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You can either: download the form, fill it in on screen and then print it. download the form, print it and fill it in with a pen.
Details. You can use this form (SC2) to ask your employer for Statutory Sick Pay ( SSP ). You must have been off work due to sickness for more than 3 days in a row to be eligible. When you've filled in the form give it to your employer, it will help them decide if you can get SSP . Keep a copy for your own information.
If you select either the \u201cEA\u201d or \u201cEI\u201d box, you will be able to keep your CDL without submitting a current medical card. If/When you return to driving a commercial vehicle and you need to carry a medical card, you must resubmit a DL-11CD, Self-Certification Form, along with a copy of your valid medical card.
Self-certification When they return to work, their employer can ask them to confirm they've been off sick. This is called 'self-certification'. The employer and employee will agree on how the employee should do this. They might need to fill in a form or send details of their sick leave by email.
Employers must fill in the SSP1 form when an employee is not entitled to Statutory Sick Pay (SSP) or when their SSP is ending.

People also ask

What happens when SSP payments stop? SSP stops being payable on the earlier of when the employee comes back to work, after 28 weeks, or when the employee no longer qualifies for any other reason. If an employee's SSP is going to end before they are well you have to send them a form SSP1.
An SSP1(L) Form is issued to an employee on request when leaving. However, the form must be issued within a certain time limit. This time limit is either seven days after the SSP1(L) has been requested, or the first payday in the tax month following the one in which it was requested by the employee.
Commercial Driver License Self-Certification, form TC 94-169. Download the form here from Kentucky Transportation Cabinet Division of Driver Licensing. Copy of your valid DOT medical card (Medical card only, not the long form). Provide a legible copy of both front and back of the medical card.
Self-certification When they return to work, their employer can ask them to confirm they've been off sick. This is called 'self-certification'. The employer and employee will agree on how the employee should do this. They might need to fill in a form or send details of their sick leave by email.
You must meet the Federal DOT medical certificate requirements. You do not have to keep your medical certificate on file with WA SDL but you must carry it with you when operating a CMV. Per RCW 46.25. 055 CDL drivers must carry Medical Examiners Card in Washington.

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