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Get Self Certification Form Printable
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How to fill out the Self Certification Form Printable online
Filling out the Self Certification Form Printable is an essential process for documenting your absence due to sickness. This guide provides clear and supportive instructions to ensure you can complete the form accurately and efficiently.
Follow the steps to successfully complete the Self Certification Form Printable.
- Click the ‘Get Form’ button to obtain the Self Certification Form Printable and open it in the document editor.
- Fill in your personal details in the Employee Details section. This includes entering your full name, department, payroll number, and job title as it appears on your payslip.
- In the Dates of Sickness section, accurately state the first full day of sickness, the last full day of sickness, and the date you returned to work. Additionally, provide a brief explanation of the reason for your absence.
- Indicate whether your sickness was a result of an accident or injury at work by selecting 'Yes' or 'No'.
- Complete the declaration statement affirming that you were unfit for work during the specified period. Confirm that the information provided is correct and complete by signing and dating the form.
- If applicable, refer to the Departmental Use Only section for any comments or additional notes. This area may contain helpful information for the department managing your absence.
- Review the entire form for accuracy and completeness. Finally, save your changes, download, print, or share the completed Self Certification Form Printable as needed.
Complete your documents online today for a seamless experience.
Related links form
Many employers have their own self-certification forms. If your employer doesn't have its own form you can download this Self Certification Form (PDF). Please print it, fill it in and hand it in to your employer. You do not need to see a Doctor.
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