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UK NHS Wales Self Certification Sickness Form free printable template

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SELF CERTIFICATION OF SICKNESS ABSENCE FORM You are required by your Conditions of Service to complete this certificate to cover your absence from work due to sickness or injury (including third party
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How to fill out self certification sick form

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How to fill out UK NHS Wales Self Certification Sickness Form

01
Obtain the UK NHS Wales Self Certification Sickness Form from your employer or online.
02
Fill in your personal details at the top of the form, including your name, address, and employee number.
03
Indicate the dates you were unwell, specifying the start and end date of your illness.
04
Provide information on your symptoms and how they affected your ability to work.
05
Sign and date the form to confirm the accuracy of the information provided.
06
Submit the completed form to your line manager or HR department as per your workplace's procedures.

Who needs UK NHS Wales Self Certification Sickness Form?

01
Employees who have been off work due to illness for up to seven days and need to notify their employer.
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The UK NHS Wales Self Certification Sickness Form is a document that employees use to formally notify their employer of a period of absence due to illness, allowing them to self-certify for up to seven days.
All employees in Wales who take sick leave for a period of seven days or less are required to file the UK NHS Wales Self Certification Sickness Form.
To fill out the UK NHS Wales Self Certification Sickness Form, an employee should provide personal details such as their name, job title, dates of absence, and a brief description of their illness, and then submit it to their employer.
The purpose of the UK NHS Wales Self Certification Sickness Form is to provide a standardized way for employees to formally declare their illness and absence to their employer, ensuring proper record-keeping and compliance with company policies.
The information that must be reported on the UK NHS Wales Self Certification Sickness Form includes the employee's name, job title, dates of absence, the reason for the absence, and any other relevant details as required by the employer.
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