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Home > Fitnote request

Fitnote request

When do I need a fit note?

7 days off sick or less

  • If you're off work sick for 7 days or less, your employer should not ask for medical evidence that you've been ill. Instead they can ask you to confirm that you've been ill. You can do this by filling in a form yourself when you return to work.

  • This is called self-certification.Your employer will provide you with a copy of the Statutory Sick Pay (SSP) SC2 form for shorter periods of illness or complete it online.

More than 7 days off sick

  • If you're off work sick for more than 7 days, your employer will usually ask for a fit note (or Statement of Fitness for Work) from a GP or hospital doctor. Fit notes are sometimes referred to as medical statements or a doctor's note.

More information about when a Fit note is required

Information about Fitnotes for both employees and employers

Fitnote request
complete in full or we will not be able to action your request
Note fitnotes are not provided within first week of illness - see guidance above. Please add as much detail as possible to support your request.
date

Privacy Protection

Information submitted through secure forms is used only for the purposes of processing your request. We may be in touch with you in relation to the information submitted.

All Information submitted through secure forms is secured with a private key and is accessed over a secure connection by nominated staff. We have a strict confidentiality policy.

This information is not shared with any third party organisations.

This information is retained for up to 28 days.

Learn more about our Privacy Policy and Terms of Use. Should you have any concerns about sending your personal details using the web, please use one of the alternative methods offered by our organisation.


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Emsworth Medical Practice

North Street, Emsworth, Hampshire, PO10 7DD

  • 01243 378 812

Westbourne Surgery

George and Dragon Surgery, The Square, Westbourne, PO10 8UE

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