Sickness self-certification form

1.Please fill out this form for all sickness absence of between 1 and 7 calendar days (one week, including non-working days).

2.For periods of sickness lasting more than 7 calendar days (including non-working days), please also provide a doctor’s certificate.

3.This form must be completed on the day you return to work. Please submit this form for filing in your employee HR record.