If you’re off work sick for 7 days or less, your employer should not ask for medical evidence that you’ve been ill – you do not need to complete this form. Instead they can ask you to confirm that you’ve been ill by filling in a form when you return to work. This is called self-certification.
If you have been off work sick for 7 days or more, complete this form.
You can use this service if you:
- are registered at the surgery
Before you start
We’ll ask you for:
- your first and last name, date of birth, sex, postcode, email and phone number
- if applicable, the details of the person you are completing the form on behalf of
You can also phone us on 0121 747 8291.