Sick / Fit Note Is this your first sick / fit note for this illness? This is my first Sick / Fit note for this illness I have already had a Sick / Fit note for this illness Back Next How long have you been ill (including bank holidays and weekends)? I have been ill for 7 days or less I have been ill for more than 7 days Back Next Sick / Fit Note Request Name * First Name Last Name Date * - Day - Month Year Date Email * example@example.com First date you were not at work due to this illness: Total number of days you were ill or state ongoing: Describe your illness and why you need a Sick / Fit Note: Back Submit Next Self Certification Sick / Fit Note for less than 7 days If you have been ill for 7 days or less you don’t need to see a Doctor. You can complete a Self Certification form yourself. However some employers insist on a Doctor’s note regardless. A Doctor’s note under these circumstances may involve a charge. Many employers have their own self-certification forms. If your employer doesn’t have its own form you can download the Self Certification Form. Please print it, fill it in and hand it in to your employer. You do not need to see a Doctor. Self Certification Form (PDF) Back Next Submit Should be Empty:
