Get the free Sickness self-certification form - University of London

Seyfert: This form must be used to certificate all periods of absence up to 7 calendar days duration. Medical certification is required for periods of absence of 8 or more days. Sickness Absence Recertification

How to fill out sickness self-certification form

How to fill out sickness self-certification form:

1. Begin by providing your personal information such as your full name, date of birth, and employee or insurance number, if applicable.
2. Indicate the start and end dates of your sickness period. Specify the exact dates and times when you were unable to work due to illness.
3. Describe the nature of your illness or injury. Provide details about the symptoms you experienced and any medical treatment that you received.
4. If required, include the contact information of your healthcare provider or doctor who can verify your condition.
5. Sign and date the form to certify that the information provided is accurate and true to the best of your knowledge.
6. Once completed, submit the form according to the instructions provided, which may involve submitting it to your employer, insurance company, or relevant authority.

Who needs sickness self-certification form:

1. Employees who are unable to attend work due to illness or injury are typically required to fill out a sickness self-certification form.
2. Self-employed individuals or freelancers may need a sickness self-certification form as a part of their documentation for insurance claims or evidence of their inability to work.
3. Individuals seeking sick pay benefits from their employer or insurance coverage often need to complete a sickness self-certification form to provide evidence of their illness and time off work.

For pdfFiller’s FAQs

What is sickness self-certification form?

The sickness self-certification form is a document where an individual declares their own illness or medical condition.

Who is required to file sickness self-certification form?

Employees who are unable to work due to illness or medical condition are required to file sickness self-certification form.

How to fill out sickness self-certification form?

To fill out the sickness self-certification form, the individual needs to provide information about their illness or medical condition, along with any supporting documentation.

What is the purpose of sickness self-certification form?

The purpose of the sickness self-certification form is for the individual to notify their employer of their inability to work due to illness or medical condition.

What information must be reported on sickness self-certification form?

The sickness self-certification form must include details about the individual's illness or medical condition, the date when the illness started, and the expected duration of the illness.

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