Get Self Certificate Form

Filling out the Self Certificate Form online is a straightforward process designed to assist users in reporting their absences from work accurately. This guide will walk you through each section of the form to ensure you complete it efficiently.

Follow the steps to fill out the Self Certificate Form online:

1. Click 'Get Form' button to obtain the form and open it in the online editor.
2. Begin by entering your company's name, department, and your employee details, including your name, payroll ID, and job title.
3. Indicate the first day you were absent, and if your absence was not due to sickness, provide the reason for your absence.
4. Enter your last day absent. If your absence was due to sickness, be sure to specify the start and end dates, including any weekends, bank holidays, or booked holidays.
5. Mark your unfit to work status by entering the dates from and to, as well as your normal working hours on both days.
6. Briefly explain why you were unfit to work. If your absence was due to an injury, include details about the injury and its cause.
7. If your absence was related to a visit to a hospital or clinic, provide the name and address of the place attended and the reason for your attendance.
8. Answer the questions regarding whether you consider you have a disability as defined by the DDA and whether your absence is related to this disability.
9. Review the declaration section. Confirm that you have not worked during your absence and that the information provided is complete and correct. Acknowledge the terms of your company's sickness and absence policy.
10. Sign and date the form to complete your submission. After finishing, you can choose to save changes, download, print, or share the form as needed.

Complete your Self Certificate Form online today to ensure proper documentation of your absence.