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Self Certification Sickness Absence Form - On Line - oldesigngroup co

Self Certification Sickness Absence Form - On Line - oldesigngroup co 2026

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The document is a Self Certification Sickness Absence Form that employees must complete upon returning to work after an absence of half a day or more due to sickness. It outlines the information required from the employee, including details about the absence, reasons for unfitness to work, and any medical consultations. The form emphasizes that a doctor's certificate is not needed for the first 7 days of absence unless requested. It also includes declarations regarding the accuracy of the information provided and notes on confidentiality and company policies related to sick pay.

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Click ‘Get Form’ to open it in the editor.
Begin by entering your personal details: fill in your first name, surname, job title, client/location, personnel number, and NI number.
Indicate the dates of your unfit period by entering the start and end dates. Ensure to include weekends and bank holidays.
Provide a brief explanation of why you were unfit to work. Avoid vague terms; be specific about your condition or injury.
Answer whether your sickness was caused by an accident at work or an industrial disease. If yes, ensure this is recorded in the Accident Book.
If applicable, indicate if you have seen a GP or attended a hospital regarding this absence and provide details of the visit.
Confirm if you consider yourself disabled as per the Equality Act 2010 and whether your absence relates to this disability.
Complete the declaration section by signing and dating the form to confirm accuracy of information provided.

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Versions	Form popularity	Fillable & printable
2015	4 Satisfied (51 Votes)

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is the sickness absence policy?

A sickness absence policy sets out how you, as a company, will deal with sickness absence. Its important for managing absences and making sure everyone is treated fairly. In your policy, triggers can be set for a review of a persons absence.

What are self certification forms?

Self-certification If employees are off work for 7 days or less, they do not need to give their employer a fit note or other proof of sickness from a healthcare professional. When they return to work, their employer can ask them to confirm theyve been off sick. This is called self-certification.

Where can I get a doctors note if I dont have a doctor?

Urgent care clinics can provide quick and cost-effective doctors notes. To obtain a doctors note, find an urgent care that accepts your insurance, call ahead to ensure they provide notes, and explain your situation to the doctor.

Can I get a sick note without seeing a Doctor?

You cant, you have to be seen in the emergency room to be examined why you dont feel good or you feel very sick. Unless you are seen by a licensed doctor you can not have a doctor s note.

Can I download a self cert form?

You can complete a Self-Certification form yourself. Many employers have their own self-certification forms. If your employer doesnt have its own form you can download the Self Certification Form. Please print it, fill it in and hand it in to your employer.

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