Health Guide · France
Sick Leave Certificate in France: A Guide for Expats and Remote Workers
An arrêt de travail — the French sick note — works differently from what most expats expect. Here's the practical guide.
What is an arrêt de travail?
An arrêt de travail (literally "work stoppage") is the official medical certificate issued by a French doctor when you're too ill to work. It's not a simple note — it's a legally binding document that triggers your sick pay rights and must be submitted to your employer and, if you're enrolled in French social security, to the CPAM.
Who can issue one?
Only a French-licensed doctor (médecin) can issue an arrêt de travail valid under French law. This includes GPs (médecins généralistes), specialists, and — importantly — doctors working via telemedicine platforms registered in France.
I'm an expat. Do I qualify?
It depends on your situation:
- EU/EEA nationals working in France with French employment: yes, fully covered by French sick leave rules.
- Non-EU nationals with French employment contract: yes, same rights.
- Remote workers employed abroad (working from France for a foreign employer): your sick leave is governed by your employment contract and country of employment, not French law. A French doctor can still issue a medical certificate, but it may not trigger French sick pay.
- Self-employed (auto-entrepreneur, freelance): if you contribute to French social security, you may be entitled to daily allowances (indemnités journalières) after a waiting period.
How to get an arrêt de travail fast
The fastest option for most expats is an online consultation with a French-licensed GP. The doctor evaluates your condition by video or written consultation, and if medically justified, issues the arrêt de travail electronically. It arrives in your inbox within minutes, ready to forward to your employer.
What if I just need a certificate for my employer abroad?
If you work for a non-French employer and just need proof of illness, a standard certificat médical (medical certificate) is what you need — different from an arrêt de travail. A French doctor can issue this with no connection to French social security.
Common questions
Can I get a sick note in France if I don't have French health insurance?
Yes. A doctor can examine you and issue a certificate regardless of insurance status. You'll pay the consultation fee out of pocket — typically €25–50 for a GP.
Is an online sick note valid in France?
Yes, if issued by a French-licensed doctor via an approved telemedicine platform. The document carries the same legal weight as one issued in a physical cabinet.
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