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Self certification form 2025

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The document provides information about Statutory Sick Pay (SSP) for employees who are ill and unable to work. It includes instructions on how to fill out an employee's statement of sickness, eligibility criteria, and the process for claiming SSP. Additionally, it outlines steps to take if an employee disagrees with their employer's decision regarding SSP entitlement and offers resources for further assistance.

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Click ‘Get Form’ to open it 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.
Provide the date you last worked before your sickness began and the time you finished work on that date using the 24-hour format.
Indicate whether your sickness was caused by an accident at work or an industrial disease by selecting 'Yes' or 'No'.
In the 'About your sickness' section, enter the start and end dates of your sickness. If unsure about the end date, leave it blank.
Complete any additional details regarding your sickness as required and ensure to sign the form before submission.
Once completed, save a copy for yourself and submit it to your employer for processing.

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What are examples of self-certification?

An example of a resume self-certification form clause Heres how a resume self-certification form clause might appear in a hiring agreement or job application: By signing this form, I docHub that the information provided in my resume and job application is true, complete, and accurate to the best of my knowledge.

What is a self-certification form for DOT?

Self-certification is the process where a commercial driver declares to their states licensing agency what type of driving they will be doing. This helps the state determine which medical requirements apply to the driver.

What is the self certification form?

A self-certification form is used by employees to inform their employer that they have been off work due to illness for up to 7 days. It serves as a written record of the employees absence and does not require a doctors note for this short period.

What is a self-certification form?

Self-certification is when an employee provides a personal note explaining their reasons for being off work sick. Employees wont need a private certificate or doctors note for this type of short-term absence. Instead, theyll need to say how they were ill and if theyre well enough to do their usual job.

What is the purpose of the self certification form?

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 they have been off sick. This is called self-certification.

self certification form pdf

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How can I get a self-certification form?

Many employers have their own self-certification forms. If your employer doesnt have its own form your can download this Self Certification Form (PDF). Please print it, fill it in and hand it in to your employer. You do not need to see a Doctor.

How do I get a self-certification form?

Many employers have their own self-certification forms. If your employer doesnt have its own form you can download HM Revenue and Customs Statutory Sick Pay Employees statement of sickness form. Please print the form, complete it and hand it in to your employer. You do not need to see a Doctor.