Form 8922: Fill out & sign online

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Click ‘Get Form’ to open the sick pay form in the editor.
Begin by filling in your personal details in the 'About you' section. Enter your surname, first name(s), title, National Insurance number, and date of birth.
Indicate the date you last worked before your sickness began and the time you finished work on that date using a 24-hour format.
Answer whether your sickness was caused by an accident at work or an industrial disease by selecting 'Yes' or 'No'. If 'Yes', consider seeking information about Industrial Injuries Disablement Benefit.
Provide details about your sickness, including the start and end dates. If unsure of the end date, leave it blank.
Once completed, save your form and submit it to your employer for processing. Remember to keep a copy for your records.

Start filling out your sick pay form online for free today!

See more sick pay form versions

We've got more versions of the sick pay form form. Select the right sick pay form version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2014	4.7 Satisfied (35 Votes)
2013	3.9 Satisfied (38 Votes)
2012	4.8 Satisfied (190 Votes)
2011	4.5 Satisfied (46 Votes)
2009	4 Satisfied (60 Votes)
2008	4.2 Satisfied (24 Votes)

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How can I eSign my sick pay form in Word?

Microsoft Word doesn’t have signing tools to create legitimate eSignatures and enforceable documents. Fortunately, DocHub is an online eSignature-compliant editor that works with different document formats, such as .doc files. Log in to your account and add the Word edition of your sick pay form from your device and cloud, or URL - our editor will automatically convert it into an editable PDF. Make all required adjustments in your form and click Sign to create your own legally-binding eSignature. You will find four signing methods from which to choose.

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If your go-to email service is Gmail, it is simple to integrate your DocHub editor in your work. Modify your sick pay form with DocHub instruments and attach it to your drafts in Gmail. See how straightforward it is to exchange papers and work together having a swift PDF editing solution at hand.