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

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your personal details: fill in your first name, surname, job title, client/location, personnel number, and NI number.
3. Indicate the dates of your unfit period by entering the start and end dates. Ensure to include weekends and bank holidays.
4. Provide a brief explanation of why you were unfit to work. Avoid vague terms; be specific about your condition or injury.
5. 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.
6. If applicable, indicate if you have seen a GP or attended a hospital regarding this absence and provide details of the visit.
7. Confirm if you consider yourself disabled as per the Equality Act 2010 and whether your absence relates to this disability.
8. Complete the declaration section by signing and dating the form to confirm accuracy of information provided.

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