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Fit (Sick) Note

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All questions marked with a * are mandatory

Fit (Sick) Note

You do not need a sick note for the first 7 days of an illness - you can still self-certify your illness.

For isolating due to COVID-19 you can get an isolation note for up to 14 days via NHS 111 Online

Have you already had a note about this?: *

You may continue on with this form

You will need to make an appointment to discuss before a sick note can be issued

Have you been off sick for more than 7 days?: *

You can complete a Self Certification form yourself.
If your employer doesn’t have its own form your can complete the Employee's Statement of Sickness (SC2) form online.
When you’ve filled in the form give it to your employer, it will help them decide if you can get Statutory Sick Pay. Keep a copy for your own information.

E.g. could you work from home, do fewer hours, or do different tasks at work?

You are unable to continue to the next step (see above). : *

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Personal Details

Please provide your details to help us find your record. If you are filling this in on behalf of someone else, please enter their details.

Please double check you've entered the correct email address

May be used to identify you

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Confirmation

Please check the details are correct

Have you already had a note about this?
Your Answer: %%form-element-5608%%

Tell us briefly about your illness or medical problem.
Your Answer:

When would you like the note to start? When do you think you can return to work?
Your Answer:

If possible, is there anything your employer could do to help you return sooner?
Your Answer:

How should we contact you?: *

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Please read our Privacy Policy to discover how we protect and manage your submitted data.

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