Self certificate form 2026

1. Click ‘Get Form’ to open the self certificate form in the editor.
2. Begin by entering your First Name and Surname in the designated fields at the top of the form.
3. Fill in your Department and Personnel Number to ensure proper identification.
4. In the 'Period of Sickness Absence & Notification' section, input the dates for your first and last day of sickness absence.
5. Indicate who you notified about your absence and select the days you were absent using the provided checkboxes.
6. Specify the number of hours not worked each day due to sickness and indicate whether you work Full Time or Part Time.
7. Provide brief details about your illness in the 'Details of Sickness Absence' section, including any hospital visits or medication received.
8. Complete the declaration by signing and dating where indicated, ensuring all information is accurate before submission.

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