allowed types: pdf, jpg, jpeg, png.