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    Entitlements & costs
    Ireland · Admin5 min read

    Sick Certs in Ireland: When You Need One and What It Costs

    A sick cert is a small piece of paper that decides whether you get paid. Here is when your employer can legally require one, the difference between the cert your job needs and the one the Department needs, what it costs, and how to get it without sitting in a waiting room.

    By ViscaCare Team · Figures checked August 2026

    The short version

    In Ireland there is no fixed legal day on which a certificate becomes required — your contract sets that rule. What the law does say is that Statutory Sick Pay requires a medical certificate stating you are unfit to work.

    The part that trips people up is that there are two different certificates, issued for two different audiences, and asking for the wrong one costs you a second appointment.

    Notify first, certify second

    Telling your employer on day one, in the way your contract requires, matters more than the certificate itself. Statutory Sick Pay can be refused for failure to notify properly, even when the illness is genuine and later certified.

    When you actually need one

    When a certificate is required in Ireland
    SituationCertificate needed?
    One or two days off, employer allows self-certificationNo — but check the handbook, this is contractual not statutory
    Claiming Statutory Sick Pay from your employerYes — a medical certificate stating you are unfit to work
    Absence beyond your employer’s stated threshold (often day 3)Yes — a private medical certificate
    Claiming Illness Benefit from the DepartmentYes — a Certificate of Incapacity for Work, submitted electronically by your GP
    Long-term absenceYes — ongoing certification at the intervals your GP and the Department set

    Statutory Sick Pay is paid by your employer at a percentage of normal pay, subject to a daily cap and a limited number of days per year. Once you exhaust it, or if you are not covered by it, Illness Benefit from the Department of Social Protection is the next route.

    Two certs, two audiences

    Sick cert compared with a Certificate of Incapacity for Work
    Private sick certCertificate of Incapacity for Work
    Who it is forYour employerDepartment of Social Protection
    What it supportsSick leave and Statutory Sick PayIllness Benefit
    How you get itHanded or emailed to you by the DoctorSubmitted electronically by your GP
    Typical cost€20–€40, or within a consultation feeUsually within the same consultation
    Contains a diagnosis?Usually states only that you are unfit to workIncludes clinical detail for the Department

    Ask for both in the same appointment

    If your absence is likely to run past your Statutory Sick Pay entitlement, tell the Doctor at the first consultation. They can issue the employer certificate and submit the Certificate of Incapacity for Work at the same time, which saves you a second fee and a second appointment.

    What it costs

    Typical cost of a sick cert in Ireland
    RouteTypical cost
    Standalone certificate at your own practice€20–€40
    Within a standard GP consultation€50–€70 (€60–€90 in Dublin)
    GP out-of-hours co-op€60–€100
    Online Doctor consultationVaries by service; included for ViscaCare members
    With a medical card or GP visit cardNo charge

    If you hold a GP visit card or medical card, the consultation is free and the certificate normally comes with it. That alone makes the twenty-minute application worth doing before you need it.

    Getting a cert online

    A registered Doctor can issue a certificate after an online consultation where it is clinically appropriate. What they cannot do is issue one without assessing you — a certificate is a clinical judgement, not a form you order.

    • Be ready to describe symptoms, when they started, and how they affect the work you do.
    • Have your PPS number to hand if you may also need a Certificate of Incapacity for Work.
    • Check the certificate names the correct dates before you send it to your employer.

    One thing to watch with cross-border care

    A Doctor registered in Ireland certifies for Irish employment and Irish social welfare. If you live in Ireland but work for a UK employer, or the reverse, check which jurisdiction's certificate your employer and payroll actually need — the two systems do not automatically recognise each other's paperwork. Our guide to UK sick notes and fit notes covers the other side.

    Don't let certification lapse

    For longer absences, payment stops the moment certification runs out — not when the Department gets round to reviewing it. Diary the end date of every certificate and book the follow-up consultation a few days before it expires.

    Common questions

    When can my employer ask for a sick cert in Ireland?

    There is no single statutory day. Your contract or staff handbook sets the rule, and employers commonly require a certificate from the third day of absence, though some require one from day one. To claim Statutory Sick Pay you must provide a medical certificate stating that you are unfit to work.

    How much does a sick cert cost in Ireland?

    Typically €20 to €40 as a standalone item, or included within a standard GP consultation fee of €50 to €70. There is no charge if you hold a medical card or GP visit card and the certificate is issued during a covered consultation.

    What is the difference between a sick cert and a Certificate of Incapacity for Work?

    A sick cert is a private medical certificate for your employer. A Certificate of Incapacity for Work is the form the Department of Social Protection needs for Illness Benefit, and your GP submits it electronically rather than giving it to you on paper.

    Can I get a sick cert online in Ireland?

    Yes. A registered Doctor can issue a certificate following an online consultation where it is clinically appropriate. The Doctor must assess you — a certificate cannot simply be requested and issued without a consultation.

    Can I self-certify sick leave in Ireland?

    Not for Statutory Sick Pay, which requires a medical certificate. Some employers accept self-certification for one or two days under their own policy, but that is a contractual arrangement rather than a legal entitlement.

    Can a sick cert be backdated in Ireland?

    Generally no. A Doctor certifies what they have assessed, and most will only certify from the date of the consultation. Some will certify a short retrospective period where the history clearly supports it, but you should not rely on it — arrange the consultation early in the absence.

    Where these figures come from

    Charges and thresholds change. We check these figures regularly, but always confirm the current rate with the official source before you rely on it. This page explains entitlements, costs and process — it is not medical advice.

    Need a cert today, not next Thursday?

    ViscaCare members get online Doctor access from day one across Ireland, the UK and Europe — assessments, certification where clinically appropriate, and prescriptions where appropriate, without waiting for a practice slot.