Return To Work From Absence

  • A self-certification form must be completed for absence due to sickness of between 4 and 7 days
  • Absence due to sickness of more than 7 days must be supported by a Doctor’s Note (Fitness for Work)
  • Neither Company sick pay nor SSP will be paid unless this form is completed fully and accurately


I declare that the above statement is true. I understand that to knowingly give false or misleading information is an offence both in law and under the Company’s disciplinary procedure, and will result in my summary dismissal.

Sign Here