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Get the free Sickness Absence: Self-certification Form

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This form is used by employees to certify their sickness absence for up to five working days and must be submitted to their manager or the People & Purpose department.
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How to fill out sickness absence self-certification form

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How to fill out sickness absence self-certification form

01
Obtain the sickness absence self-certification form from your employer or HR department.
02
Fill in your personal details, including your full name, employee ID, and department.
03
Provide the dates of your absence, specifying the start and end dates of your sickness.
04
Indicate the reasons for your absence clearly in the designated section.
05
If required, provide any additional information or documentation as requested by your employer.
06
Review the completed form for accuracy and completeness.
07
Sign and date the form to certify that the information provided is correct.
08
Submit the form to your employer or HR department as per the company’s policy.

Who needs sickness absence self-certification form?

01
Employees who are absent from work due to illness for a specified period, typically short-term absences.
02
Employers or HR departments that require documentation for record-keeping or compliance purposes.
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A sickness absence self-certification form is a document that employees use to confirm their illness and the duration of their absence from work without needing a doctor's note.
Employees who are absent from work due to illness for a period typically ranging from a few days up to a certain limit, defined by company policy, are required to file a sickness absence self-certification form.
To fill out the form, employees should provide their personal details, specify the dates of absence, state the nature of the illness, and sign the form to attest that the information provided is accurate.
The purpose of the sickness absence self-certification form is to formally document an employee's illness, ensuring transparency and compliance with company policies regarding health-related absences.
Employees must report their name, job title, dates of absence, nature of the illness, and any other relevant details as required by the form's instructions.
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