Leave
Sick leave:the pay ladder and how it is counted
The 30 / 60 / 30 ladder is counted differently from how many people assume, and it never comes out of annual leave. An employee cannot be dismissed because of illness before these periods are used up.
- Last updated: 29 July 2026
- 6 min read
Sick leave is separate from annual leave. Article 117 of the Labor Law sets its pay ladder: thirty days on full pay, then sixty days at three-quarters pay, then thirty days unpaid.
Two mistakes come up again and again. The first is deducting sick days from the annual leave balance, which is wrong because they are separate entitlements with separate rules. The second is starting the ladder again for each new illness instead of counting across the year.
Tracking up to 120 days of sick leave spread over a year, for each employee, is easy to get wrong by hand. A leave system that applies the ladder automatically avoids that.
Before you rely on this guide: This content is general information, not binding legal advice.
Rules vary with the contract type and the facts of each case, and provisions may have changed since the last-updated date above.
Before any decision that affects an employee, check the article in its official source or consult a specialist.
The three-stage ladder
Sick days taken within one year are paid in three consecutive stages:
- 01The first thirty days: on full pay.
- 02The following sixty days: at three-quarters of pay.
- 03The thirty days after that: unpaid.
How the single year is counted
The ladder covers all sick leave in one year, not each illness separately. Article 117 says the year starts on the date of the first sick leave. It is not the calendar year or the contract year.
So an employee who takes twenty days, then fifteen more in the same year, does not start again. They carry on from where they stopped: the first ten days of the second absence are still in the first stage and paid in full, and the other five are in the second stage at three-quarters pay.
This is the part that usually goes wrong when done by hand, because you need a running total for each employee across the year, not a calculation for each request.
It never comes out of the annual balance
Sick leave has its own rules and is never deducted from annual leave. An employee who is off sick for twenty days keeps their full annual leave balance.
If an employee falls ill during annual leave, the annual leave stops until the sick leave ends, then continues. A weekly rest day that falls within sick leave is not made up (Article 26 of the Executive Regulations).
If Eid al-Fitr, Eid al-Adha, National Day or Founding Day falls within sick leave, the employee is paid in full for those days, whatever stage of the ladder they are at (Article 24 of the Executive Regulations). Sick days backed by an approved medical report are not treated as unexcused absence.
The medical report requirement
Sick leave must be supported by a medical report from an approved source. The employer can check the report with the authorised body.
Time off claimed as illness without an approved report is not sick leave. It is treated as unexcused absence, with the deductions and penalties that apply to it.
Keeping the report in the employee file helps both sides. The employee's days are not counted as absence, and the employer is protected if the employee later claims pay was wrongly withheld.
Protection from termination
Under Article 82, an employer cannot end an employee's service because of illness before the employee has used up the sick leave periods set by the Law. The employee can ask to add annual leave on to their sick leave.
The ban is on dismissal because of illness. If the employee has used up all the sick leave periods and still cannot return to work, the contract can be ended under the applicable rules, with all entitlements paid in full.
Common errors in practice
- 01Deducting sick days from annual leave, as if they were the same entitlement.
- 02Starting the ladder again for each illness instead of counting across the year.
- 03Paying three-quarters from the first day, or paying full pay for all 120 days.
- 04Recording sick days as absence when there is an approved medical report.
- 05Dismissing an employee because of illness before they have used up the sick leave periods.
Official sources
Article numbers cited refer to the Saudi Labor Law and its Executive Regulations. Rules and rates are subject to change, so refer to the official source whenever in doubt.
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Frequently asked questions
How long is sick leave under Saudi labor law?
Up to 120 days in one year, on a pay ladder: thirty on full pay, then sixty at three-quarters pay, then thirty unpaid (Article 117).
Does sick leave come out of the annual balance?
No. They are separate entitlements with their own rules. Sick leave is never deducted from the annual leave balance.
Does the ladder restart with each illness?
No. It covers all sick leave in one year. An employee who has used twenty days and falls ill again carries on from where they stopped.
Is a medical report required?
Yes, from an approved source, and the employer can check it. Time off claimed as illness without an approved report is treated as unexcused absence.
Can an employee be terminated while on sick leave?
Not because of the illness, before they have used up the sick leave periods (Article 82). After that, if they still cannot return, the contract can be ended under the applicable rules, with entitlements paid.
Do weekly rest days count within sick leave?
Yes. A weekly rest day within sick leave counts towards it and is not made up. Days of the two Eids, National Day and Founding Day are paid in full (Articles 24 and 26 of the Executive Regulations).
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