This Office Memorandum from the Ministry of Personnel, Public Grievances & Pensions details revised guidelines regarding the production of medical certificates for leave applications by government employees. It addresses scenarios based on CGHS beneficiary status, location at the time of illness, and whether treatment is received at a CGHS dispensary, from an AMA, an RMP, or in a private hospital. The memorandum clarifies the acceptable forms of medical certification for both gazetted and non-gazetted employees, including provisions for cases where an AMA is unavailable. It also specifies that these orders will take effect from September 1st, 2000, and formal amendments to the CCS (Leave) Rules, 1972, will follow. The document also mentions consultation with the Comptroller & Auditor General of India regarding its application to the Indian Audit and Accounts Department.
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IMMEDIATE
No. 13015/3 /2000-Estt(L)
Government of India
Ministry of Personnel, Public Grievances & Pensions
(Department of Personnel & Training)
New Delhi, Dated 24^{th } August, 2000
OFFICE MEMORANDUM
Subject:- Recommendation of Fifth Central Pay Commission relating to Grant of Conimuted Leave/Leave on Medical Certificate to Gazetted and non-Gazetted Government servants.
Presently, under Rule 19 of CCS(Leave) Rules, 1972, whereas a gazetted government servant has to produce a medical certificate for grant of leave on medical grounds from an Authorised Medical Attendant (AMA), a non-gazetted, government servant is required to do so either from an AMA or a Registered Medical Practitioner (RMP), Further, in accordance with the recommendation of the Fifth Central Pay Commission made in Para 117.14 of its Report for production of Medical/Fitness certificate by all Government servants either from a doctor in a CGHS Dispensary or from an AMA in places where CGHS Dispensaries are not available, instructions have been issued vide this Department’s OM No. 13015/2/97-Estt(L), dated 7^{th } October, 1997, requiring non-gazetted government servants, who are CGHS beneficiaries and are residing in an area covered by CGHS at the time of illness, to produce such a certificate from a CGIIS doctor.
- The matter has since been considered further by the Government and it has now been decided that, in partial modification of the provisions of Rule 19 of CCS(Leave) Rules, 1972 and this Department’s OM dated 7^{th } October, 1997, referred to above, the production of Medical/Fitness Certificate by gazetted and non-gazetted government servants shall be regulated as follows :-
(i) A Government servant (gazetted or non-gazetted) who is a CGIIS beneficiary and is living in an area covered by the CGHS at the time of illness shall be required to produce the Medical/Fitness Certificate, in the Form prescribed in Rule 19 of CCS(Leave) Rules, 1972, either from a CGHS doctor or a Government Hospital.
(ii) A Government servant (gazetted or non-gazetted) who is not a CGHS beneficiary (including a Government servant who has opted out of the CGHS or is a CGHS card holder but at the time of illness is not living in an area covered by CGHS, i.e. proceeds outside the Headquarters on duty, leave etc.) will have to produce the Certificate from his AMA, provided that in the case of such a non-gazetted government servant, production of the Medical/Fitness Certificate from an RMP may be allowed by the leave sanctioning authority if there is no AMA available within a radius of 8 kms . of his residence (or place of temporary stay outside the Headquarters).
(iii) In the case of hospitalization/indoor treatment permitted in a private hospital recognised under the CGHS/Central Services (Medical Attendance) Rules, 1944, a Govt. servant (gazetted or non-gazetted, whether a CGHS beneficiary or not) may produce the requisite Medical/Fitness certificate from the authorized doctor in such a hospital in case his hospitalization/indoor treatment is on account of the particular kind of disease (e.g. heart, cancer, etc.) for the treatment of which the concerned hospital has been recognised by the Ministry of Health & Family Welfare. This relaxation will not be admissible in case of any day-to-dayioutdoor treatment or indoor treatment in respect of any other disease. - These Orders take effect from 1″ September, 2000. Formal amendments to the CCS (Leave) Rules, 1972, will follow.
- In so far as persons serving in the Indian Audit and Accounts Department are concerned, these orders issue in consultation with the Comptroller & Auditor General of India.
5.. Hindi version is enclosed.
eg (HARINDER SINGH)
JOINT SECRETARY TO THE GOVT. OF INDIA
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