Sick (fit) note request

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Date sick note required from:

Please use this date format: DD/MM/YYYY.

Number of days you were ill:

Include holidays and weekends, not just days off work.

Certificates must be requested on the date you need them to start from – we cannot postdate a certificate and they cannot be requested in advance.

Is the condition still on-going?

Yes

No

Describe your illness and why you need a sick note:

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