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Printable Self Certification Form
24 hours Title enter MR MRS MISS MS or other title Was your sickness caused by an accident at work or an industrial disease National Insurance number No Yes If you answered Yes you may be able to get Industrial Injuries Disablement Benefit. If you want information about claiming this benefit ask at any Jobcentre Plus office. Date of birth DD MM YYYY Your signature Clock or payroll number Signature About your sickness. Please give brief details Date DD MM YYYY Phone number If you do not know...Show details
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Where do I get a sickness self certificate form?Fit notes and proof of sickness If employees are self-isolating and cannot work because of coronavirus (COVID-19) they can get an 'isolation note' online from NHS 111. They do not have to go to their GP or a hospital. If they are off work with any other illness, they can get a fit note from a GP or hospital doctor.
Can I fill out a self certification form online?To open your self certification form online, upload it from your device or cloud storage, or enter the document URL. After you complete all of the required fields within the document and eSign it (if that is needed), you can save it or share it with others.
Can I print a SSP form?You can either: download the form, fill it in on screen and then print it. download the form, print it and fill it in with a pen.
Can I print a self certification form?Many employers have their own self-certification forms. If your employer doesn't have its own form you can download the Self Certification Form. Please print it, fill it in and hand it in to your employer. You do not need to see a Doctor.
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