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Friskanmälan / Notification of return to work

När du är redo att återvända till jobbet fyll i följande formulär med återkomstdatum

English

When you are ready to return to work please fill in the following form with date of return

Sjukanmälan

Company name

Your name

Social security number (12 digits, example, 199001010000)

Your mobile phone number (Note: only numbers, (without - ex 0722112211)

Company contact's mobile number (Note: only numbers, without - ex 0722112211)

Company/department email address

Cause of absence

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Tack för din anmälan

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Vård av barn - Care of child

När du anmäler vård av barn ska du fylla i samtliga fält. Tänk på att alltid fylla i mobilnumret eller epostadress till din kontaktperson på företaget så de får en SMS notifiering eller epostmeddelande när du har sjukanmält dig.

OBS! Genom att fylla i informationen nedan godkänner du att dina personuppgifter som du anger här skickas vidare till din arbetsgivare.

English

When you are reporting care of child you should fill in all fields. Remember to always fill in the mobile number or emailaddress of your contact person at the company so that they receive an sms notification or email when you have reported ill. NOTE! By completing the information below, you agree that your personal data you enter here will be forwarded to your employer.

Vård av barn

Company name

First name

Surname

Your mobile phone number (only numbers ie 0722112211)

Social security number (12 digits, example, 199001010000)

Date of your initial VAB-day during this time period

Company conctacs mobile number (numbers only ie 07912345678)

Company/department email address

Comments

Never give out your password. Report abuse

This content is created by the owner of the form. The data you submit will be sent to the form owner. Microsoft is not responsible for the privacy or security practices of its customers, including those of this form owner. Never give out your password.

Powered by Microsoft Forms |
The owner of this form has not provided a privacy statement as to how they will use your response data. Do not provide personal or sensitive information. |
Terms of use

Tack för din anmälan

Logga in med Mobilt BankID

Gör sjukanmälan utan BankID

Sjukanmälan - Notification of illness

När du som sjuk anmäler dig ska du fylla i samtliga fält. Tänk på att alltid fylla i mobilnumret eller epostadress till din kontaktperson på företaget så de får en SMS notifiering eller epostmeddelande när du har sjukanmält dig.

OBS! Genom att fylla i informationen nedan godkänner du att dina personuppgifter som du anger här skickas vidare till din arbetsgivare.

English

When you are ill you should fill in all fields. Remember to always fill in the mobile number or emailaddress of your contact person at the company so that they receive an sms notification or email when you have reported ill. NOTE! By completing the information below, you agree that your personal data you enter here will be forwarded to your employer.

Sjukanmälan

Company name

First name

Surname

Your mobile phone number (only numbers ie 0722112211)

Social security number (12 digits, example, 199001010000)

Date for the initial sick day during this timeperiod

Company contact's mobile number (only numbers ie 0722112211)

Company/department email address

Reason for absence

Never give out your password. Report abuse

This content is created by the owner of the form. The data you submit will be sent to the form owner. Microsoft is not responsible for the privacy or security practices of its customers, including those of this form owner. Never give out your password.

Powered by Microsoft Forms |
The owner of this form has not provided a privacy statement as to how they will use your response data. Do not provide personal or sensitive information. |
Terms of use

Tack för din anmälan

Logga in med Mobilt BankID

Gör sjukanmälan utan BankID

Friskanmälan - Notification of return to work

När du är frisk använd följande formulär för friskanmälan! Var noga med att fylla i samtliga fält

English

When you are ready to return to work please fill in the following form with date of return

Friskanmälan

Company name

First name

Surname

Social security number (12 digits, example, 19900101-0000)

Date of returning to work

Companys contact's mobile number (numbers only ie 0722112211)

Company/department email address

Comments

Never give out your password. Report abuse

This content is created by the owner of the form. The data you submit will be sent to the form owner. Microsoft is not responsible for the privacy or security practices of its customers, including those of this form owner. Never give out your password.

Powered by Microsoft Forms |
The owner of this form has not provided a privacy statement as to how they will use your response data. Do not provide personal or sensitive information. |
Terms of use

Tack för din anmälan

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